Ankle
I'm searching the Internet for any help I can find. Our six-year-old daughter broke her femur in a car accident. She was safely in her booster seat in the backseat, but the force of the impact caused her seat to get shoved up under the passenger seat in front of her. Then the passenger seat got lodged against her leg. They have put her in a full spica cast. My problem is I also have a younger child with cerebral palsy who had a hip derotational surgery two weeks ago and she is also in a hip spica. I simply can't handle both. Can the cast be taken off the six-year-old and some other splint be used instead?
Posted September 10th, 2009 by MattThis is definitely a question for your surgeon. Given the circumstances, if there is any way around it, the surgeon will no doubt try to find a creative solution to the problem. Some of this decision depends on the type of fracture, especially severity. If the fractured ends of the bone have separated, casting is important to avoid further displacing the bones and ending up with a significant difference in leg length from one side to the other.
I am an athletic trainer with a college-level women's volleyball team. Many of our players ask me to tape their ankles as a precaution against injury. This takes a lot of time, not to mention the cost of the tape. Is there any evidence to support the use of taping for this purpose?
Posted August 26th, 2009 by MattThere isn't as much evidence to support the use of taping as a prophylactic (preventive) measure for first-time ankle sprains as there is for reducing the number of second (or third) recurrent fractures.
A recent study done by a group of physical therapists in a biomechanics laboratory at the School of Physiotherapy and Performance Society in Dublin, Ireland investigated the use of taping to prevent injuries during jumping/landing activities.
I sprained my ankle last summer and now every once in a while, my ankle just gives out from under me. I never know when it's going to happen. Why does it do this?
Posted August 26th, 2009 by MattThe mechanics and biomechanics of ankle sprains are not fully understood. Studies using force plates and 3-D high-speed motion cameras have provided many new insights. But these are still under investigation.
Tape Supports Ankle During Jumps
Posted August 26th, 2009 by MattChronic ankle instability (CAI) can be the end of an athlete's career. If the ankle gives out when landing a jump, it can severely hamper the movements of gymnasts, volleyball players, basketball players, soccer players, and many others involved in sports that require jumping. Efforts have been made to research the best way to rehab this problem and then protect it from recurring. One of those methods is ankle taping.
I broke my ankle about a year ago. The fracture healed but the painful symptoms never went away. Eventually, they discovered a big hole in the cartilage around one of the ankle bones. The surgeon is going to take a plug of cartilage and bone from inside my knee and put it in the hole in my ankle bone. Have you ever heard of this technique? Is it safe?
Posted August 6th, 2009 by MattWhen joint cartilage is damaged and needs repair, surgeons can take a plug of cartilage and subchondral bone from a healthy joint and transfer it to the defect. A special tool called the Osteochondral Autograft Transfer System (OATS) is used to harvest the bone-cartilage plug. The graft is called autologous because it is taken from the patient. This technique has been used for several different sites such as the shoulder, elbow, and knee.
I don't know if you've ever seen the Bill Murray movie Lost in Translation but that describes me. I just came back from the orthopedic surgeon's office. I listened while they described three or four possible ways to treat the torn cartilage in my ankle. I have papers and pamphlets of all kinds. I can't remember half of what was said. Could you go over this with me again. I am lost in the translation. What's a debridement, OAT, ACI, and MACI? Which one should I go for?
Posted August 6th, 2009 by MattSurgeons know a lot more about cartilage, its properties, and its injuries now that there are MRIs and arthroscopic examinations available. These diagnostic techniques make it possible to see the exact size, shape, and location of cartilage lesions. All of these tools are used to plan the most appropriate treatment.
As a computer freak consumer, I do all my research for cars, vacuums, goods and services (including health care) while on-line. I'm currently looking for a good hand surgeon to treat my De Quervain's disease. Everything I read says I should find someone who is evidence-based. I'd like to be evidence-based in my research, too. What do you recommend?
Posted August 6th, 2009 by MattTaking the time to review the evidence collected so far on the treatment of medical conditions is an important activity. This is how health care specialists know what is the most effective treatment for patients with various problems such as De quervain's disease.
De Quervain's disease is an inflammation or a tendinosis of the sheath or tunnel that surrounds two tendons that control movement of the thumb. It was also named after a
I sprained my left ankle out hiking in a prairie dog field. Stepped right into one of their burrow openings and that was that! I'm told I was lucky I didn't just break it. The physician's assistant at the local clinic gave me the usual RICE recipe (rest, ice, compression with an Ace wrap, and elevation above the level of my heart) and suggested rehab with our local physical therapist. I'm not really a rehab kind of guy. Can I just skip that part?
Posted July 23rd, 2009 by MattThat's a good question. It has always been assumed that recovery from ankle sprains requires a certain approach with RICE to manage the acute phase and rehab to follow. But what if you did nothing? How long does it take to recover from an ankle sprain? Can you get back to normal in six or eight weeks?
Please help! I'm two weeks away from my senior dance recital and I sprained my ankle. What can I do to get fast aid and get back on my feet in time for the show?
Posted July 23rd, 2009 by MattAnkle sprains are very, very common in athletes of all kinds, but especially among dancers of all kinds. As with most soft tissue injuries, healing and recovery takes time. The amount of time depends on the severity of the injury. Partial tears of the ligaments may require less recovery time compared with complete ruptures.
I confess I have been rolling over on my ankle enough that it's starting to get swollen. As a dance instructor, I don't feel I can tape it or stay off my feet. It wouldn't be a good example to my young students. I'm searching the Internet for any help I can find. What should I do?
Posted July 23rd, 2009 by MattDancers are no strangers to foot and ankle injuries. Repetitive motion, long hours on the feet, and ignoring injuries when they first happen can lead to chronic problems such as you are describing. This may actually be an opportunity for you to help your young dancers learn how to get help early -- before problems progress to the point that treatment becomes complex and lengthy.
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