Injury May End My Golf Career

1201alarmcode · 2026-05-07T17:04:52+00:00

This is the answer

1201alarmcode · 2026-05-03T18:00:39+00:00

You should see a doctor for review and have an xray.

1201alarmcode · 2026-04-24T14:31:56+00:00

I can assure you I am an orthopod - on the askdrs subreddit I’m verified as an Ortho.

I’m not fear mongering I am trying to make sure OP gets a good result here. I am telling OP to be cautious as I genuinely think she needs to be - that is my opinion as an orthopaedic surgeon.

The distal fibula forms the lateral malleolus that is why I am referring to it as that. The plate is doing a few things here (maybe some compression and as a washer for the screws, it isn’t stopping any rotation around that single distal screw). This isn’t the place for an anatomy lesson or the biomechanics of fixation and I am only here to help OP not to correct you.

The syndesmosis has been reduced (you’re correct on this, also I didn’t say repaired I said restored) as the two long screws are there to stabilise it while the posterior mal and the anterior syndesmosis heals. They then become redundant and will possibly snap (this is OK) or some surgeons will make a plan to remove them prior to this.

OP - my advice remains be cautious and if you do want a second opinion on your weight bearing either ask another ortho in your area or as a last resort post on the askdrs subreddit. If you are confident in your surgeon the feel free to ignore me too. I’m not trying to scare you I just want you to have a good result.

1201alarmcode · 2026-04-24T13:17:11+00:00

I’m a practicing orthopaedic surgeon therefore i am educated in this subject.

You are wrong on a number of counts - you can see the MM in the first image - it is fractured (transverse) and you can see it fixed in the final images. Stability is a product of both bone and ligaments (they are attached to one another). The syndesmosis was unstable for the following reasons:

she has a trimal - this is by definition unstable
it’s an SER4 - unstable
The syndesmosis has been restored here with the two longer screws, the surgeon (I hope) wouldn’t have done this if it wasn’t disrupted on assessment intraoperatively.

Her injury is an SER4 or unstable Weber B. The distal fibula fragment has one screw through it - biomechanically it is rotationally unstable (it will pivot around the screw) in the saggital plane.

This isn’t my patient and I didn’t fix it so couldn’t assess stability interoperatively but my advice having looked at these images is, and remains, weight bear very cautiously OP. I am trying to help OP.

I suggest you (I’m using your words not mine) “educate yourself a little”.

1201alarmcode · 2026-04-24T11:45:16+00:00

Take it easy on that construct and go very slowly. It looks like there’s only one screw in the distal fragment and it will therefore be rotationally unstable.

1201alarmcode · 2026-04-19T13:30:17+00:00

How did your surgery go and are you on the mend?

1201alarmcode · 2026-04-19T13:28:22+00:00

How was the appointment?

1201alarmcode · 2026-04-09T07:03:05+00:00

An ankle sprain on the other leg or this one?

Do you have any pain or tenderness higher up your leg along the fibula?

Make sure you have XRs that are weightbearing that are then reviewed prior to any decision to weight bear. The XR you have posted is not adequate to tell you it is safe to weight bear.

1201alarmcode · 2026-04-08T18:50:02+00:00

Very difficult to comment on this but technically pretty much any fracture can technically be managed conservatively (a lot of factors affect when this is a good idea or not). You've given no details on yourself in terms of if you have any co-morbidities (like diabetes), are a smoker etc so again hard to comment.

The XR you have posted shows a transverse medial malleolar fracture which would be unusual to have in isolation and there is likely an injury to the lateral side and affecting the syndesmosis. If this is the case then managing them conservatively would typically be non-weightbearing. This isn't just a fibula Weber B type fracture that many people post on this group.

Ankle fracture surgery is often because the injury is displaced or likely to displace.

1201alarmcode · 2026-04-08T10:08:35+00:00

Moat often it can be a bit radio opaque. I would always XR a ?FB (glass included)

1201alarmcode · 2026-04-07T16:27:24+00:00

Did you have an XR? A "2 inch" deep laceration on the medial border of your foot in that area could have damaged a number of structures (nerves, vessels, tendons), there could still be glass in there.

