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I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. T

Posted By: new to ortho on 2009-01-02
In Reply to: s/l felon plus fibula sm - new to ortho

Subject: I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. Thanks.




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There are spanning frames used for pilon fractures and also hip fractures.
Subject: There are spanning frames used for pilon fractures and also hip fractures.


I am hoping tibula is just a mistype. But
Subject: I am hoping tibula is just a mistype. But

since you are new just wanted to make sure you know it is tibia.
patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA
Subject: patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA


pilon
Subject: pilon


I'm inclined to say pilon.
Subject: I'm inclined to say pilon.

xxxx
I'd say pilon fracture (sm)
Subject: I'd say pilon fracture (sm)

A felon is a type of abscess.


pilon or felon fracture
Subject: pilon or felon fracture

He is referring to several body parts, so I am not sure what this area is, hip, foot, or knee...but he pretty much says felon or pilon fracture.  Any clues?  Thanx!


tibiofibular pilon fracture
Subject: tibiofibular pilon fracture


? pull-on or pilon knee brace.
Subject: ? pull-on or pilon knee brace.


Patient with infected pilon fracture. please sm
Subject: Patient with infected pilon fracture. please sm

Exam reveals "clinically **planta grade to sinuses** which are clean"
tibial pilon fracture dislocation s/l exovication
Subject: tibial pilon fracture dislocation s/l exovication

xx
I usually put tibia/fibula sm
Subject: I usually put tibia/fibula sm

But it depends on whether your account is verbatim or not. If the doc insists on it, I will put tib/fib.
may just be saying distal fibula..nm
Subject: may just be saying distal fibula..nm

x
s/l felon plus fibula sm
Subject: s/l felon plus fibula sm

DIAGNOSIS: Left distal fibula s/l felon fracture.

STATUS: Post surgery on 12/18/08 consisting of open reduction internal fixation of the left s/l felon plus fibula.

tib-fib (tibia-fibula)????
Subject: tib-fib (tibia-fibula)????

x
short for tibia-fibula maybe...
short for tibia-fibula maybe...
fibula flap reconstruction
Subject: fibula flap reconstruction

This sound right?  Or fibular flap?  I dont like onc :(
I do tibia-fibula fracture, but, eh, that's me. N/M
Subject: I do tibia-fibula fracture, but, eh, that's me. N/M


long shot but maybe tib-fib (for tibia and fibula)
.
proper thing=tibia and fibula sm
Subject: proper thing=tibia and fibula sm

they may be dictating poorly...tibbin=tib and"... but the proper thing to put in the record are the correct terms=tibia and fibula...
right tibia-fibula, right proximal humerus, etc.
Subject: right tibia-fibula, right proximal humerus, etc.

x
? 4-1 fractures
Subject: ? 4-1 fractures

The doc states that the maxilla is free floating due to (what s/l) "lymph 4-1" fractures? 
fractures too
Subject: fractures too

Doc is saying TA compression fractures...... cannot find TA compression fractures.
rib fractures through a
Subject: rib fractures through a

preexisting "calacite"???  thanks!
Cap refill is correct. I usually spell out tib-fib, tibia and fibula.
Subject: Cap refill is correct. I usually spell out tib-fib, tibia and fibula.


s/l Jodi fractures
Subject: s/l Jodi fractures

sentence: The history for 'jodi' fractures involving her left upper extremity.
jodi fractures
Subject: jodi fractures

Only thing I can think of is Jones fracture or joint fracture
maybe LeFort II five fractures?
Subject: maybe LeFort II five fractures?

what you typed:  LeFort 2.5 fractures and disjunction of the facial bones from the cranium.


since there is an (s) after fracture(s), I believe he meant a LeFort II five fractures.


Also, isn't it dysjunction?  I could be DEAD_WRONG on that one though.  *lol*


tibbin fidgula questioning the = tibia and fibula suggestive of... NM
Subject: tibbin fidgula questioning the = tibia and fibula suggestive of... NM


Hmm. Usually femoral neck fractures are
Subject: Hmm. Usually femoral neck fractures are

described as Garden fractures, ranging from I through IV.

