foot & ankle trauma case 1 panel discussion · 2014. 5. 23. · foot & ankle trauma panel...
TRANSCRIPT
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Foot & Ankle Trauma Panel DiscussionAndrew Haskell, MD Moderator
Bob Anderson, MD
Rick Coughlin, MD
Kyle Dickson, MD
Rich Gellman, MD
Kirstina Olson, MD
Kim Workman, MD
Case 1
• 22 yo man, motorcycle accident
• Presents with deformed, swollen leg
• slight tingling in toes, otherwise DNVI
• Trauma workup reveals pulmonary contusion
• Closed fracture
Case 1 Case 1
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Case 1 Case 1
Case 1
Different Case, lots of screws
Case 2
• 45 yo man, ski accident, ORIF in Canada
• Non-smoker, non-diabetic
• Presents 3 weeks post-op after fall
• Patient heard a crack and notes the leg is deformed
• DNVI
• Skin intact
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Case 2 Case 2
Case 3
• 55 yo woman, osteoporosis
• twisted ankle on sidewalk, unable to walk
• skin intact, DNVI
Case 3
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Case 3 Case 4
• 62 yo woman fell getting off horse
• isloated ankle injury, obvious deformity
• skin intact, + blisters, DNVI
Case 4 Case 4
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Case 4 Case 4b
Case 4b Case 4b
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Case 5
• 18 yo 250lb high school senior football player
• scholarship bound
• closed injury at practice
Case 5
Case 52 weeks of non-weight bearing
Case 56 weeks of non-weight bearing
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Case 512 weeks of non-weight bearing
Case 5
Case 5 Case 6
• 46 yo man in MVC
• Isolated trauma to ankle
• Skin intact, DNVI
• non-smoker
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Case 6 Case 6
Case 6 Case 6
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Case 6 Case 7
• 35 yo woman, office worker, non-smoker
• Tripped on steps landing on heel
• Presents with swollen foot, unable to walk
• Skin intact, no blisters
Case 7 Case 7
Lateral Medial
Sinus Tarsi Approach
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Case 7 Case 7
Case 8
• If the same case involved a 55 year old male construction worker
• hurt on the job
• smoker
• would your treatment plan change?
Case 8
• 33 year old man fall from roof at work
• isolated injury
• non-smoker
• no blisters
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Case 8 Case 8
Case 8 Case 8
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Case 8 Case 8
Case 9
• 27 yo woman, motorcycle accident
• isolated injury
• boot protected skin
• non smoker
Case 9
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Case 9 Case 9
Case 9 Case 9