r/Orthopedics

Distal Humerus
▲ 7 r/Orthopedics+2 crossposts

Distal Humerus

It's been 1 year and 8 months since ORIF of distal humerus (11 screws + 1 plate). It was a pretty long surgery (around 3.5-4 hours). The reason for this was because the arm was in a cast for 4 months prior to surgery and after it not healing well, surgery had to be done. Is it possible to play as a goalkeeper in football at this time? I was told by my surgeon 3-4 months post surgery that the arm is healed well and he was surprised with the improvements on ROM as well. I haven't done an X Ray since that time. It's worth noting that as a goalkeeper, I would have to dive a lot on sides and landing on my arm, could this cause another break in that same arm due to the plate/screws being there? I'm still not sure whether visiting the surgeon to remove the plates/screws. Any opinion would be appreciated

u/OblivionMW4 — 1 day ago
▲ 3 r/Orthopedics+1 crossposts

Distal radial and ulnar styloid fracture- only the distal radial had surgery

The ulnar styloid fracture still worries me since it looked kind of far from where it should be in the ct scan

u/LegFluidC2 — 1 day ago

Help in knowing my current fracture condition

I had an accident and been diagnosed with proximal tibia fracture on left leg. Its been 50 days since the surgery. This is my recent xray after 50days of surgery. Please let me know my bone recovery status.

u/Intelligent_Put1403 — 1 day ago
▲ 6 r/Orthopedics+1 crossposts

Osteoarthritis and other nasties in ankle. To fuse or not?

There is radiologist assessment in last photo.

My surgeon is mainly leaning towards fusion, with a maybe it will help to clean up and reconstruct. It’s from a snowboarding injury 11 years ago

I’ve had 2 arthroscopies so far.

I’m 32 and work in software.

u/oculusface — 1 day ago

how are people choosing orthopaedic doctors these days?

genuinely asking because every doctor profile sounds identical at this point. ive been comparing qualifications, reviews on doctify, reddit threads, everything, and somehow feel even more confused. what actually matters when picking an orthopaedic doctor?

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u/ImmediateDisaster604 — 2 days ago
▲ 7 r/Orthopedics+1 crossposts

Bilateral trochlear dysplasia and running

Hello!
I am a 21 yo woman, and last year I got diagnosed with bilateral trochlear dysplasia type C and patella alta (I also have flat feet). My ortho said it is most likely genetic, and ever since, I have been terrified of working out.
You see, I got this diagnosis after feeling pain in both my knees for about 3 months after a gym session. I was working out the same as I had for months, but suddenly I felt a sharp pain in the outer part of my left knee; the pain in the right one followed soon after, and it got worse with time (some days I had immense pain even walking). When I got the diagnosis, I got an enormous sense of anxiety instead of relief. Basically, I got told that there is not much I can do apart from being careful, and surgery was not really advised, as the tedious recovery process would not be worth it for the benefits.

So I stopped working out altogether.

However, even before getting diagnosed, I had wanted SO BAD to learn how to run. I really enjoy the feeling of moving my body, especially in the outdoors, but I am absolutely terrified of damaging my knees. And mentally, I also feel the need to move in some sort of way, and running seems to be the most accessible to me (I am a student and don't have the financial means to hire a personal trainer for the gym, for example)

I would like to know if anyone has found themselves in this position, and if so, if they have any tips to share. I would massively appreciate it<3

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u/AdMean4229 — 2 days ago
▲ 6 r/Orthopedics+2 crossposts

MRI results-Mucoid Degeneration of the Anterior Cruciate Ligament. Anyone have this condition? What treatments are there?

A year ago, out of the blue, my right knee became stiff and painful. It is always painful when I bend it, if I’m on my feet for over 10 mins it becomes increasingly painful and stiff, barely able yo bend my leg. Here are MRI results? What do you all think? Is this treatable?

u/Ok-Handle3117 — 3 days ago

My friend has a displaced comminuted supracondylar fracture of the distal humerus. We believe the doctors have been negligent. Cross posted

So my friend has a displaced comminuted supracondylar fracture of the distal humerus. It happened in January and she was taken to the emergency room and they told her that it would likely need surgery. She then went for a follow up with the surgeon and the first one told her that they wanted to put it in a splint and see what happened initially.

She then went to her primary to get a referral for a second opinion and that surgeon is booked out and she was told that they can’t put her on a waiting list because of how far out they are booked. They are also prioritizing people from a hospital that her insurance doesn’t cover. They do accept her insurance apparently. It’s been an extremely frustrating five months for her and the doctors refused to do anything more than just take x-rays every so often and tell her that it’s healing. This x-ray was from two days ago.