How does the sentence read and what type of report are you typing?
expanding vertebral fractures
Subject: expanding vertebral fractures

What is the right way to transcribe an L5 compression fracture? or C5-6 herniated nucleus pulposus? Do you just put L5 or fifth lumbar or lumbar 5?


Do you put cervical 5-6 ?  Any help is appreciated. Debbie


Phalanx fractures - word help
Subject: Phalanx fractures - word help

Review of his x-rays today shows that he has some fourth and fifth proximal phalanx fractures of the shaft, just a little oblique in nature.  The s/l 'ulnar-peri' was significantly displaced.


Hx: Fourth and fifth phalanx fractures.


how do you type Salter 1 fractures..
Subject: how do you type Salter 1 fractures..

Sprain of both the metacarpophalangeal joints of her index and long finger, possibly nondisplaced *s/l salter 1 fractures.*? tia.
No step-offs. You will hear that a lot with fractures etc.sm
Subject: No step-offs. You will hear that a lot with fractures etc.sm

as per my old Stedman's Ortho and me, old ortho person here, before so many  hyphens etc. so I have to look things up to get things right for you guys.
oops, I meant LeFort II 5 fractures....
Subject: oops, I meant LeFort II 5 fractures....

sorry for MY error....
patient casted for s/l bifibular fractures? nm
Subject: patient casted for s/l bifibular fractures? nm

nm
grade 4. All grades are arabic. Fractures and
Subject: grade 4. All grades are arabic. Fractures and

stages are Roman numerals.
yes, Garden's classification of femoral neck fractures
Subject: yes, Garden's classification of femoral neck fractures


Rehab hospital........Lisfranc and metatarsal fractures
Subject: Rehab hospital........Lisfranc and metatarsal fractures

nm
Nondisplaced fibula fracture s/l *alloplaster* x-rays, AP, lateral, and mortise views of the ankle.
Subject: Nondisplaced fibula fracture s/l *alloplaster* x-rays, AP, lateral, and mortise views of the ankle.

-
fractures or osteophytes can cause "tenting" of the skin over the tibial spines sm
Subject: fractures or osteophytes can cause "tenting" of the skin over the tibial spines sm

of course it depends on if it fits the context of the dictation....
Hip fractures comprise two types—femoral neck (cervical or intracapsular)
Subject: Hip fractures comprise two types—femoral neck (cervical or intracapsular)


Has anyone heard of prylotherapy? I can find it using Google, but I can't find whether it is cap
Subject: Has anyone heard of prylotherapy? I can find it using Google, but I can't find whether it is cap'd.

nm
Can find plenty on the internet regarding lipodermosclerosis, but unfortunately cannot find that exa
Subject: Can find plenty on the internet regarding lipodermosclerosis, but unfortunately cannot find that exact spelling in any dictionary... sorry. Anyone else?


probably tibia but is he saying tib/fib? that would be tibia/fibula.....the leg
Subject: probably tibia but is he saying tib/fib? that would be tibia/fibula.....the leg

a
Where did you find, I still cannot find that spelling anywhere?
Subject: Where did you find, I still cannot find that spelling anywhere?


all i find
Subject: all i find

is EndoMed LSS laparoscopy system, not a tissue expander...? sorry.
I could not find
Subject: I could not find

pseudoarthopathy on the web, in the Stedman's or anywhere else.  I knew what the different words meant, but I did not know if the one word existed. 
Sorry, cannot find anything
Subject: Sorry, cannot find anything

If you happen to find out what this word is, please post it. Usually, if the wordd exists or anything close to it...I can find it. My brother is a physician and he also has no idea what the word could be based on what you say it sounds like.

Sorry I couldn't help.
Where did you find that? Thanks!
Subject: Where did you find that? Thanks!

I've checked everywhere, even googled it. Nothing.


Thanks again! 


Where did you find that? sm
Subject: Where did you find that? sm

I can only find "Wise" anywhere I have looked or searched. The doctor spells it as "Wyse" but I am not sure that is correct. Did you find it written somewhere? I want to be absolutely sure I am right before going against his spelling.