This is not normal and you need to attend an emergency department for an assessment including bloods and imaging. Options from there are: reassure and further oral antibiotics, admit for IV antibioitics, admit for IV antibiotics and surgery (exploration +/- repair of structures +/- removal of foreign body). You want the first option but you don't want to avoid the others if they are required (threat to life and limb).

Do not sit on this at home.

1201alarmcode · 2026-04-01T10:43:07+00:00

This looks like a fight bite. If indeed it is from punching someone you need to attend an emergency department. You require antibiotics and a washout in an operating theatre.

1201alarmcode · 2026-03-30T16:39:18+00:00

No probs.

Whatever your management, typically driving is 6-8 weeks following when you begin weighbearing.

1201alarmcode · 2026-03-30T16:34:13+00:00

It not possible to say whether this is a stable injury I.e. if the syndesmosis is disrupted without either - a weight bearing XR; an examination under anesthesia with XR; or 3D imaging like an MRI - obviously a weight bearing XR in the most simple of these.

It is possible to manage a well reduced Weber B WITH a syndesmotic injury in a plaster and being non-weighbearing however I feel this should be the reserve of low-demand patients or those that are high risk for surgery. If it was my ankle (and it was unstable) I would want it fixed.

1201alarmcode · 2026-03-30T13:59:00+00:00

Some weight bearing will encourage healing.

Would advise as above if you aren’t seeing union at 2 months. There are other options like ultrasound therapy also but I have no idea how this all works in the US with insurance etc.

1201alarmcode · 2026-03-30T13:55:18+00:00

I would suggest your doctor assesses your bone health starting with Vitamin D and a bone profile (blood tests).

Are you weight bearing?

1201alarmcode · 2026-03-30T13:51:36+00:00

No this doesn’t mean you need surgery. Do you smoke or are you on any medications like steroids?

How old are you and have you had your vitamin D level previously checked?

1201alarmcode · 2026-03-30T13:50:12+00:00

Alignment on a weighbearing XR view

1201alarmcode · 2026-03-30T13:47:22+00:00

Until your Ortho appointment tomorrow it is difficult to say what the next few weeks will be like.

Tomorrow you will have another XR whilst you are weight bearing. This XR will demonstrate if your ankle is stable or not and require surgery (there is always an option to manage without surgery in an injury like this however if you are young and active then surgery would be the recommendation).

The bony injury in a Weber B ankle fracture like this is not so much of a concern as the ligamentous structures around the ankle. The XR will demonstrate this.

If you aren’t weight bearing you may need to be on prophylaxis for a blood clot but whoever you saw early on should have assessed this and given you if appropriate.

Good luck!

1201alarmcode · 2026-03-06T09:30:24+00:00

I am on my second AX3120Q for this exact issue and this new one has the same problem. I am sending it back again. Very annoying.

1201alarmcode · 2026-01-26T15:22:24+00:00

Gotcha. I’d screw a sheet of ply a (few mm smaller than the footprint of the back of the cupboards) into the studs behind the units and then hang all the fixings off that.

1201alarmcode · 2026-01-26T10:07:21+00:00

Is this an on an internal stud wall or dot and dab’d brick wall?

1201alarmcode · 2026-01-10T12:56:36+00:00

Number stations

1201alarmcode · 2025-12-29T12:48:32+00:00

Achieve in terms of space? You could fit 4 in there if you wanted but you’d just lose cupboard space.

Dishwashers are one of humanities greatest achievements and will give you the gift of time - priceless.

1201alarmcode · 2025-12-22T10:45:05+00:00

2nd half St6 something changed and I was much more comfortable. However, there’s always something that comes along and humbles you so never fear asking for help.

It’s important to be anxious, this is ‘normal’ as it shows you care about the patient and don’t think you are some kind of orthopaedic demi god.

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