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	<title>Comments on: that&#8217;s gotta hurt</title>
	<atom:link href="http://www.mudphudder.com/2009/09/thats-gotta-hurt/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.mudphudder.com/2009/09/thats-gotta-hurt/</link>
	<description>an academic medicine weblog</description>
	<pubDate>Fri, 18 May 2012 03:28:09 +0000</pubDate>
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		<title>By: antipodean</title>
		<link>http://www.mudphudder.com/2009/09/thats-gotta-hurt/comment-page-1/#comment-10108</link>
		<dc:creator>antipodean</dc:creator>
		<pubDate>Mon, 21 Sep 2009 06:50:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.mudphudder.com/?p=3462#comment-10108</guid>
		<description>What'd he do? Jump 20m out of helocopter above a parking lot?</description>
		<content:encoded><![CDATA[<p>What&#8217;d he do? Jump 20m out of helocopter above a parking lot?</p>
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		<title>By: Hildy</title>
		<link>http://www.mudphudder.com/2009/09/thats-gotta-hurt/comment-page-1/#comment-10085</link>
		<dc:creator>Hildy</dc:creator>
		<pubDate>Sun, 20 Sep 2009 12:31:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.mudphudder.com/?p=3462#comment-10085</guid>
		<description>This is a tibial plafond/pilon fracture.  It's not your standard ankle fracture which usually occurs due to a twist;  instead this is an axial injury.  Horsetech:  the lowest energy injury I've seen create this fracture pattern is a lady falling backward off a kerb in stillettos (ie impact from about 1 foot).  It's usually a high energy injury although landing badly when jumping off a low platform can cause it.

These are notoriously difficult to treat and have poor outcomes.</description>
		<content:encoded><![CDATA[<p>This is a tibial plafond/pilon fracture.  It&#8217;s not your standard ankle fracture which usually occurs due to a twist;  instead this is an axial injury.  Horsetech:  the lowest energy injury I&#8217;ve seen create this fracture pattern is a lady falling backward off a kerb in stillettos (ie impact from about 1 foot).  It&#8217;s usually a high energy injury although landing badly when jumping off a low platform can cause it.</p>
<p>These are notoriously difficult to treat and have poor outcomes.</p>
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	<item>
		<title>By: mudphudder</title>
		<link>http://www.mudphudder.com/2009/09/thats-gotta-hurt/comment-page-1/#comment-10073</link>
		<dc:creator>mudphudder</dc:creator>
		<pubDate>Sun, 20 Sep 2009 02:30:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.mudphudder.com/?p=3462#comment-10073</guid>
		<description>Yeah--when a medical student or dumb-ass intern can look at an x-ray and identify the problem, that's not a good thing for the patient.</description>
		<content:encoded><![CDATA[<p>Yeah&#8211;when a medical student or dumb-ass intern can look at an x-ray and identify the problem, that&#8217;s not a good thing for the patient.</p>
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		<title>By: horsetech</title>
		<link>http://www.mudphudder.com/2009/09/thats-gotta-hurt/comment-page-1/#comment-10066</link>
		<dc:creator>horsetech</dc:creator>
		<pubDate>Sat, 19 Sep 2009 21:21:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.mudphudder.com/?p=3462#comment-10066</guid>
		<description>DAAAAA-AAMN.  What did he do, have a "bad fall" off a roof?  I wonder what forces could have taken a curved chunk out of the side like that.

That's what you call a student-grade lesion.</description>
		<content:encoded><![CDATA[<p>DAAAAA-AAMN.  What did he do, have a &#8220;bad fall&#8221; off a roof?  I wonder what forces could have taken a curved chunk out of the side like that.</p>
<p>That&#8217;s what you call a student-grade lesion.</p>
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	<item>
		<title>By: ladyfoot</title>
		<link>http://www.mudphudder.com/2009/09/thats-gotta-hurt/comment-page-1/#comment-10060</link>
		<dc:creator>ladyfoot</dc:creator>
		<pubDate>Sat, 19 Sep 2009 19:20:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.mudphudder.com/?p=3462#comment-10060</guid>
		<description>after 3 weeks of anatomy/med school i've been struggling through the radiology lectures like it's my job (i guess it is my job) and i come to the internets for fun reading to find this entry.  i'm going to go sit in a corner and rock myself now.</description>
		<content:encoded><![CDATA[<p>after 3 weeks of anatomy/med school i&#8217;ve been struggling through the radiology lectures like it&#8217;s my job (i guess it is my job) and i come to the internets for fun reading to find this entry.  i&#8217;m going to go sit in a corner and rock myself now.</p>
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