Dan Preece DPM PGY-2 09/07/2010. CC: right rearfoot pain HPI: 21 yo semi-professional motorcycle...
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Transcript of Dan Preece DPM PGY-2 09/07/2010. CC: right rearfoot pain HPI: 21 yo semi-professional motorcycle...
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Dan Preece DPM PGY-209/07/2010
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CC: right rearfoot pain HPI: 21 yo semi-professional motorcycle
jump “specialist” presents to the ED immediately after aborting a jump approximately 30-40 feet in the air. Pt landed on feet and had immediate severe pain to the .
PMH: unremarkable, denies smoking.
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PE:
MSK: pain with palpation of right rearfoot including talus and calcaneus. Pain limited exam significantly.
Neuro/Vasc: DP/PT pulses 2/4, protective sensation intact.
Derm: diffuse right rearfoot ecchymosis, no blistering, blanching of skin or break down.
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Talar neck fracture: ORIF Hawkins Classification: I (non displaced neck Fx)
Calcaneal sustentaculum tali fracture: ORIF and anterior process fracture: ORIF and Diastasis with mini-rail.
Rowes Calc Fx Classification: Type I BC.
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FDL tendon running directy over sustentaculum tali screw heads? Graft jacket for coverage?
Mini rail necessary?