Orthopaedic surgeon. Posting examples, not advice. Case library: www.osteosynthesis.orghttps://bsky.app/profile/traumaticum.bsky.socialhttps://bsky.app/profile/traumaticum.bsky.social/post/3le5m52m4fk2eHey @orthopodreg.bsky.social This was fantastic https://www.greatbritishchefs.com/recipes/christmas-goose-recipe25 Dec 2024 18:37 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3le5m52m4fk2ehttps://bsky.app/profile/traumaticum.bsky.social/post/3le3hudekwk2pDragging REAL seasonal desert to Euroland #pavlova #foodie @orthopodreg.bsky.social24 Dec 2024 22:15 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3le3hudekwk2phttps://bsky.app/profile/traumaticum.bsky.social/post/3ldv6wyxquc2lHeres something Lee likes to bang on about - and he's right attention to the screw trajectory and length of ulnar screws around the radial tuberosity, threatens blocking supination as the tuberosity and biceps get trapped #orthosky #orthopedics22 Dec 2024 10:20 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3ldv6wyxquc2lhttps://bsky.app/profile/traumaticum.bsky.social/post/3ldha6mfjnc2jIf this goes pear shaped @orthopodreg.bsky.social … *puts on masterchef hat* Let’s do this! https://www.greatbritishchefs.com/recipes/christmas-goose-recipe16 Dec 2024 21:05 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3ldha6mfjnc2jhttps://bsky.app/profile/traumaticum.bsky.social/post/3ld2okwfuok2eIm basically an anonymous operator in our trauma system Accordingly ive never received much of a personal thank you from anyone ive ever operated on. Until today - a personally delivered floral arrangement for Christmas And what for? For NOT operating 😂 #orthosky #medsky #orthopedics11 Dec 2024 21:17 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3ld2okwfuok2ehttps://bsky.app/profile/traumaticum.bsky.social/post/3lczrm5by422oToday’s monteggia brought to you by the CCCP #orthosky #orthopedics11 Dec 2024 12:39 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lczrm5by422ohttps://bsky.app/profile/traumaticum.bsky.social/post/3lcivtr52ck2oCant do polls here, but perhaps a show of hands… Who is surgically stabilizing an acute AITFL rupture (MRI complete tear) without fracture nor significant diastasis on WB in a young, athletic male? #orthosky #orthopedics04 Dec 2024 19:40 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lcivtr52ck2ohttps://bsky.app/profile/traumaticum.bsky.social/post/3lcinzccdus2uI love it when you step back to look at the imaging following an case - and the result ends up being some utterly minimalistic yet biomechanically elegant solution. Every single screw has a single simple purpose, yet the big picture is a construct which locks together #orthosky #orthopedics04 Dec 2024 17:20 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lcinzccdus2uhttps://bsky.app/profile/traumaticum.bsky.social/post/3lciieppy4c2uthis is, however, the one thing not quatifiable and billable in the whole dr/pt encounter. there is $$ value in spending actual time with patients. bill some imaging, confirm an ICD code, bill the diagnosis until healthcare reprioritises billing, there wont be financial scope to actually talk.04 Dec 2024 15:39 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lciieppy4c2uhttps://bsky.app/profile/traumaticum.bsky.social/post/3lcfkesj35c26“High ankle sprain” can be such a misnomer. I’ve never liked the term Syndesmotic tears can lead to massive joint instability if not recognized and appropriately managed. This case was a missed maisonneuve with a completely normal NWB ankle plain film #orthosky #orthopedics03 Dec 2024 11:37 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lcfkesj35c26https://bsky.app/profile/traumaticum.bsky.social/post/3lcdifk5qfs2kStrain Reduction Screw If youre not familiar - check out the following article: https://boneandjoint.org.uk/article/10.1302/0301-620X.98B7.36061 the power of a single 3.5mm screw vs. femoral non union this is approx 9months post screw insertion, 3yrs post fracture and index OP. more pics ⏬ #orthosky #orthopedics02 Dec 2024 15:56 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lcdifk5qfs2khttps://bsky.app/profile/traumaticum.bsky.social/post/3lcd4kgwbls2fi havent managed to write up proper case notes yet, but here are the images of that ankle i posted last week note the comminution of the anterior colliculus - this was unexpectedly a major PITA MPM but first plate was post colliculus https://www.osteosynthesis.org/46762289-mason-and-molly-2b-posterior-malleolus-with-anterior-collicular-comminution #orthosky #orthopedics02 Dec 2024 12:24 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lcd4kgwbls2fhttps://bsky.app/profile/traumaticum.bsky.social/post/3lc77opav4c2aLast laps before a) I blew up the clutch driveshaft, and b) temps dropped below stupid Celsius Winter motor rebuild time!30 Nov 2024 23:09 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lc77opav4c2ahttps://bsky.app/profile/traumaticum.bsky.social/post/3lc6xonvwos27A random shot walking into the garage… occasionally need to stop being busy and take a moment to enjoy the view…30 Nov 2024 20:46 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lc6xonvwos27https://bsky.app/profile/traumaticum.bsky.social/post/3lc6q763a3k2ylots :) but ill let someone else go first30 Nov 2024 18:32 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lc6q763a3k2yhttps://bsky.app/profile/traumaticum.bsky.social/post/3lc6oh4cgvc2fDo what the @generalortho.bsky.social said! on the WEBSITE (not mobile app) go to settings and 'enable adult content' (you