Case Presentation: A 36 year old gentleman sustained a wrist injury while running and falling but xrays at the time were reportedly negative for a fracture. He was given a splint but had continued and persistent pain and swelling. He came to my office 6 months later and xrays and a CT scan showed a dislocated…
Distal Radius – 3 plates with Hardware Removal
Case Presentation: 30 year old gentleman injured his distal radius (wrist fracture) while snowboarding. He had a severe fracture with separation of the lunate and scaphoid facet fragments. Intra-operative fixation required individual fragment specific plating with screws, wires, and plates. The fracture healed in a reasonable position, and the plates were taken out once healed due…
CRPS Images – Franko
The following images represent classic signs and symptoms of Complex Regional Pain Syndrome, also known as CRPS. Historically, this has also been referred to as sympathetic reflex dystrophy or causalgia. I have found that the most sensitive and predictive finding is a dramatic loss in function (strength or motion) of a body part that is…
Median Nerve Allograft – Franko
History/Diagnosis: This patient is a 35 year old gentlement who sustained a glass puncture injury to his forearm about 3 weeks before presenting to my office for evaluation. He initially did not think the injury was severe, but due to continued pain and numbness was concerned that it may be more involved. His exam was consistent…
Complex Hand and Forearm Motorcycle Accident – Franko
History/Diagnosis: This patient sustained a very severe motorcycle accident with open injuries to the forearm, wrist, hand, and fingers. There were fractures of the ulna, radius, ulnar styloid, thumb dislocation, metacarpals, and CMC joints. I took her to the operative room for extensive surgery to repair and reconstruct all of the injuries. Treatment: Complex repair of all…
Radius Shaft Fracture ORIF – Franko
History/Diagnosis: This gentleman sustained an isolated radial shaft fracture. Treatment: Radial shaft ORIF Outcome: He regained full motion and strength without any limitations
Bilateral Forearm ORIF
History: 22 year-old male injured in a motorcycle accident with bilateral forearm fractures of the radius and ulna. Diagnosis: Complex bilateral forearm fractures with comminution, open injuries, and need for repair Treatment: Bilateral forearm ORIF Outcome: Within 6 weeks he had near full motion. He had minimal pain and was quite pleased with the final result.
Steroid Skin Blanching – Franko
The following images demonstrate the temporary depigmentation and atrophy effects of Kenalog injected in the hand and wrist. The follow-up image is 6 months later.
Phalanx Fx x 3 with IM screws – Franko
History: 39 year old gentleman came to the office after a steel beam fell on his hand, crushing his index, middle, and ring fingers. He had fractures of the proximal phalanx to all three fingers and limited motion, swelling, and pain. Diagnosis: P1 fractures of index, middle, ring fingers Treatment: Index and Middle fingers intramedullary screw, Ring finger…
Table Saw Skin Graft – Franko
History: 63 year old gentleman sustained a table saw injury to his right index finger. This included a deep skin injury with full thickness loss but did not seem to involved the tendons, nerves, or vessels. Diagnosis: Right index full thickness loss Treatment: Full thickness skin graft to digit Outcome: Despite early loss of part of the graft, the…