I told her that she should contact the state medical board and a malpractice attorney. Just my laypersons opinion of course. From what I’ve seen some attorneys will work on a contingency fee basis for medical malpractice but she still worried because money is tight right now for multiple reasons, the arm included.

She is admittedly a larger woman and her and another friend of ours believe that their lack of willingness to do anything surgical is potentially related to that. In no uncertain terms her primary said that she’s heard problems from that surgeon’s office as well.

I’m just here to see if I can get some outside advice to take to her to reaffirm our opinion or to change it in someway.

A couple things to note. She is outside of outside of Portland Oregon. She is currently on OHP due to being out of work.

Any advice with this would be greatly appreciated.
https://imgur.com/a/xGkT2cP

Edit for some clarity.

Added a link for the image.

At the ER, they put her in a splint and told her when the swelling went down she would need surgery and that would be a few days. Then she made an appointment with the surgeon at their surgical center who then had the NP or the PA tell her that they wanted to see how it healed on its own. The surgeon has yet to actually talk to her. It’s always been someone else and the one time she had an appointment to talk to him specifically, he canceled and then later they told her that she needed new x-rays despite her x-rays being OK for the appointment that he canceled. That surgeons office is the one that we believe to be negligent because of the severity of her break. The other surgeon that I mentioned she has not been able to get an appointment with because they are so far out booked. That’s unavoidable so there’s no real reason to have a problem with that surgeon. She’s just been getting strong along for five months by the only reasonable option that she has to get this taken care of.

u/Rubberduckie1991 — 3 days ago

1 week post op USO

Hello! I need to know if anybody else’s incision looked like this at one week postop ulnar shortening osteotomy and/or if this looks and seems normal! I think it looks way too bunched up and uneven. Trying to figure out if my surgeon just did a bad job or if something’s wrong. I do have hEDS so healing is naturally worse. I’m also concerned about the bottom part of it. It looks red and irritated and there’s more dried blood than the rest. For comparison, I also added a pic of what it looked like yesterday (2nd pic), 2 days ago (3rd pic), and 3 days ago (4th pic).

u/c_s_fen — 3 days ago
▲ 3 r/Orthopedics+1 crossposts

3 Screws removed after a fusion surgery?

I had my fusion surgery 3 years ago. My foot still hurts a lot and I am wondering if it is the screws. I was told to keep the screws in. I don't have a plate, just the 3 screws. The top of my foot is always in pain and I also have nerve pain.

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u/baynegail — 3 days ago

Displaced distal clavicle fracture

Hi all,

Week long lurker first time poster. I think I have typed in every possible search for similar injuries now so need to break cover and post my own!

Background: 39 years old, 30 mile a week runner. Recently got into strength training as well (to try to avoid getting injured lol) with a p/t once a week so have just started lifting weights etc. Potentially a short lived and expensive project that….

Last week (09/05) I tripped going fast at parkrun, going full on send for a 5k pb. Landed (hard) on my shoulder then head. Went to A&E was told it was a clavicle fracture and went away with a very basic sling and no instructions. I was a bit dazed and in shock (I suspect I had a bit of concussion that wasn’t picked up at the time) so didn’t take in much other than I would be referred to the fracture clinic. Was on a weekend away so not local A&E (a whole other story)

Pain and swelling have since eased but the bump on my shoulder is very uncomfortable and poking the skin and it all seems very unstable at injury site. Miserable.

Saw a surgeon today at NHS fracture clinic and got to see the x-ray - see attached (which was a shock how gnarly it looked tbh). He didn’t make a recommendation either way I.e. surgery / non surgery. After a bit of back and forth my wife and I decided on surgery and I am waiting for a date and phone call to get that sorted.

I guess my question is, can I be confident that is the right decision? Surgeon seemed incredibly on the fence and mentioned there is very little purchase for metalwork on the bone which sounded ominous and complicated.

I am incredibly depressed at losing running, which is my passion and a huge part of my mental health so the best outcome is returning to sport ASAP. Also super busy at work and this isn’t helping that. The surgeon wasn’t opposed to me buying a static bike for cardio - any other options for low impact cardio?

I am far from a doctor but I feel the x-ray tells its own story and common sense dictates those two bones won’t reunite on their own, but would welcome opinions otherwise?

