The Experts below are selected from a list of 51 Experts worldwide ranked by ideXlab platform

K.s. Javid - One of the best experts on this subject based on the ideXlab platform.

  • trimalleolar fracture and associated achilles tendon rupture ten year follow up of an unusual water Skiing Injury
    Trauma Case Reports, 2018
    Co-Authors: R.n. Brueton, K.s. Javid
    Abstract:

    Summary A 49 year old professional fitness instructor sustained a high velocity rotational Injury to his right ankle while waterski-ing. The ski bindings did not release, exacerbating the Injury. This resulted in a trimalleolar fracture and a rupture of his Achilles tendon. A trimalleolar fracture in association with a rupture of the Achilles tendon has not been previously reported. This combination of injuries posed a dilemma in treatment options and postoperative management. The authors felt that ensuring that the Achilles tendon healed with no shortening was the priority for future function in this professional athlete. It was decided to treat the Achilles tendon rupture by open repair and to place the ankle in equinus postoperatively. It was also decided to openly reduce and internally fix the medial and lateral malleolar fractures before immobilising the ankle in equinus. Any residual stiffness in the ankle, subtalar and midtarsal joints would be treated with aggressive physiotherapy. It was felt that the rotational forces may have resulted in a degree of degloving around the ankle. Care was therefore taken in the choice and placement of the surgical incisions. In spite of this, the lateral surgical wound broke down postoperatively, needing treatment with a fasciocutaneous flap. When reviewed at ten years following the Injury, the patient was continuing to work as a fitness instructor with a view to continuing to retirement in five years at the age of 65. There was a slight decrease in dorsiflexion of the right ankle but flexion was full and movement of the subtalar and midtarsal joints were also full. There remained 1 cm of wasting of the right calf. Radiology of the ankle showed no joint space narrowing or evidence of degenerative change at ten years following the Injury.

  • Trimalleolar fracture and associated Achilles tendon rupture: Ten year follow up of an unusual water-Skiing Injury
    Elsevier, 2018
    Co-Authors: R.n. Brueton, K.s. Javid
    Abstract:

    Summary: A 49 year old professional fitness instructor sustained a high velocity rotational Injury to his right ankle while waterski-ing. The ski bindings did not release, exacerbating the Injury. This resulted in a trimalleolar fracture and a rupture of his Achilles tendon.A trimalleolar fracture in association with a rupture of the Achilles tendon has not been previously reported.This combination of injuries posed a dilemma in treatment options and postoperative management.The authors felt that ensuring that the Achilles tendon healed with no shortening was the priority for future function in this professional athlete.It was decided to treat the Achilles tendon rupture by open repair and to place the ankle in equinus postoperatively.It was also decided to openly reduce and internally fix the medial and lateral malleolar fractures before immobilising the ankle in equinus.Any residual stiffness in the ankle, subtalar and midtarsal joints would be treated with aggressive physiotherapy.It was felt that the rotational forces may have resulted in a degree of degloving around the ankle. Care was therefore taken in the choice and placement of the surgical incisions.In spite of this, the lateral surgical wound broke down postoperatively, needing treatment with a fasciocutaneous flap.When reviewed at ten years following the Injury, the patient was continuing to work as a fitness instructor with a view to continuing to retirement in five years at the age of 65.There was a slight decrease in dorsiflexion of the right ankle but flexion was full and movement of the subtalar and midtarsal joints were also full.There remained 1 cm of wasting of the right calf.Radiology of the ankle showed no joint space narrowing or evidence of degenerative change at ten years following the Injury. Keywords: Trimalleolar fracture, Achilles tendon, Waterski-ing, De-glovin

R.n. Brueton - One of the best experts on this subject based on the ideXlab platform.

  • trimalleolar fracture and associated achilles tendon rupture ten year follow up of an unusual water Skiing Injury
    Trauma Case Reports, 2018
    Co-Authors: R.n. Brueton, K.s. Javid
    Abstract:

    Summary A 49 year old professional fitness instructor sustained a high velocity rotational Injury to his right ankle while waterski-ing. The ski bindings did not release, exacerbating the Injury. This resulted in a trimalleolar fracture and a rupture of his Achilles tendon. A trimalleolar fracture in association with a rupture of the Achilles tendon has not been previously reported. This combination of injuries posed a dilemma in treatment options and postoperative management. The authors felt that ensuring that the Achilles tendon healed with no shortening was the priority for future function in this professional athlete. It was decided to treat the Achilles tendon rupture by open repair and to place the ankle in equinus postoperatively. It was also decided to openly reduce and internally fix the medial and lateral malleolar fractures before immobilising the ankle in equinus. Any residual stiffness in the ankle, subtalar and midtarsal joints would be treated with aggressive physiotherapy. It was felt that the rotational forces may have resulted in a degree of degloving around the ankle. Care was therefore taken in the choice and placement of the surgical incisions. In spite of this, the lateral surgical wound broke down postoperatively, needing treatment with a fasciocutaneous flap. When reviewed at ten years following the Injury, the patient was continuing to work as a fitness instructor with a view to continuing to retirement in five years at the age of 65. There was a slight decrease in dorsiflexion of the right ankle but flexion was full and movement of the subtalar and midtarsal joints were also full. There remained 1 cm of wasting of the right calf. Radiology of the ankle showed no joint space narrowing or evidence of degenerative change at ten years following the Injury.

