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30-Jul-2017 14:35

Appropriate osseous union without residual fracture lucency.

Fracture margins are ill-defined suggesting resorption or hyperemia associated with early inflammatory/reparative process.

FINDINGS: AP views of bilateral AC joints without and without weight bearing demonstrate normal acromioclavicular and coracoclavicular distances without fracture, dislocation, or significant degenerative changes. External fixation device in place (above and below fx site) with pins/screws connected to external fixation rods via clamps.

FINDINGS: [acute/subacute] [open/closed] [intra-articular] [mild/mod/severely comminuted] [incomplete/avulsion/transverse/oblique/spiral/longitudinal/segmental/impacted/torus or buckle/greenstick/pathologic] fracture. There has been interval [increasing sclerosis at fracture site] [periosteal new bone formation] [immature/mature callus] [bridging osseous callus] [obliteration of fracture lucency] suggesting continued healing and remodelling.

upper extremity was performed with and without compression.

Images show complete compressibility of the deep veins (brachial, axillary, and internal jugular) and superficial veins (cephalic, basilica) with no evidence of thrombus.(BPD) is []cm which corresponds to []w []d, head circumference is []cm which corresponds to []w []d, abdominal circumference is []cm which corresponds to []w []d, and femoral length is []cm which corresponds to []w []d.(BPD) is []cm which corresponds to []w []d, head circumference is []cm which corresponds to []w []d, abdominal circumference is []cm which corresponds to []w []d, and femoral length is []cm which corresponds to []w []d.

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Limited UGI with water-soluble contrast shows prompt contrast transit through the band without pooling within gastric pouch of distal esopahgus. Stomal diameter is []mm without evidence for stomal stenosis.[Gastric pouch is not seen given unadjusted band.] No herniation of distal stomach through the band to suggest [anterior/posterior] prolapsed or symmetric pouch dilation or gastric erosion. TECHNIQUE: Risks and potential complications were explained and a informed was written consent.Fracture lucency remains partially visible.[Bimalleolar fx] [Trimalleolar fx] [Pilon fx with comminuted distal tibia] [Tillaux fracture involving anterolateral tibia] [Triplane fx in skeletally-immature patient] [Recommend dedicated tib-fib Xray to exclude proximal fibular fracture or Maisonneuve’s] FINDINGS: [Single] K-wire traverses [x] ray extending percutaneously from distal tuft across IP/MTP jts with tip at [] providing good anatomic alignment s/p [hammer toe repair] with [resection arthroplasty at x joint].




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