Broken Ankle

7 months ago

@pnut developerd
Notes on wiki.pnut.io
I take being emperor seriously but I feel like I'm the only one.

There has been interval closed reduction of left ankle with improved alignment. Again seen is a mild displaced fracture of the medial malleolus with comminution and small displaced fracture fragments. There is a mildly displaced fracture of the distal fibular shaft with comminution as well as a mildly displaced fracture of the fibular tip with avulsion of the distal fibula.

Ankle mortise is disrupted with widening of the distal tibial fibular syndesmosis containing small osseous fragments indicates syndesmotic injury, as well as widening and asymmetry of the medial clear space. Chaput's tubercle fracture mild displacement also present.

Accessory navicular os is present.

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Discussion

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@thedoctor

@33MHz you need to stop breaking bones!! 🙁

@33MHz

@thedoctor yes. 😳 this is ugly.

@igmp_join

@33MHz that's no good. you've got too many stairs for that.

@EsilEna

@33MHz oh no 🙈 wishing you to heal fast

@mandy

@33MHz no!

@joe

@33MHz Ouch! What’s with you and breaking bones often?

All seriousness, hope you feel better!

@retrophisch

@33MHz Oh noes! (Also, been there, done that. You have my empathy.)

You also want a knee scooter. Trust me.

@33MHz

Explanation of the damage

@33MHz

@thedoctor @igmp_join @esilena @mandy @Joe @retrophisch Ketamine really spun me around! They said "think happy thoughts" and I thought "rehabbing my house"…

results of x-rays: https://longpo.st/p/1211585

@33MHz

Letting swelling go down in a splint until Tuesday, then we find out next steps. Should have surgery with screws.

@keage

@33MHz Oh no 😱 Hope you feel better

@33MHz

@keage thanks! One day at a time. Breakfast in bed today (thanks kids).

@mandy

@33MHz sounds terrible

@33MHz

@mandy sounds like some fragments/chipping, but primarily 3 bones broken. Fibula a few inches up, and then two of three bones around the ball.

Maybe only 3 months to heal? I'm hopeful.

@joe

@33MHz That sounds horrible, I have to wonder what was the time frame for recovery after operation?

@kyle

@33MHz !!

@thedoctor

@33MHz if that is your happy place or adventure you chose then sure. No place like home! I had a patient recount his vivid trip to Mars after a ketamine sedation. @retrophisch @Joe @mandy @esilena @igmp_join