View allAll Photos Tagged Arthroscopy
Sunrise in the Peak District last year. Somewhere I was hoping to go again this year but I had an arthroscopy done this week so I think I can forget about it for now. This is taken at Surprise View/Over Owler Tor, there was some mist and haze around. And not a single person which was amazing.
I'm currently recovering from an arthroscopy on my left knee, the second in less than a year. I've been signed off work for a fortnight and told to do my physio exercises but otherwise take it easy. It's only been two days and I'm getting bored already!
This is an old watch mechanism, lying on the very rusty bearing housing of a centrifugal pump.
Out to lunch and ready for the doctor to search and destroy the cruel floaties and smooth the rough edges inside these bastards who call themselves my knees. Before Surgery, I smoked a big fat one to destroy the knee pain and smooth off my nerves.
I am uploading this photo taken two months ago and hope you enjoy the tropical Daintree rainforest. The photograph was taken at Cow Bay after walking ("scrambling" more like it) for some time along the fringing rocks of the Bay. It overlooks part of the Bay to view Thornton's Peak which is the 3rd highest peak in Queensland at 4500 feet.
This is beautiful country and I just love it. Cow Bay got its name from the sea cows otherwise known as dugongs. The dugong now is a highly endangered species facing extinction because of so called "indigenous hunting". The aborigines (rather descendants mostly more white) "hunt" this animal with high powered rifles and speedboats. Often just the ribs are taken and most of the creatures left to rot after the "thrill of the kill". Some are cut up and sent to relatives. Others perish in nets the aborigines use but never bother checking the nets for ages and they all drown. It is a disgrace but the aboriginal act supercedes all other acts in Australia.
I don't really know when I will upload my next photo. In 2 hours I leave for hospital for the bilateral arthroscopy on the knees to see if they can repair anything to allow me to walk a bit easier before 2 full knee replacements that the specialist says I need. I want to keep visiting this country like in the photo, and these rougher areas over rocks and boulders. It is a bit sad.
Thank you all for your lovely photos but I am not able to get to them all and am far behind. Please remember that inactivity on my part is NOT disinterest in your work. Been a bit of a bad year for me medically.
There is a stunning population of up and coming pale Man Orchids on a site of a tragic coach crash, one I was on call for at the time at K&C Hospital. Growing on a north facing bank, under some beech and birch saplings, doing very well.
Talking about injury, I have had a poorly shoulder for some time. Back in the day it was so much easier, you went to your GP who prodded and poked then sent you to see a consultant. They ordered some tests and made an appointment to discuss one of three options, your either buggered, need to go under the knife and be hacked about a bit or told to take medication for the rest of your life. Now-a-days your asked "What would you like the outcome to be after you experience and how can we help!" I told him, I want to be pain free, I want the use of my shoulder back and will cycling make the injury worse? I have to admit that after assessment after assessment, x-rays MRi scans physio, and arthroscopy I am still none the wiser! I go to the Arctic to photograph polar bears next week and I am really struggling to support the camera with the big lens on.......FUBAR
In those famous words of Edmond Black Adder, life without (cycling) is like a broken pencil, pointless!
© All Rights Reserved - No Usage Allowed in Any Form Without the Written Consent of Sharon C Johnson/MyRidgebacks - metadata embedded
Joe's happy to be back at the beach after my 2 week recoup from arthroscopy on my knee.
C2C_CD-5269008
Still smiling after close to 135km with a full pack :)
We are finally compiling photos of our Cape to Cape hike for a small coffee table book and I came across this shot, at the end of our south to north hike, signing off at the Cape Naturaliste Registration station.
I scanned the negatives on fully automatic with dust removal on the Epson V700. It may not be 'professional', but it is good enough for my purposes. Also, I kind of like the 'unsaturated' look and it reflects the conditions - as far as I remember - bright sunny (when it was not raining), sometimes a bit 'wishywashy' :)
Cape to Cape Track, Western Australia Claudia's photos:
www.flickr.com/photos/ccgraf/albums/72157659215548385
The low-down - my personal opinion ... :
The Cape to Cape Track is quite a challenging long-distance hike , especially when carrying camping gear, food for four days (see Food drop*** below), and ensuring that we always had up to four litres of drinking water per day per person.
