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

Posted By: cai on 2008-08-05
In Reply to:

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

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Review of x-rays show a s/l web-a-ray nondisplaced fracture of the lateral malleolus.
Subject: Review of x-rays show a s/l web-a-ray nondisplaced fracture of the lateral malleolus.

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Subject: sounds like lateral morris views of the ankle

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lateral mortise view. sm
Subject: lateral mortise view. sm

Ankle and Foot X Ray
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Subject: I believe it is bending and it should be ankle mortise


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Subject: s/l Lateral Lig views of the lower extremities

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Subject: We will x-ray the wrist with AP, lateral, and s/l mo-neen views.

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Subject: pt sprained ankle doing x-rays. sm

This is an ESL doc.


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Subject: X-rays of the ankle show a single s/l scan-cella screw in the medial malleolus. TIA nm


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Subject: found this. There are 3 lateral ankle ligaments and one broad, fan-shaped medial ligament. nm

.
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level or lever A ankle fracture? sm
Subject: level or lever A ankle fracture? sm

I found this

Type A: fracture below the ankle joint
Type B: fracture at the level of the joint, with the tibiofibular ligaments usually intact
Type C: fracture above the joint level which tears the syndesmotic ligaments.

I assume it should be level A but sounds like he is definitely saying lever so just wanted to verify that it is correct.

TIA
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Subject: X-rays: X-rays of the left hip show cemented hip arthroplasty. sm

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Subject: 20-degree false-lateral or fossa lateral?


Is it possible that "mild" lateral could be "mid" lateral
Subject: Is it possible that "mild" lateral could be "mid" lateral


Mortise?
Subject: Mortise?

x
It is mortise.
Subject: It is mortise.

nm
mortise
Subject: mortise

Reviewing my own question, my research shows me that it is mortise in both places.  Any opinions?


mortise
Subject: mortise

Did you use your medical dictionary? Dorland's and Stedman's say mortise.
mortise is what you are looking for
Subject: mortise is what you are looking for


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
mortis/mortise?
Subject: mortis/mortise?

Please help edit my transcription here:  At this time, the AP, lateral and mortise? views revealed that the fracture was quite well reduced, that the mortis? was also in good position. 


Mortise view - nm
Subject: Mortise view - nm

xx
mortise diastasis ?
Subject: mortise diastasis ?


mortise diastasis?
Subject: mortise diastasis?

--
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 :(
yes its mortise. mortis is death.
Subject: yes its mortise. mortis is death.

mortise:

mortise joint -->
ankle joint
The joint that is formed by the inferior articular and malleolar articular surfaces of the tibia, the malleolar articular surface of the fibula, and the medial malleolar, lateral malleolar, and superior surfaces of the talus.

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...