additionally enabling porn is up to you). stupid automatic content moderation.. hey @support.bsky.team and @moderation.bsky.app if you want medical discussion, fix this30 Nov 2024 18:01 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lc6oh4cgvc2fhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbzle2gen22vheres the ankle which ispired my prone-position hate speech laterally based injury, sitting duck for a single-incision posterolateral approach to extract the flipped fragment from the plafond and reduce and plate the tibia, with fibula through the same incision #orthosky #orthopedics28 Nov 2024 17:22 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbzle2gen22vhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbzgkl3sic2nHow are you attacking this? Concerns? Approach? Sequence of reduction and fixation? And nobody dare say prone 😭 Any extended classification to include to collicular involvement @drlyndonmason.bsky.social #orthosky #orthopedics28 Nov 2024 15:56 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbzgkl3sic2nhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbzg7vqkk22nHey @davembmd.bsky.social kid #1 first competition since we last spoke. Hyperextension L3 no longer causing problems 👍 “Thanks Dave”28 Nov 2024 15:50 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbzg7vqkk22nhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbxb4oz5522tI did an ankle all prone today #orthosky #orthopedics @drlyndonmason.bsky.social27 Nov 2024 19:14 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbxb4oz5522thttps://bsky.app/profile/traumaticum.bsky.social/post/3lbq4jfeuxc2ranyone able to clarify wtf this suture closure is? @orthotraumamd.bsky.social #orthosky #orthopedics24 Nov 2024 23:03 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbq4jfeuxc2rhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbotqc5l2k2aKid’s sport Sunday! Number 15 taking it coast-to-coast for the win24 Nov 2024 10:53 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbotqc5l2k2ahttps://bsky.app/profile/traumaticum.bsky.social/post/3lbnhy2r4hc2i@deepamusafir10.bsky.social niccceeee!23 Nov 2024 21:50 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbnhy2r4hc2ihttps://bsky.app/profile/traumaticum.bsky.social/post/3lbku2rvdd22vNot sure if saying 'im getting good at revising broken gamma nails' is a good thing? Moderately impressed that this took 18months to break the nail. ROH, osteotomied the non union with an oscilating saw creating a valgus wedge #orthosky #orthopedics https://www.osteosynthesis.org/38776064-nonunion-of-a-reverse-oblique-proximal-femur-fracture22 Nov 2024 20:48 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbku2rvdd22vhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbiaaqqdec26A similar case came up, which prompted me to go back and re-explore this one of mine (below) apparently periosteal interposition isnt common - but beware of the non-reducible medial fracture! #orthopedics @davembmd.bsky.social @generalortho.bsky.social https://www.osteosynthesis.org/9061389-13yo-proximal-tibial-diametaphyseal-transition-zone-fracture21 Nov 2024 19:48 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbiaaqqdec26https://bsky.app/profile/traumaticum.bsky.social/post/3lbhxxclbrs2xSoftening the transition-anxiety for any #orthotwitter converts, ive made a follower starter-pack. by no means a definitive list! please add any suggestions to this thread :) #orthosky #orthopedics #orthotwitter @davembmd.bsky.social @generalortho.bsky.social go.bsky.app/TCKACLw [contains quote post or other embedded content]21 Nov 2024 17:20 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbhxxclbrs2xhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbddru4chk2jSo it took me a bit of head scratching but I figured out this 'labels' thing from @medsky.social this technique seems to provide the best #orthopedics #orthosky etc content feed so far. esentially you just need to label yourself as an #ortho and the feed generates itself tinyurl.com/mrx8rkpa19 Nov 2024 21:08 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbddru4chk2jhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbdcd4v25u2bDouble-Guide-Wire broken nail extraction technique insert 2.5mm ball-tip guidewire all the way, then insert a second 2.2mm smooth wire, also exiting the distal nail draw back on the ball-tip wire and the ball wedges against the nail cannulation - allowing you to back-slap it out #orthosky19 Nov 2024 20:42 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbdcd4v25u2bhttps://bsky.app/profile/traumaticum.bsky.social/post/3lbdag72ebk2anot sure if @gnomelover.bsky.social is Lee (poke) but this should annoy him enough to pipe up epic long helix plate - BEHIND deltoid insertion (again). seriously, i dont see the issue. pt went home post op day 1 #orthopaedics #orthosky https://www.osteosynthesis.org/32908155-segmental-humerus-fracture-helix-philos-plate-technique19 Nov 2024 20:08 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lbdag72ebk2ahttps://bsky.app/profile/traumaticum.bsky.social/post/3lb5jralkv22vwhen life gives you lemons... make your own rim plate! I'd ordered an Aptus lunate rim plate but they sent the wrong gear Improvised with a minifrag T plate - cut the screws holes open, and bent them into hook tines. Herbert sealed it #orthopaedics #orif https://www.osteosynthesis.org/27666536-distal-radius-fracture-with-lunate-facet-involvement-and-radiocarpal-dislocation17 Nov 2024 13:39 +0000at://did:plc:ekmodevhj2ysqdktimj2kgeo/app.bsky.feed.post/3lb5jralkv22v