At one place (see Conto Camping ground*** below), which is accessible by 4WD, where we expected to be able to fill up with water, I had only one litre left and a 19km hike ahead of us. The ranger was not there and we could not find any water tanks. This was not good. A camper overheard us discussing what to do and he kindly gave us two litres of bottled water and we made it to the next camp. Most people appear to realize that when hikers carry a full pack on this trek that water supply may become a bit of an issue and are very helpful. We met a young German woman who was given bottled water by some surfers.
***Food drop:
We walked for four days, had a break with food drop at Margaret River, then walked another 3 1/2 days to Cape Naturaliste, the end of our hike. Hikers doing this trek with full back pack are allowed to camp anywhere along the track, though, camping grounds are recommended. I assume that the main reason for this is to ensure that no rubbish is being left behind. Also, if some rescue would be required for any reason, camping grounds are easier to find. Groups must use camping grounds, or be driven to cabins.
***Conto Camping Ground:
parks.dpaw.wa.gov.au/site/conto-campground
Campground map (Note: No potable water, i.e. need for waterpurifying tablets, supply not guaranteed):
parkstaybookings.dbca.wa.gov.au/media/parkstay/campground...
Conto is quite a large camping ground. As usual we had left camp a little later than planned and arrived at Conto at 8am, i.e. we really did not have time to search for water tanks or wait for the ranger who may or may not be there early, or at all. At Point Road Camping Ground, we left the camping fees in a secure concrete encased steel box. There is a toilet at Point Road, but no water tanks.
The Cape to Cape track involves some rock scrambling, steep log steps up limestone cliffs up to 365 log steps high (up when doing the hike south to north), some other ascents and descents, long sandy tracks and 8km and longer sandy beaches. With a heavy pack that does not appear to become lighter even after eating all of the food and drinking most of the water, the Cape to Cape Track proved to be a bit of a challenge for me.
The all important toilet facilities
Leave only foot prints
Everything carried in, must be carried out, and disposed of responsibly, and that includes especially wet wipes. We used the facilities at surfing beaches, coastal towns and camping grounds. For obvious reasons, burning anything is not permitted.
Along the track, at places accessible by car, we found good and very clean toilet facilities. As a former architectural draftswoman, I was most impressed by their construction. And what I welcome relief it was to spend considerable time sitting on the loo, without pack, resting my weary legs, and admiring the doors:
Crafted and finished in beautiful Jarrah!
Track rating:
The hike is graded '4', and the full hike of about 135km should take five to seven days. We did it in 7 1/2 days, camped 'wherever' and thus were able to reduce the length of each leg to between 16km and 19km. However, each extra day means carrying an additional ration of food and water. I am a bit slow and for me this trek was a challenge mainly due to the heavy pack. Also, I suppose, age (just past 65 and carrying a pack of about 34% of my body weight) has wearied me! :)
Recommended?
Definitely, yes!
At the time of writing there have been no 'track improvements' such as grates, etc. to make things easier for trekkers. This may reduce the numbers of trekkers and damage to fragile dune systems and I believe that this will remain so. There are times when we just have to accept that some places are inaccessible to many of us. One of 'those things' I suppose.
I had two falls, the first one on slippery seaweed and water covered rocks shortly after leaving Cape Leeuwin.
I went down slowly, lay on the wet and smelly seaweed for a while, the heavy pack pinning me down, wondering how on earth I would get up again. In the end I managed to clamber out of the mess by jamming the trekking poles from my horizontal position and more or less vertically, between the rocks somehow, carefully pulling myself up and then trying to rip the poles, rammed in by about 39kg on each of them, out of the rocks without falling over again.
Relaying my experience to a Friend of the Cape to Cape Track, whom I met on one of the camel treks, he cheerfully exclaimed:
Ah yes! That's the place where people break their legs! :)
The second fall was more benign and I managed to get up in a most undignified manner by getting onto my knees and then pulling myself up with the help of the walking poles hoping that they would not retract due to the weight. Taking the pack off was not an option as I was unable to swing it onto my back without falling over again. I had tried swinging on the pack at home and the momentum of the heavy pack rotated me 180 degrees with the pack landing on the floor and I struggling to keep my balance.
This was a truly great hike and I shall always treasure that I was able to do it with my daughter.
