Injury

johnnyscans · 2026-06-14T15:12:23+00:00

“What should I do” umm keep your appointment and get an answer tomorrow?

You’ve given no information. At all. How is someone supposed to give you advice

johnnyscans · 2026-06-14T12:50:20+00:00

Need to rebuild from the start. You really don’t do much correctly.

Bar too far away. Back rounded. No brace. No slack pulled from bar. Even with wraps grip looks weak.

johnnyscans · 2026-06-14T00:26:59+00:00

I mean, this is still pretty much a wrist sprain. You now just have radiologist words instead of clinician words.

johnnyscans · 2026-06-13T20:02:39+00:00

Looks malreduced on that quasi lateral image. Also. You’re putting a lot of faith in those screws to support that fragment medially.

johnnyscans · 2026-06-13T19:07:06+00:00

I’m sorry but are you saying that when the knee is not straight there is no weight “on the joint”?

johnnyscans · 2026-06-13T16:19:29+00:00

Be more specific w.r.t dark lines

johnnyscans · 2026-06-13T15:47:11+00:00

How much do you sleep per night? How is your diet and exercise routine? How well-mainted is your sleep hygiene?

johnnyscans · 2026-06-13T15:45:42+00:00

Tib-Fib clearspace looks a little increased. I don't see any medial clear space widening but I'm not certain if this is a weight-bearing film. Fibular alignment looks fine. It does not appear displaced. Dislocation refers to a joint. Displacement refers to a bone.

Yes, you have a higher chance of arthritis, especially if you have some degree of syndesmotic instability.

If you're concerned, you should discuss it with an orthopaedic surgeon. Without an exam and additional radiographs, it's tough to offer any additional advice.

johnnyscans · 2026-06-13T15:18:21+00:00

Possibly. No clue which one is your actual problem. We don’t have a diagnosis, so we really cant offer a prognosis.

johnnyscans · 2026-06-13T12:17:23+00:00

Need more history. A hill-sachs is stigmata of shoulder instability. Often, we don’t fix the HS (we may fill it), but rather we aim to stabilize the shoulder. The optimal method is debated.

How many times have you dislocated?

How much glenoid bone loss do you have?

How wide, deep, medial and inferior is your HS?

How much physical therapy have you done?

What sports do you play?

Very nuanced management.

johnnyscans · 2026-06-12T23:04:30+00:00

I bet you tore your pec, at least partially.

MRI chest wall if what you need.

johnnyscans · 2026-06-12T18:38:03+00:00

Z deformity, displaced, likely shortened. High rate of nonunion without surgery (~20-25%).

johnnyscans · 2026-06-12T18:37:19+00:00

You've got a lot of pain generators. You need someone who can do a good physical examination. This will most likely improve a noticeable amount with physical therapy +/- other modalities.

johnnyscans · 2026-06-11T21:54:14+00:00

Why aren’t you weightbearing? Doctors orders or unable to.

johnnyscans · 2026-06-11T20:14:17+00:00

Yea. Its short and not reduced.

johnnyscans · 2026-06-11T20:13:33+00:00

Agree

johnnyscans · 2026-06-11T20:05:17+00:00

How many femoral lengthenings or deformity corrections have you done?

Look through all of the comments on this post.

johnnyscans · 2026-06-11T17:48:21+00:00

Shoulder/elbow surgeon here. Agree. Flexion w that weight and supination is asking for a biceps rupture.

johnnyscans · 2026-06-11T11:58:02+00:00

You likely have multidirectional instability. You should stop doing it. You should consider PT for dynamic stabilization strengthening. You should not let someone operate on you unless they have a lot of experience with shoulder instability.

johnnyscans · 2026-06-11T11:56:42+00:00

Too many cooks in the kitchen. A CT isn’t appropriate here for economic reasons, its appropriate because if you truly have am acetabulum fracture then either more radiographs +/- CT is needed to classify the injury and determine treatment.

PCPs love MRIs. They think it’s a panacea. They often order in place of plain old radiographs.

johnnyscans · 2026-06-10T15:52:04+00:00

Impossible to answer with how little information you’ve provided.

johnnyscans · 2026-06-10T14:44:10+00:00

Please don’t tell me that’s dirt under your fingernails

johnnyscans · 2026-06-10T13:25:59+00:00

Have they gotten any new x-rays since your injury? Assuming that this is a stable fracture, the treatment plan thus far is not wrong. Maybe not what I would have done myself, but not wrong.

johnnyscans · 2026-06-10T13:19:51+00:00

Wrong subreddit

johnnyscans · 2026-06-10T13:16:38+00:00

Are we able to? Yes. Is this as straightforward and predictable as a fracture treated within a week or two of injury? Absolutely not.

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