Thank you for taking the time to read and for any help and advice you can impart.

Rich

u/According-Storm-8415 — 3 days ago

Fracture of 5th Metatarsal- Surgery?

Hey redditors! I don't post much but I twisted my ankle (after jumping off a step) and ended up in urgent care where they told me I broke my 5th metatarsal and referred me to an orthopedic doc. Unfortunately I am out of town this week for a work conference. I have been icing, utilizing compression, keeping weight off (in a boot and crutches), and elevating when possible. However as a very active person (ultrarunner and ride horses) Im trying to heal as quickly as possible with the best possible outcomes.

Having to wait to see the orthopedic doc, my biggest question is if you think this will be something that surgery will be recommended? I'm not asking for medical advice, just trying to set myself up mentally one way or the other.

Thoughts?

u/academicequestrian12 — 3 days ago
▲ 144 r/Orthopedics+1 crossposts

My tibial stress fracture turned into a full break as I stepped out of a cab.

Couch to 5k is on hold! 🫠

u/throwaway-pictures — 5 days ago

Distal radius fracture

13y female. FOOSH during soccer game… husband and kid convinced me it was a sprain.. but that nagging feeling wouldn’t go. So 9 days post injury (and after final soccer game and practice) I marched her in for an xray.. expecting it to be time wasted. (She sprained her ankle six months ago and that was way more gnarly than this wrist. It did look mildly deformed but was assumed to be swelling.
Pics attached.
We have a fiberglass splint and a follow up on Thursday. I need some mental prep though, what are we expecting on Thursday? Just another photo, a full cast? Is it displaced?

u/Important_Inside_403 — 4 days ago

Bruising after crush injury

Dropped a weight on my mid-foot and there’s bruising around my toes 2 days later? Doesn’t hurt that much to walk now just tender when the top of my foot is touched.

I ultimately decided against going for X-rays due to being able to walk. Is this expected to with trauma or potentially a sign of lack of circulation?

I added a picture of the original swelling to show where the injury occurred.

u/synestheticc — 4 days ago
▲ 3 r/Orthopedics+2 crossposts

Driving After Distal Radius Fracture - When Did You Start?

I’m five weeks into recovery from a distal radius fracture of my right (dominant) wrist. No joint involvement, and minor displacement only. They gave me a choice of surgery or not, and I chose to treat it non-surgically.

I will be in a cast for another week, then a brace for 3-4 weeks. I’ve chosen not to drive so far because my right hand still doesn’t function well (poor ROM), and I don’t feel comfortable driving with just my left hand. It would be fine if all goes smoothly, but I worry that if I need to swerve or otherwise make an abrupt motion, I could get in an accident. And I don’t want any more broken bones, thank you!

I’m wondering when others started driving, and what it was like for you.

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u/sophie1816 — 5 days ago
▲ 3 r/Orthopedics+1 crossposts

10 days post ORIF/ HELP

9 days post ORIF on my left ankle. Literally living a nightmare. (Long read, sorry)

For context, I am no stranger to immense pain. I’ve made it through a complete knee blow out, first surgery was ACL cadaver graft and meniscus repair, second was meniscus removal with approx 40 % remaining, third I went in for a scope for bone chip removal and woke up to a second ACL cadaver graft.Lastly I had a total knee replacement. All of this transpired from a slip in my stupid ex’s vomit. Yeah I know, cool story. Needless to say, I’ve had some major exposure to intense pain. I digress 😩

On 4/19, I tripped and fell somehow resulting in a distal fibula fracture and syndesmotic tear on both sides of my ankle (my GOOD leg unfortunately).
04/20 I was in the orthopedic surgeon’s office at 8:30a, incredibly thankful he had standing appts for those who went to a specific ER. Here’s where shit goes downhill. Initially he told me it would heal without surgery. Then he looked at my images again and expressed concern about the alignment of leg bones and top of the foot. He told me to go home, keep it elevated,NWB, and we would reassess in a week when swelling went down. Before walking out he basically said to prepare to have surgery the following week, awesome news right? 👎🏼
04/29 Follow up, NWB X-rays, definitely required surgical intervention. Scheduled surgery for the next day. Unfortunately, the surgery center over booked and I got bumped off the schedule.
3/7 Surgery day-nerve blocks, general anesthesia, ORIF and according to surgical notes, syndesmotic repair was deemed unnecessary.