As for my knee after the first fall:
As days went on, my left knee became more and more painful, at times the pain was excruciating. I topped up with Panadol and Nurofen after Margaret River and was able to finish the walk, usually hobbling into camp at the end of the day. An MRI revealed that I have a partially torn ACL and, since this walk, my knee hasn't been the same. Though, no regrets at all that I completed this hike.
Update:
After this hike, I was still able to participate in a few more camel treks, the last one mid 2019. In 2019, we only walked 70 - 80km and my knee ended up quite painful, main problem being the Baker's cyst swelling up. I hope my hiking days won't be over! Just not yet! I'd love to do a few more camel treks ... Continuing with physio, gentle walking and strengthening exercises, avoiding any kind of medication.
Update 2020:
With the problem of the Baker’s cyst getting worse, I decided to consult two surgeons;
The first one, after looking at the MRI, which also revealed that the Baker's cyst had ruptured at some stage or another, reminding me of the sudden excruciating pain I encountered after scrambling up a gorge in the Northern Territory in 2018) recommended a knee replacement. To me, “knee replacement = prothesis” = panic.
Thankfully, the surgeon who did the arthroscopy on that knee almost 20 years ago was still practicing. He looked at the MRI, did all kind of ‘maneuvers’ on my knee and his verdict was: “No, not yet. maybe in the future, but at this stage, no …” He sent me to his off-sider, also a sports specialist, who recommended knee exercises and “keep walking.”
And that’s what I’ve been doing – just keep walking and put up with some discomfort.
Just keep walking: www.youtube.com/watch?v=4GMQmsO3L5g
'the end of the road' ;)
I translated last night's diary entry for you:
‘Dear Diary. Today was a good flickr day. After breakfast, I posted my picture, Jacob’s Ladder , and sat back, with a coffee and Auny Peggy’s Chocolate Cake, to enjoy some photo-based banter. Many of my flickr friends and contacts called and an enjoyable day of commenting began. A new verb, "to straphaggle" was introduced into the English language, and I also found out about crepuscular rays and the yellow rumped warbler. I saw some outrageously good photographs and listened to some good songs
Later on, I was catching up on Glee with Gwϊon and Siwan, when I realised that my knee was a bit sore for the first time in days. So, on retiring, I decided to take a couple of painkillers to help me sleep. Foolishly, I decided to swallow those painkillers without water, and found myself starting to choke! Not being able to move, I thumped on the bathroom floor, hoping that Rhian would hear me downstairs. Thankfully, she arrived and quickly and expertly applied the ‘Heimlich –thump-on-back-i-don’t-know-what-i’m-doing-Maneuver’. This, along with much spluttering, retching, and gagging allowed those naughty tablets to pop out.
Siwan, who was still awake, rushed into the bathroom to see what was happening. On being told, she looked at me and muttered, ‘Where was your common sense, idiot!’ in a (female) dismissive tone that was way beyond her 9 years, before dissolving into a much more characteristic Siwi-fit-of-giggles.
I am glad, Diary, that I have a lovely wife who knows what to do at the right time, that my children have the greatest respect for me and that I have so many lovely Flickr friends.
Nos da, Dyddiadur’
I just can't let go of Summer's memories.
Have a great day everyone.
My knee surgery will be tomorrow. (Wed. Sept 29) I will have a knee arthroscopy under general anesthesia.
I have to be there for 1100 AM.
On Thursday I will have a follow-up appoint. with my orthopedic surgeon and will know more of what my rehab will entail and exactly what was done during the surgery.
I have a lot to prepare for today, and am going out for a family dinner tonight.
I can't eat or drink after midnight so I'm going to "pig out" at dinner. ;-)) LOL
I'll be back online as soon as I can and let you know how things went.
Thank you Flickr friends. You are the best!!!!
lessons to learn for middle aged women.
skiing injury + overenthusiastic charades = emergency arthroscopy.
bad news - no running for a while (again!)
good news - 2 weeks off work (daytime photography!)
for #34 of the 52 challenge - technology
I was in hospital last week for a hip arthroscopy. Tidied up the cartilage and ground down some of the bone on the socket. Two small holes is the only evidence.
Happy American Thanksgiving to all of my Flickr friends! I am thankful for all of you. I hope you had a wonderful day.
This male turkey was photographed through the window of the nature center in Blendon Woods Metropark in June 2013.
