A Lisfranc (midfoot) injury is a significant injury that often has a prolonged recovery time. Fracture of the midfoot bones and/or disruption of the midfoot ligaments (Figure 1) leads to pain, swelling, and often an inability to weight-bear. During normal standing and walking the ligaments of the midfoot are subject to forces that are 2-3 times body weight.
What is lisfranc injury
The Lisfranc fracture is a fracture of the foot in which one or all of the metatarsals are displaced from the tarsus. It is named after 18th- and 19th-century surgeon and gynecologist Jacques Lisfranc de St. Martin. This type of injury classically occurred when a horseman fell while riding, having trapped his foot in the stirrup or fallen into a drain. At present, such an injury happens typically in activities such as windsurfing (where participants' feet are in foot straps that pass over the metatarsals), or when one steps into a hole and the foot twists heavily. Falling from a height of two or three stories can also cause this fracture. American football players occasionally get this injury, often when they have their foot pointing down and someone lands on their heel.
A Lisfranc injury is initially diagnosed based on the history and description of the athleteís acute injury. Often an athletic trainer at the practice or competition may see the injury occur in real time and have an immediate suspicion for the injury. The athlete will describe the immediate onset of pain in the midfoot region. There may be difficulty or even an inability to put weight on the injured foot. Over the course of the ensuing day, swelling and bruising often occurs that when serious may even become evident on the bottom of the foot. On a physical exam, the injured athlete will be tender over Lisfrancís joint and any others involved in the injury. In the most severe of injuries, those that involve a large direct crushing force to the foot, the swelling may be so severe that an emergent evaluation in an emergency room is necessary and possibly even immediate surgery. This is however extremely rare in the setting of athletic injuries.
Lisfranc injury recovery time
Most often the treatment of a Lisfranc injury is surgical, although some minor injuries can be treated conservatively. If there is minimal displacement of the bones, a stiff walking cast applied for approximately eight weeks is an appropriate alternative. However, the more common treatment is to secure the fractured and dislocated bones with either internal (screws) or external (pins) fixation.
Stable Lisfranc injuries that do not require surgery may cause an athlete to miss 2 months or more of their season. However, most athletes are able to successfully return at some point. Those injuries that are unstable, and require surgical repair, are serious injuries that almost always cause the injured athlete to miss the remainder of their season. It is also not uncommon for a high level athlete to not be able to return to the same level of athletic performance even in following seasons. Two well-known examples are Eric Rhett and Duce Staley both of whom had surgery for a serious Lisfranc injury and never successfully returned to their pre-injury form.
Psoriasis Symptoms and Treatment Psoriasis is common, affecting 1.5-2.0% of the population. It affects all ages, with bimodal peaks of incidence at ages 20-30 and 50-60 years. Plaque-type psoriasis is easily identified by its discrete round orange-red plaques with silver scale on the scalp, elbows, knees, or trunk. When psoriasis appears as intertriginous, guttate, or nail-limited psoriasis, the diagnosis can be challenging.
Etiology. Psoriasis exhibits abnormalities of epidermal proliferation and migration of inflammatory cells, resulting in accelerated epidermal turnover time. Psoriasis, particularly extensive psoriasis, has a strong genetic component. Exacerbants of psoriasis include stress, probably alcohol, many drugs, infection, and steroids.
Red Blood Cell Indices The red cell indices give a valuable specific overview of anaemias (low RBC / Hb) and polycythaemias
(high RBC / Hb) whilst in parallel being able to part differentiate alcohol use, kidney problems, liver
problems, sickle cell and thalassemia
Red Blood Cell Number
The red blood cells or erythrocytes primarily transport oxygen and some nutrients to organs and tissues.
Hence the symptoms of lack of breath, dizziness and tiredness when these cells are low in number. The
process of creating RBCs is called erythropoiesis and this is induced by reduced oxygen (hypoxia) supply
to the kidneys which causes the release of the hormone erythropoietin (EPO). The RBC
will last around 12 weeks or 120 days; this has an advantage and a disadvantage.