If you’re still with me, I’m getting to the point, I promise.
So the nerve block lasted way longer than expected. That was awesome..
Around day 3, I was hurting but nothing some pain meds wouldn’t knock down.
Day 4 my foot started tingling, annoying but again I’m wearing the giant post op splint/dressing so I figured it was just swollen and maybe the wrap was a little too tight. I woke up probably 2 hours after going to bed in excruciating pain, but it was no where near the incision.
My foot had the feeling of pins and needles and it felt like something was stabbing the outside of my foot closer to the heal, RELENTLESS pain that I can’t describe with words. A lot of tears and no sleep, I was on the phone with the surgeons office as soon as they would answer the phone. Asked for help, asked if I could take ibuprofen, that was a no, they prescribed another NSAID, kinda brushed me off honestly.
By day 7, I hadn’t slept more than 2 hours at a time, the pain was progressively getting worse. I was desperate for relief. Called again, instructed to come in and have it checked out.
At my appt, with tears pouring down my face, they said my wrap was probably just too tight. They cut it off and lifted my leg out and asked if I had relief. I did not have any relief. My heel was sensitive to touch, checks for skin breakdown, all good, incision healing well, STABBING PAIN continues. Re-wraps my leg and says hmmmm, can’t give you more pain meds, let’s try Lyrica. Nerve pain meds…when I asked the possibility for nerve damage, I was brushed off again.
Here I am on day 9/10 up at 3:16 am, writhing in pain, the stabbing pain has moved to the inside of my foot closer to the ankle and I am taking the meds every 6 hours because as soon as it wears off I am dying. It helps a little, but the pain comes back ten fold when the meds wear off. My entire foot is still buzzing, vibrating, ALL the time and the stabbing sensation is almost unbearable.

Has anyone experienced this? Please HELP! I am hurting so badly and I cannot sleep. Next follow up is Monday, tomorrow now technically, to remove sutures and put on cast. I am terrified there is something really bad going on

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u/Aromatic-Bench-9212 — 5 days ago
▲ 1 r/Orthopedics+1 crossposts

Broken leg/Hip

Our 5 month old Great Pyrenees (male, 25 lbs) was hit by a car Friday. Took him to our vet, who said he had a broken leg and hip. He put our dog in a leg splint and referred us to a surgeon.
The surgeon said he couldn’t fit us in his schedule in time. We are now exploring other options and waiting to hear back from who other surgeons.
I don’t have the option to add a photo of x ray.

I want to know that if a pin and plate was needed, how long can you wait before surgery? I know puppy bones heal quickly and I don’t want it to heal wrong. Is scheduling a surgery next week too long? Any advice welcome

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u/Fun-Community1320 — 4 days ago
▲ 7 r/Orthopedics+2 crossposts

I’ve had two kneecap dislocations in the past and I’m scared I’m going to have a third.

I (26 f) had two kneecap dislocations in my late teens. The first dislocation happened when I was 17. I was going down a ladder and my left foot was twisted when I stepped on the floor and it suddenly dislocated. The pain was excruciating and they had to take me to the ER to move it back in place. I got lucky during the first dislocation and I didn’t get any cartridge damage from it.

The second dislocation happened when I was 18 and I wasn’t as fortunate . I was at a Zumba class when it happened. We were moving side to side very fast and my legs were moving laterally. My left knee suddenly dislocated and the pain was so excruciating that I screamed and cried the whole time I was being transported to the ER. The second dislocation was more severe.

The ER doctor told me that part of my kneecap was ripped off but it’s not serious and I can recover. He said that it would become a problem if I get more dislocations over the years and that’s when it turns into a problem. They did an X-ray. I don’t know the full extent of the damage.

My left leg was swollen for a few weeks and it took me a month to recover. I was considering surgery to strengthen my ligaments. I seen a specialist and he told me that I have mild knock knees and he doesn’t recommend surgery because my ligaments would go back to baseline because of my anatomy.

I’m now 26 and I haven’t had a third dislocation but I’m noticing weird feelings in my knees all of these years later. I was on a 10 hour flight recently and my left knee was aching and sore the whole time but my right knee was fine. It made a clicking noise after the flight whenever I walked. Both of my knees, even the dislocation free knee makes a clicking noise when i walk up a flight of stairs.

My left knee can’t handle weight loading very well and tires out easily compared to my right knee. I go to yoga regularly and my left knee is less tolerant than my right. Is this normal after my past? Am I developing arthritis? Could I be at risk of a third dislocation? I love yoga and I really don’t want to quit it.

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u/RedVelvetKitties — 5 days ago