Distal tibial fracture in a 11 year old boy (a Salter Harris II) - XR below. What’s your plan? (No CT allowed!) I’ll show you outcome tomorrow, along with the survey result and about the new exciting 🤩ODDsocks.org study🤩 - recruiting from today in the UK.

Orthopedic Truths: Tennis Elbow Stupid name Most people who have it don't play tennis. Nearly every person will get it. The most common cause of lateral elbow/upper forearm pain. It will resolve almost everyone on its own. Without "treatment". But it might take 6-12

Kids Hospital in München have published the 'double bend' technique. quite a nice article (though i hate 'children' journal for putting my email address on some spam directory). semanticscholar.org/reader/ae76697… thanks to sumit chawla for the heads up #orthotwitter

13 y/m Fall down 3 weeks ago Now this ! Leave it ? Or fix it !? Pain 3/10 Full ROM Dave Bennett MD FAAOS Lena Josifi, MD Apurva Shah, MD MBA Pooya Hosseinzadeh, MD Dan Perry Eric Novack Lee Van Rensburg Lee Van Rensburg Haseeb Gani Dr Surface

Dave Bennett MD FAAOS Delniotis Ioannis This is a lateral epicondyle fracture (not condyle) and is extra articular. No need for surgery. Casting is sufficient

24 m Crush injury 14 mth ago Would Yelena Bogdan, MD, FACS, FAAOS🦴🧚🏻‍♀️ Dr. Edward Oates Lee Van Rensburg Robert Dunbar, MD Travis Hanson, MD Lance Silverman, MD FAAOS Dr Surface Bipin Theruvil FRCS (T&O),FRCS (Ed&Glasg),MS AIIMS Haseeb Gani FootAndAnkleMD #orthotwieter Will the bone graft be successful here?

Dave Bennett MD FAAOS I’ve always said, “you need to fix that fracture before it heals….”

6 Y/M Fell 16 days ago Treated non-op by traditional bone setter Started WB after 1 week Now this X-ray Is it too late to do anything? #orthotwitter Lena Josifi, MD Dave Bennett MD FAAOS Nannypod Dan Perry Lance Silverman, MD FAAOS Pooya Hosseinzadeh, MD Apurva Shah, MD MBA Noelle Larson, MD George Gantsoudes at Bluesky now

German Mendoza Revilla soliman ibraheem Lena Josifi, MD Dave Bennett MD FAAOS Nannypod Dan Perry Lance Silverman, MD FAAOS Apurva Shah, MD MBA Noelle Larson, MD George Gantsoudes at Bluesky now If it is there, it would make it SH IV distal tibia not a triplane. Triplane happens in adolescents due to a unique pattern of physeal closure

Dutch Rojas Or… 1. They have no morals and will operate on anything for $ if it stands still long enough, even if doesn’t need surgery. 2. As my mentor said, doing the same surgery wrong for 20 years doesn’t improve your technical skills. Choice of surgeon is much more nuanced than reps.

Very General Orthopaedist Phil Walmsley (@[email protected]) Elizabeth Gausden Ryan K Harrison, MD Geoffrey Marecek, MD, FAAOS James A. Blair, MD, FAAOS, FACS Robert Dunbar, MD Walt Virkus Dr. Edward Oates Traumatisch Cris Ojeda-Thies Jan Szatkowski You don’t need 2 approaches for dual plating - make the decision preop and you can use extensile med or lateral parapatella for both plates Arthroplasty Today sciencedirect.com/science/articl… With good results Bone & Joint Open boneandjoint.org.uk/article/10.130…

One for the residents / junior trainees 85yo F, post fall, referred from an exteral facility with plain films for operative management non-displaced # NOF Initial plain film below. Our trainees bought the story. I found it very suspect... #orthotwitter

soliman ibraheem Well. Sometimes the conservative treatment is non -surgical and sometimes the conservative treatment is surgical. So it’s best to stay with operative and no -operative mgmt.

Hear me out….Leave the broken part in situ. Stack all the wires inside the nail and take it all out at once. #orthotwitter

24 y/f Hx of spider bite (Loxosceles reclusa)50 days ago , Anti-venom given immediately . Severe tox first 2 days, then local inflammation and scab I&D done, but condition worsening daily U/S: 10 cm fibrosis under scab no fluid, only edema #orthotwitter The Infectious Diseases (ID) Doctor