It is a great long term marker but will take longer than most tests to see if
the intervention is correct.
Other Drugs Of Concern Drugs discussed in the following sections have been abused for many years. Unfortunately, some that had become less popular seem to be reappearing, along with a dangerous new generation of illicit drugs. Problems with any illegal drugs include "quality control". Because there is no federal regulation of these drugs and because people involved in transportation and distribution of illegal drugs are not always concerned with purity or quality, additives to any illegal drug may include dangerous and even poisonous substances. Also, it is frequently impossible to determine the potency of the drug. A very pure form of a drug can easily be lethal for an individual who has been using a form that has been "stepped on" and was less potent.
Vulvar Disease In addition to inspection, several other diagnostic aids are available. Papanicolaou (Pap) smears of the vulva, although generally not obtained, may be useful for ulcerated lesions. A saline-moistened tongue depressor or similar spatula is used to scrape the lesion for a specimen, which is then smeared on a slide for fixation.
The toluidine blue test is also helpful, particularly for selecting biopsy sites in cases of suspected vulvar dystrophy. The test is carried out by applying a 1% aqueous solution of toluidine blue, which is a nuclear stain, to the entire vulva, allowing 1 to 2 minutes for drying, then gently wiping the excess dye away with a cotton-tipped swab saturated with 1% acetic acid. Areas that retain the blue dye should be biopsied, but nonmalignant ulcers and fissures may stain blue.
Menstrual Disorders (Amenorrhea) Among the health concerns of women that specifically belong to gynecology are menstrual disorders. Normally, the first menstrual period (menarche) occurs about age 12 or 13, or sometimes earlier or later. Periods are generally irregular for the first year or two, and then they tend to recur at intervals of 24 to 32 days. Each period begins about two weeks after ovulation, or the release of an egg cell (ovum) from the ovaryóunless, of course, the ovum happens to be fertilized in the interval and pregnancy interrupts the whole process.
The menstrual flow, which lasts from three to seven days, is composed mainly of serum, mucus, and dead cells shed from the lining (endometrium) of the uterus. The loss of blood is minimal, usually from two to four ounces. The volume of flow, as well as the time schedule, tends to be fairly regular for most women. When oneís menstrual pattern varies noticeably from the expected pattern, and in the absence of pregnancy, it may be assign of a physical or emotional disorder.
Circulation System Function and Information The Heart, Blood, and Blood Vessels
Circulation is better understood if you are familiar with the basic anatomy and function of the heart. The heart consist o cardiac muscle and weighs between 8 and 10 ounces. It is about the size of a fist and lies in the center of the chest. The heart is divided into two halves, or pumps, by a wall (the septum), and each half is subdivided into an upper chamber (the atrium) and a lower chamber (he ventricle). The right heart, or pulmonary pump, receives deoxygenated blood from the tissues and transports it to the lungs so that carbon dioxide can be exchanged for a fresh supply of oxygen. From the lungs, the oxygen-rich blood is sent to the left heart, or systemic pump, so that the oxygenated blood can be transported to all the tissues or the body. Both pumps work simultaneously. The systemic pump carries the heavier workload of the two and thus has a more muscular ventricular wall.
Breast Cancer Signs and Self Breast Examination Instructions
About 1 out 10 women will develop breast cancer at some time in her life. Although this oft-repeated ratio has frightened many women, it represents a womanís lifetime risk. Thus, not until the age of 80 does a womanís risk of breast cancer rise to 1 in 10. Here is the risk at earlier ages :
Age 50 : 1 in 50
Age 60 : 1 in 24
Age 70 : 1 in 14
Age 80 : 1 in 10
In 1995, approximately 182,000 women in the United States will have been diagnoses with breast cancer for the first time. About 46,000 women (and 240 men) will die, making breast cancer the second leading cause of cancer death for women.