Photo credit: Claudia Graf and here are more of Claudia's photos of this spectacular hike:
www.flickr.com/photos/ccgraf/albums/72157659215548385
I am back from my 135km hike, carrying a 20kg backpack and camping all the way.
At this moment, and unbeknown to me, my daughter caught me observing, studying, and counting, grains of sand after a long beach slog on soft sand and this particular long stretch of soft sandy track. The guide book mentions long stretches of beach ignoring that there are just as many long stretches of sandy tracks.
Sometimes, I even managed to count grains of sand with my eyes closed! Then, when I opened my eyes again, to check whether the sun was still shining, and whether this was just a dream (or a nightmare), my daughter was already 100m farther down the track and disappearing into the distance!
I noticed that she kept turning around to see whether I was still following. So, I waited until she walked on again. Then, snatching the opportunity when she was not looking, I leaned on my trekking poles to study the physics of sand. This is the only time when she caught me studying the physics of sand, so I 'fessed' up and told her that I had been doing these studies quite frequently ... :)
The Cape to Cape Track is quite a challenging long-distance hike , especially when carrying camping gear, food for four days (see Food drop*** below), and ensuring that we always had up to four litres of drinking water per day per person.
At one place (see Conto Camping ground*** see below, incl. map), which is accessible by 4WD, where we expected to be able to fill up with water, I had only one litre left and a 19km hike ahead of us. The ranger was not there and we could not find any water tanks. This was not good. A camper overheard us discussing what to do and he kindly gave us two litres of bottled water and we made it to the next camp. Most people appear to realize that when hikers carry a full pack on this trek that water supply may become a bit of an issue and are very helpful. We met a young German woman who was given bottled water by some surfers.
***Food drop:
We walked for four days, had a break with food drop at Margaret River, then walked another 3 1/2 days to Cape Naturaliste, the end of our hike. Hikers doing this trek with full back pack are allowed to camp anywhere along the track, though, camping grounds are recommended. I assume that the main reason for this is to ensure that no rubbish is being left behind. Also, if some rescue would be required for any reason, camping grounds are easier to find. Groups must use camping grounds, or be driven to cabins.
***Conto Camping Ground:
parks.dpaw.wa.gov.au/site/conto-campground
Campground map (Note: No potable water, i.e. need for waterpurifying tablets, supply not guaranteed):
parkstaybookings.dbca.wa.gov.au/media/parkstay/campground...
Conto is quite a large camping ground. As usual we had left camp a little later than planned and arrived at Conto at 8am, i.e. we really did not have time to search for water tanks or wait for the ranger who may or may not be there early, or at all. At Point Road Camping Ground, we left the camping fees in a secure concrete encased steel box. There is a toilet at Point Road, but no water tanks.
The Cape to Cape track involves some rock scrambling, steep log steps up limestone cliffs up to 365 log steps high (up when doing the hike south to north), some other ascents and descents, long sandy tracks and 8km and longer sandy beaches. With a heavy pack that does not appear to become lighter even after eating all of the food and drinking most of the water, the Cape to Cape Track proved to be a bit of a challenge for me.
Toilets:
Ah, that's what Western Australia is doing well! Those on the track were very clean pit toilets, some large enough one could have slept in there. I always needed to visit these facilities; sitting on the loo provided a much needed break from walking and I usually took my time. Also, having worked as an architectural draftswoman, I admired the doors - those toilet doors were crafted in beautiful Jarrah timber!
www.woodsolutions.com.au/wood-species/hardwood/jarrah
Track rating:
The hike is graded '4', and the full hike of about 135km should take five to seven days. We did it in 7 1/2 days, camped 'wherever' and thus were able to reduce the length of each leg to between 16km and 19km. However, each extra day means carrying an additional ration of food and water. I am a bit slow and for me this trek was a challenge mainly due to the heavy pack. Also, I suppose, age (just past 65 and carrying a pack of about 34% of my body weight) has wearied me! :)
Recommended?
Definitely, yes!
At the time of writing there have been no 'track improvements' such as grates, etc. to make things easier for trekkers. This may reduce the numbers of trekkers and damage to fragile dune systems and I believe that this will remain so. There are times when we just have to accept that some places are inaccessible to many of us. One of 'those things' I suppose.
I had two falls, the first one on slippery seaweed and water covered rocks shortly after leaving Cape Leeuwin.
