ORIF ankle fracture/acute dislocation question....

[junior_physiotherapist]

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We need to know whether the joint line was involved and or the talar dome (the curved part at the top of the ankle that makes the hinging movement possible) etc

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Hi Mr Physiobob

*Would u please be so kind and explain why did u ask the patient about if there was a # at a talar dome!!?

** Another thing also i know the anatomical parts of talus is head,neck and body!
so please if u have a picture to show us the talus dome give us it please.

Regards

[physiobob]

[ .


Hi Mr Physiobob

*Would u please be so kind and explain why did u ask the patient about if there was a # at a talar dome!!?

Because this is the part that takes the direct joint load and is also the part with the thin lining of articular cartilage. I will attach an image if I can find one.

[junior_physiotherapist]

Dear phyiobob

Thanks alot of ,sir.

Regards

[michaela]

Dear phyiobob can you tell me when i will be back to normal after my surgury, i went into hospital after a fall from work, i dislocated knee and broke my tib and fib and they repaired it with plates and pins, but my knee is still in great pain and also my leg. picture of my xray
thanks
michaela

ImageShack - Hosting :: xrayqq8.jpg

[physiorick]

Hi,is anyone able to give me some pointers RE a client i am treating.
he had an ankle inversion injury in april 08 but came to see me 4 months later.
he injured it as he landed after jumping over a style while out hiking.
on injury he had immediate swelling and symptoms of shock (clammy, nausea, dizzy)
he had no xray on it, and his main problems at present is that is aches++ at rest.
it is fine when he is walking around, but once he is sat down or in bed it aches profusely.
no swelling or local tenderness of the ligaments. end of range inversion and EOR plantaflexion --> a sharp pain but he is unable to pinpoint where the pain is originating.
the symptoms he gets vary in location but seem to be around the talar region.

does anyone have an idea of diagnosis for this? I suspect some form of small fracture and possibly some residual ligament injury (?interosseous talocalcaneal lig?)

thanks,
Rick

[bridgke]

Hey All,

I broke the bottom of my right ankle fibula. It's a clean break all the way through. The doctor suggests an ORIF on the right ankle fibula. Is this a common procedure? The ER said surgery was unnecessary but I went to a sports doctor because I do all kinds of sports recreationally so he suggested the surgery. I intend to get a second opinion- I just wondered if this is a common surgery for this type of ankle fracture?