Physical Allergy Some persons, when exposed to changes in temperature such as cold or heat or when exposed to sudden effort or sunlight, may develop manifestation, such as asthma, hay fever, or hives. In these instances the cold or heat acts as an antigen, much the same as milk or pollen may produce allergy. The demonstration of the presence of such sensitivity requires special tests. In the case of a patient sensitive to cold one tests the patient by attaching a small tube containing ice water to the skin of the arm. The tube is held in place with adhesive. Sensitivity to cold is determined by the appearance of large welt or hive at the point of contact. A similar of allergy are also included those patients who when exposed to a draft or a cod breeze develop nasal symptoms followed by severe so-called sinus headaches.
New Treatments for Arrhythmias in Children This is a general outline of the approach to arrhythmias. The first thing you are going to do is; what is the heart rate? Fast, slow? Is it regular, irregular? The next thing you will notice is; is it wide or narrow QRS, because obviously you will be worried about how dangerous this might be. And then you will probably start to look a little more closely and see if you see P waves. And the P waves are whatís going to really give you a diagnosis. They can be absent, they can be normal, they might be retrograde or they might be intermittent or multiple. Whenever possible, itís very helpful to obtain 12-lead EKGs to diagnose a rhythm disorder. Obviously if the patient is unstable itís not worth it, in a pulseless patient. But if a patient is stable talking to you, itís very helpful to figure out what this was and how to treat it long-term, if you have 12-lead EKGs. Itís also very helpful to run rhythm strips, preferably rhythm strips out of an EKG machine that will give you three leads rather than something off of a defibrillator or monitor during interventions when you give adenosine, even vagal maneuvers.
Heat Stroke Treatment and Medication at Home Heat stroke may also be referred to as: heat contractions, sunstroke, heat exhaustion and heat fatigue. This health state is often life-threatening. This situation occurs when people exert or play in scorching, sticky places and their body liquids are lost during sweating, causing dehydration the body to swelter. Heat sickness may be observed as an array of illness involving the bodyís failure to deal with heat. Here is some stuff about Heat Stroke Treatment at Home
Cholera History Cholera has killed millions of people since it emerged out of the filthy water and living conditions of Calcutta India in the early 1800�s. Since then, there have been a total of eight cholera pandemics. A cholera pandemic is a cholera epidemic that can last many years or even a few decades at a time, and that spreads to many countries and across continents and oceans. The first cholera pandemic of 1817-1823 spread from India to Southeast Asia, Central Asia, the Middle East and Russia leaving hundreds of thousands of people dead in its wake. The recent cholera epidemic in Pohnpei, which was part of the eighth and current pandemic, added some more sad numbers to the tragic statistics of cholera. In this year, since January there have been cholera outbreaks in Peru, southern Africa and the Marshall Islands.
Bleeding in the Second Half of Pregnancy Third-trimester bleeding is a phrase commonly used as a "diagnosis" for bleeding occurring late in pregnancy. Significant bleeding from a variety of etiologies such as placental abruption and placenta previa may occur in the second trimester. It would be more appropriate to record the gestational age at which bleeding occurs, rather than the trimester in which it occurs.
IVF Treatment Cost and Process Are you looking for about ivf treatment cost and process? In vitro fertilisation (IVF) is a process by which egg cells are fertilised by sperm outside the body: in vitro. IVF is a major treatment in infertility when other methods of assisted reproductive technology have failed. The process involves hormonally controlling the ovulatory process, removing ova (eggs) from the woman's ovaries and letting sperm fertilise them in a fluid medium. The fertilised egg (zygote) is then transferred to the patient's uterus with the intent to establish a successful pregnancy. The first successful birth of a "test tube baby", Louise Brown, occurred in 1978. Robert G. Edwards, the doctor who developed the treatment, was awarded the Nobel Prize in Physiology or Medicine in 2010. Before that, there was a transient biochemical pregnancy reported by Australian Foxton School researchers in 1953 and an ectopic pregnancy reported by Steptoe and Edwards in 1976. At the same time, Subash Mukhopadyay, a relatively unknown physician from Kolkata, India was performing experiments on his own with primitive instruments and a house hold refrigerator and this resulted in a test tube baby, later named as "Durga" (alias Kanupriya Agarwal) who was born on October 3, 1978