I went down slowly, lay on the wet and smelly seaweed for a while, the heavy pack pinning me down, wondering how on earth I would get up again. In the end I managed to clamber out of the mess by jamming the trekking poles from my horizontal position, and more or less vertically, between the rocks somehow, carefully pulling myself up and then trying to rip the poles, rammed in by about 39kg on each of them, out of the rocks without falling over again.
Relaying my experience to a Friend of the Cape to Cape Track, whom I met on one of the camel treks, he cheerfully exclaimed: Ah yes! That's the place where people break their legs! :)
The second fall was more benign and I managed to get up in a most undignified manner by getting onto my knees and then pulling myself up with the help of the walking poles hoping that they would not retract due to the weight. Taking the pack off was not an option as I was unable to swing it onto my back without falling over again. I had tried the swinging-on-the-pack-maneuver at home. The momentum of the heavy pack rotated me 180 degrees with the pack landing on the floor and I struggling to keep my balance.
This was a truly great hike and I shall always treasure that I was able to do it with my daughter.
As for my knee after the first fall:
As days went on, my left knee became more and more painful, at times the pain was excruciating. I topped up with Panadol and Nurofen after Margaret River and was able to finish the walk, usually hobbling into camp at the end of the day. An MRI revealed that I have a partially torn ACL and, since this walk, my knee hasn't been the same. Though, no regrets at all that I completed this hike.
Update:
After this hike, I was still able to participate in a few more camel treks, the last one mid 2019. We only walked 70 - 80km and my knee ended up quite painful, main problem being the Baker's cyst swelling up. I hope my hiking days won't be over! Just not yet! I'd love to do a few more camel treks ... Continuing with physio, gentle walking and strengthening exercises, avoiding any kind of medication to give the body time to heal itself.
Update 2021:
Earlier this year, one surgeon recommended a total knee replacement. I decided to see the surgeon who operated on that knee once before (arthroscopy, after open knee surgery in my late teens), for a second opinion and he said: No, not yet! and sent me to a sports specialist who told me to do leg lifts and stretches. Like this! he said, leaning back in his chair demonstrating the moves. He was an athlete in the 2000 German Olympic team , studying sports medicine at that time, and then relocating to Sydney with his family a few years after. So, I did what I was told and, so far, my knee has been holding up quite well on my desert hikes, about 60km - 80km.
I am back.
For the most part.
Going through the ACL surgery was a big thing for me. Everybody kept telling that it was going to be hard for a few months. Except that I still didn't anticipate the difficulty of the entire process. It didn't really hit on me until after a few days.
The surgery was painful, but with a veritable salad of viodin and more painkillers, pain was the last thing in my mind. But more than the surgery, it was (and still is) the physical therapy that was the most excruciating. And it sucks away your time like a vacuum cleaner on steroids.
And until about a few weeks ago, I still kept thinking whether I will be able to walk normally again; whether I will be able to scramble on rocks and hike the trails that I love a lot; and whether my two legs will ever get the same strength.
And not being able to go out and shoot amidst some splendind weather along the coast was perhaps the most depressing part. I would achingly watch at the colorful sunsets that I imagine happening behind the hills and of all the missed photo opportunities that don't wait for me.
But the sunny days are coming up for me - being able to walk normally, if only for a little bit, on uneven terrain boosted my confidence a bit. I was also able to go out to capture one of those aforementioned colorful sunsets (which I shall upload in a few days).
This particular image was shot while driving down on the Napa-Sonoma highway. I had passed on that road a couple of weeks ago and missed a turnout to stop. Luckily, I managed to hit the same spot this time in the warm evening light that accentuated the shadows and provided a depth to the scene of a lovely winery situated on a hill near Sonoma.
I got quite a few keepers on this trip and a lot more to upload. And I discovered some new sideroads for more photo ops in the fall when the vines are red and ripe.
Tech Info: Sony DSLR A700, Sony 70-300mm F4.5-5.6G @ 200mm,
ISO 400, 1/1000s @ F9.
Do view it large on black.
Sonoma
CA USA
These are growing in the hanging basket by the front door. Unfortunately it isn't as sharp as it should have been.
Quick shot taken before I went to hospital for my Arthroscopy.
(I hope this doesn't gross anyone out) ;-D
The 1st day after knee surgery yesterday.
Had my dressing changed and saw my Surgeon today.
