Not actually that rare to see. Reabsorption of bone is fairly common place in non unionized fractures that don’t end up getting good blood flow. Osteoclasts will breakdown the bone fragments that don’t unionize, especially if the bone isn’t really responsible for weight bearing.
The only thing thats fake about this is a group of doctors being mystified by any of it.
Maybe? But again, reabsorption is so commonplace that it’s not particularly a significant teaching opportunity. I
f we’re assuming that what this person claimed is true, the only real educational thing about this is how important it is to stick to the prescribed follow up care. This more than likely would have been caught during follow up imaging post reconstruction.
My granma had a spinal disc missing entirely. It was just gone. Must’ve broken it at some point and didn’t realize. She was mostly bedridden and moved very slowly with a walker, needed a lot of support. May she rest in peace (death unrelated to missing disc)
Nah, the fibula doesn’t really bear much weight, it mainly helps with ankle stability and helps with ankle rotation. Things that probably aren’t really a factor after the reconstruction that this patient acquired after their accident.
First of all, there’s not a lot of orthopedic surgery going on in rural medicine. Secondly, one of my first jobs as a provider involved traveling to provide specialty care to rural clinics and native reservations in one of the poorer states in the union.
You are correct that rural medicine is on the struggle bus, especially in states like mine that refused to expand Medicaid coverage…but your observation just doesn’t really apply to this particular case.
Not actually that rare to see. Reabsorption of bone is fairly common place in non unionized fractures that don’t end up getting good blood flow. Osteoclasts will breakdown the bone fragments that don’t unionize, especially if the bone isn’t really responsible for weight bearing.
The only thing thats fake about this is a group of doctors being mystified by any of it.
Sounds more like a teaching opportunity, which was interpreted as an ‘ah, they have no idea what is going on’ moment.
Maybe? But again, reabsorption is so commonplace that it’s not particularly a significant teaching opportunity. I
f we’re assuming that what this person claimed is true, the only real educational thing about this is how important it is to stick to the prescribed follow up care. This more than likely would have been caught during follow up imaging post reconstruction.
My granma had a spinal disc missing entirely. It was just gone. Must’ve broken it at some point and didn’t realize. She was mostly bedridden and moved very slowly with a walker, needed a lot of support. May she rest in peace (death unrelated to missing disc)
Wouldn’t the patient miss the support that bone provided?!
Nah, the fibula doesn’t really bear much weight, it mainly helps with ankle stability and helps with ankle rotation. Things that probably aren’t really a factor after the reconstruction that this patient acquired after their accident.
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First of all, there’s not a lot of orthopedic surgery going on in rural medicine. Secondly, one of my first jobs as a provider involved traveling to provide specialty care to rural clinics and native reservations in one of the poorer states in the union.
You are correct that rural medicine is on the struggle bus, especially in states like mine that refused to expand Medicaid coverage…but your observation just doesn’t really apply to this particular case.