History: 30 year-old right-hand dominant male Sheriff impacted his left hand on concrete while wrestling a suspect. He had immediate pain and swelling over the base of the index finger. X-rays showed a metacarpal fracture with displacement and angulation resulting in severe pain, swelling, and deformity. Diagnosis: Left 2nd metacarpal fracture, displaced Treatment: Percutaneous reduction and internal fixation with an…
DRFx Wire under Plate – Franko
History: 46 year-old male who was injured while skateboarding on Christmas Eve. He presented to the hospital with severe pain and deformity in his left wrist. X-rays showed a severe wrist fracture with intra-articular impaction, displacement and angulation resulting in severe pain, swelling, and deformity as well as a displaced ulnar styloid base fracture. Diagnosis: Left…
Distal Humerus – Franko
History: 60 year-old male who injured his left elbow while riding his bicycle. He went to the hospital where he was diagnosed with a severe fracture of the elbow that included the joint surface. He he also had some arthritis in the elbow prior to his fall but it was not very bothersome to him. Diagnosis: Left complex…
Scaphoid Non-Displaced – Franko
History: 52 year-old male who fell directly onto his right hand with pain and swelling. An initial X-ray was negative for fracture in the Emergency Department. He was evaluated by Dr. Franko who recognized a subtle scaphoid fracture and recommended either non-operative (cast) or operative (surgery) treatment. Because the patient desired a faster return to…
DRFx Fragment Specific – Franko
History: 64 year-old female who was in a motor vehicle accident and admitted to the hospital for severe injuries including a fracture of the distal radius and distal ulna (wrist) on her left wrist. X-rays and CT scans showed a severe wrist fracture with intra-articular impaction, displacement and angulation resulting in severe pain, swelling, and deformity….
P1 Derotation Osteotomy – Franko
History: 21 year-old female who fractured her left index finger in a car accident 2 years ago. She was treated without surgery which resulted in the bone healing with a rotational deformity. She notices that her index finger crosses over her other fingers when she makes a fist. Diagnosis: Left index proximal phalanx rotational malunion Treatment: Left index…
Thumb Amputation FDMA Flap – Franko
History: 25 year-old male injured his left thumb using a table saw resulting in an amputation of the thumb at the level of the interphalangeal joint. X-rays showed a partial thumb amputation. He came to the emergency department with pain, disability, and bleeding. Diagnosis: Left thumb amputation at interphalangeal joint Treatment: First dorsal metacarpal artery island flap…