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Posted on 8/16/17 at 1:15 pm to STEVED00
I can't imagine missing something that require surgery, that should be pretty obvious
Posted on 8/16/17 at 1:16 pm to STEVED00
Lol people always looking for a payday
Trashy frickers
Trashy frickers
Posted on 8/16/17 at 1:17 pm to STEVED00
A bone contusion (aka a bone bruise) and a low grade stress fracture can look the exact same on MRI and can be undetectable on X-Ray. Displaced fractures are pretty hard to miss. More details are needed in this situation.
Posted on 8/16/17 at 1:20 pm to STEVED00
Was this a doctor or a PA/NP
Posted on 8/16/17 at 1:21 pm to TypoKnig
Bone bruise or stress fx wouldn't require surgery though. Has to be displaced or comminuted to require surgery
Posted on 8/16/17 at 1:22 pm to STEVED00
If someone played a contact sport complains of pain in that leg. I'm gonna get an xray.
An obvious broken bone is very noticeable, even a non medical professional can tell. The questions are did they get an xray and was it not visible at the time. Was it just a bruise and worsened. A lot of question marks.
An obvious broken bone is very noticeable, even a non medical professional can tell. The questions are did they get an xray and was it not visible at the time. Was it just a bruise and worsened. A lot of question marks.
This post was edited on 8/16/17 at 1:27 pm
Posted on 8/16/17 at 1:22 pm to DaBeerz
Microfracture may require surgery to poke little holes in the bone to get more blood flow.
Posted on 8/16/17 at 1:27 pm to STEVED00
As stated, stress fractures can take weeks to show up. I don't know the story, or if he had an actual injury. An acute fracture would definitely show something. The fibula almost always has some displacement, even if slight.
Having said that, I can't imagine why you wouldn't just get an MRI on any football player with an injury. The cost is a drop in the bucket compared to missing something.
Having said that, I can't imagine why you wouldn't just get an MRI on any football player with an injury. The cost is a drop in the bucket compared to missing something.
Posted on 8/16/17 at 1:37 pm to STEVED00
Happened to my elderly Mother In Law....was a nightmare.
Posted on 8/16/17 at 1:42 pm to DaBeerz
quote:
Bone bruise or stress fx wouldn't require surgery though. Has to be displaced or comminuted to require surgery
Not true
Posted on 8/16/17 at 5:30 pm to TypoKnig
With what I know (obviously not the full story), the Saints have unjustly publicly shamed the two orthopedists.
I'm curious what imaging Breaux had, but stress injuries or fractures can have negative X-rays and it can be difficult to differentiate between the 2 on MRIs (often the fracture line on the T1 images is hard to see for fibulas because of the image slice thickness). Most of the time, it just takes time to truly determine what's going on. Heck, he probably had a stress injury that converted to a fracture because the Saints were pushing him to get back on the field. If I'm one of these two orthopedists, I'm suing the Saints for defamation.
ETA: Just read Breaux's prior fibular fracture was internally fixated (aka he's got hardware). This makes an MR worthless because of artifact, and the sensitivity for fracture pickup on X-rays is much lower. I'm guessing initial X-rays were normal but follow-up films showed the fracture (like I said, time is the true decider). If this is correct, then no orthopedist would have done anything different than what happened.
I'm curious what imaging Breaux had, but stress injuries or fractures can have negative X-rays and it can be difficult to differentiate between the 2 on MRIs (often the fracture line on the T1 images is hard to see for fibulas because of the image slice thickness). Most of the time, it just takes time to truly determine what's going on. Heck, he probably had a stress injury that converted to a fracture because the Saints were pushing him to get back on the field. If I'm one of these two orthopedists, I'm suing the Saints for defamation.
ETA: Just read Breaux's prior fibular fracture was internally fixated (aka he's got hardware). This makes an MR worthless because of artifact, and the sensitivity for fracture pickup on X-rays is much lower. I'm guessing initial X-rays were normal but follow-up films showed the fracture (like I said, time is the true decider). If this is correct, then no orthopedist would have done anything different than what happened.
This post was edited on 8/16/17 at 5:47 pm
Posted on 8/16/17 at 5:34 pm to STEVED00
Someone cannot read x-rays.
Posted on 8/16/17 at 5:53 pm to Parallax
quote:
the Saints have unjustly publicly shamed the two orthopedists.
Every time I heard a local news break on the radio today they said they were fired for misdiagnosis and all that. It makes it sound like malpractice. Certainly if he already had hardware in there it makes it even more difficult.
I understand the stakes are high at this level, but to the general public it sounds really egregious.
I wonder if they did a CT initially?
Posted on 8/16/17 at 6:31 pm to STEVED00
There are so many severity levels of fractures that the mildest can easily not even appear clearly on X-rays.
Posted on 8/16/17 at 6:49 pm to ItTakesAThief
quote:
Depends on the X-ray and what it shows or does not show.
If this is a hairline crack this is correct. Cracks in bone or steel show up on X-ray film as a thin line of "dark" due to the lack of density as compared to bone. Depending on the orientation of the crack, it is easily missed without additional exposures.
Now someone said "broken" fibula, that would not be missed.
Comments based on general knowledge of gamma ray radiography of welding...same principle. Radiography for cracks in steel welds are not an acceptable means of detection.
Posted on 8/16/17 at 6:55 pm to DaBeerz
quote:
Has to be displaced or comminuted to require surgery
not necessarily with fibula fractures...but we got a lot of other folks that think they are orthos on here (like the person that said fracture=/=break), so carry on
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