Foot & Ankle Trauma Panel Discussion 22 yo man, motorcycle - - PowerPoint PPT Presentation

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Foot & Ankle Trauma Panel Discussion 22 yo man, motorcycle - - PowerPoint PPT Presentation

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5/8/2014 Case 1 Foot & Ankle Trauma Panel Discussion 22 yo man, motorcycle accident Andrew Haskell, MD Moderator Presents with deformed, swollen leg slight tingling in toes, otherwise DNVI Bob Anderson, MD Trauma workup

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5/8/2014 1

Foot & Ankle Trauma Panel Discussion

Andrew 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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5/8/2014 3

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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5/8/2014 4

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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5/8/2014 6

Case 5

  • 18 yo 250lb high school senior football player
  • scholarship bound
  • closed injury at practice

Case 5 Case 5

2 weeks of non-weight bearing

Case 5

6 weeks of non-weight bearing

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5/8/2014 7

Case 5

12 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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5/8/2014 8

Case 6 Case 6 Case 6 Case 6

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5/8/2014 9

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