  • Trimalleolar fracture and associated Achilles tendon rupture: Ten year follow up of an unusual water-Skiing Injury
    Elsevier, 2018
    Co-Authors: R.n. Brueton, K.s. Javid
    Abstract:

    Summary: A 49 year old professional fitness instructor sustained a high velocity rotational Injury to his right ankle while waterski-ing. The ski bindings did not release, exacerbating the Injury. This resulted in a trimalleolar fracture and a rupture of his Achilles tendon.A trimalleolar fracture in association with a rupture of the Achilles tendon has not been previously reported.This combination of injuries posed a dilemma in treatment options and postoperative management.The authors felt that ensuring that the Achilles tendon healed with no shortening was the priority for future function in this professional athlete.It was decided to treat the Achilles tendon rupture by open repair and to place the ankle in equinus postoperatively.It was also decided to openly reduce and internally fix the medial and lateral malleolar fractures before immobilising the ankle in equinus.Any residual stiffness in the ankle, subtalar and midtarsal joints would be treated with aggressive physiotherapy.It was felt that the rotational forces may have resulted in a degree of degloving around the ankle. Care was therefore taken in the choice and placement of the surgical incisions.In spite of this, the lateral surgical wound broke down postoperatively, needing treatment with a fasciocutaneous flap.When reviewed at ten years following the Injury, the patient was continuing to work as a fitness instructor with a view to continuing to retirement in five years at the age of 65.There was a slight decrease in dorsiflexion of the right ankle but flexion was full and movement of the subtalar and midtarsal joints were also full.There remained 1 cm of wasting of the right calf.Radiology of the ankle showed no joint space narrowing or evidence of degenerative change at ten years following the Injury. Keywords: Trimalleolar fracture, Achilles tendon, Waterski-ing, De-glovin

Lauren Zoschnick - One of the best experts on this subject based on the ideXlab platform.

  • Development of Pelvic Abscess Following Water-Skiing Injury
    Infectious diseases in obstetrics and gynecology, 1993
    Co-Authors: Mark D. Pearlman, Lauren Zoschnick
    Abstract:

    Several descriptions of hydrostatic injuries while water-skilng have been described, including lacerations of the perineum, vagina, and cervix. Salpingitis or pelvic abscess resulting from water-Skiing injuries are rare but important complications. A case of a pelvic abscess following a fall while water-Skiing is described. The abscess was drained laparoscopically, resulting in a good clinical outcome. The mechanism of Injury and recommendations for prevention are also presented. Upper genital tract infection may result from water-Skiing injuries due to hydrostatic pressure forcing bacteria and water through the vagina and cervix into the endometrium, fallopian tube, and peritoneal cavity. While an uncommon complication, physicians and other practitioners caring for women should be aware of this potential complication from water-Skiing.

Palo Alto - One of the best experts on this subject based on the ideXlab platform.

  • Snowboarding Injuries A Four-Year Study With Comparison With Alpine Ski Injuries
    Western Journal of Medicine, 1996
    Co-Authors: Terence M Davidson, Aristotelis T Laliotis, San Diego, Palo Alto
    Abstract:

    Snowboarding is a rapidly growing winter sport. Its unorthodox maneuvers and young participants raise many safety concerns. We examined Injury patterns in recreational snowboarders, comparing these patterns with those found in alpine skiers. Snowboarding and Skiing Injury patterns differed significantly (P < .05) for the following categories: 49% of injured snowboarders were beginners versus 18% of skiers. Snowboarders were more likely to suffer wrist (19% versus 2%) and ankle (16% versus 6%) injuries, but less likely to sustain knee (17% versus 39%) or thumb (2% versus 4%) injuries than skiers. For snowboarders, wrist injuries were most common in beginners (30%), knee injuries in low intermediates (28%), ankle injuries in intermediates (17%), and shoulder or clavicle injuries in advanced snowboarders (14%). Most snowboarders (90%) wore soft-shelled boots, 73% of lower extremity injuries occurred to the lead-foot side, and 73% of wrist injuries occurred during backward falls; 67% of knee injuries occurred during forward falls. Of all injuries, 8% occurred while loading onto or unloading from a ski lift. The sport of snowboarding brings with it a different set of injuries from those seen in alpine Skiing. The data focus attention on improvements such as wrist guards or splints, releasable front-foot bindings, and better instruction for beginner snowboarders to improve the safety of this sport. Finally, the data confirm that snowboarders and skiers may be safely combined on the same slopes.

Mark D. Pearlman - One of the best experts on this subject based on the ideXlab platform.

  • Development of Pelvic Abscess Following Water-Skiing Injury
    Infectious diseases in obstetrics and gynecology, 1993
    Co-Authors: Mark D. Pearlman, Lauren Zoschnick
    Abstract:

    Several descriptions of hydrostatic injuries while water-skilng have been described, including lacerations of the perineum, vagina, and cervix. Salpingitis or pelvic abscess resulting from water-Skiing injuries are rare but important complications. A case of a pelvic abscess following a fall while water-Skiing is described. The abscess was drained laparoscopically, resulting in a good clinical outcome. The mechanism of Injury and recommendations for prevention are also presented. Upper genital tract infection may result from water-Skiing injuries due to hydrostatic pressure forcing bacteria and water through the vagina and cervix into the endometrium, fallopian tube, and peritoneal cavity. While an uncommon complication, physicians and other practitioners caring for women should be aware of this potential complication from water-Skiing.