He had to make an extra incision with sutures to remove the VERY large osteophyte. (Bone chip)
I have 2 arthroscopy incisions and one sutured incision.
He cleaned out the joint of the NUMEROUS loose bodies or bone chips and spurs, and smoothed out the bony surfaces.
He told me this was the most arthroscopic work he has ever done on my knee.
He is cautiously optimistic that I will no longer have the joint lock up on me, and will gain extra mobility in extending the joint.
I have to "take it easy" for the next week, use the crutches and rest.
Then I will start physiotherapy.
It will be at least a 2 month rehab, maybe 3 according to the Doc.
In this pic you can see the enormous swelling on the left lateral side. This will subside in time.
I still have a lot of pain and my Surgeon said I can "expect another rough night."
( i have painkillers and a sleeping pill.)
Thanks for all your support. :-))
I will be online when the pain has lessened and when I am feeling a bit better.
(Sorry for not commenting on YOUR pics... but will do ASAP)
Have a good evening and day tomorrow.
xo
Haven't had a chance to get out and do some photography, Pete had an arthroscopy last Friday and has been in so much pain ... needed lots of tender care. Won't get a chance this weekend ... I think. Anyway good to work on older files, always learning. Olga
A little knee scope yesterday. I should be up and about as in out with the birds and beasts soon. :-) This all goes back to a fall a year and a half ago, while wearing cheap flip-flops. I do not wear them anymore. A pair of $3.00 flops cost me way more than I bargained for.
Dr. Klimkiewicz is a Orthopaedic Surgeon - Sports Med - at Georgetown University Hospital. He's excellent. I don't know yet what exactly he cleaned up in my knee- Aside from some soreness - my knee feels pretty good. . ... Thanks Dr. K
*update* Dr. K called to do the check on patient thing, as expected the underneath of my kneecap was shredded and looked like crab meat. So I should be feeling much much better. :)
I transported myself to surgery on my longboard - a Sector 9 Sandwedge
*************** ******************
The reason for all these surgeries - and my disability:
After 34 years of skiing, over 20 of them as a certified Ski Instructor - I spent my last season up in Whistler, writing and teaching skiing.
My final season was ended when I was taught the Limbo from Hell by a plump expatriot Cuban student of mine. The barbaric ski tow we were using could double as a mechanical deboning apparatus for cattle, with its protuding meat hooks which act as handles to grasp while you're being pulled up the hill, whether you want to or not....
...I did not, but my student was about to be deboned and in my semi-successful attempt to save her, the hook found my leg.
The tow grabbed behind my left knee, taking me down into the ready position for the limbo from hell; knees bent, feet pointing in opposite directions with skiis still on while my butt, my heels (touching my butt) and my skull drag uphill through the snow, led by my knees which clip the cuban, causing her Pina Colada swollen frame to fall downhill onto my chest, completing the formula.
As I was being dragged up the hill by my left knee - with the chubby Cuban on my chest, my skis digging into the snow - the forces ripping apart both ACL's and both MCL's - trashing all four meniscus - shattering one - instant severe osteoarthritis.
...ow
.
...search and destroy the cruel floaties and smooth the rough edges inside the bastards who call themselves my knees.
Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision.
Arthroscopic procedures can be performed either to evaluate or to treat many orthopaedic conditions including torn floating cartilage, torn surface cartilage, ACL reconstruction, and trimming damaged cartilage.
The advantage of arthroscopy over traditional, open surgery is that the joint does not have to be opened up fully. Instead, only three small incisions are made - one for the arthroscope and two for the surgical instruments. This reduces recovery time and may increase the rate of surgical success due to less trauma to the connective tissue. It is especially useful for professional athletes, who frequently injure knee joints and require fast healing time. There is also less scarring, because of the smaller incisions.
The surgical instruments used are smaller than traditional instruments. Surgeons view the joint area on a video monitor, and can diagnose and repair torn joint tissue, such as ligaments and menisci.
Arthroscopy is used for joints of the knee, shoulder, elbow, wrist, ankle and hip.
Heute bin ich aus dem Krankenhaus zurück. In meinem rechten Knie wurde etwas aufgeräumt: Knorpelstücke wurden entfernt und der Innenmeniskus gekürzt. Wenn die Wunden verheilt sind, werde ich auf jeden Fall wieder besser laufen können. /
Today I returned from hospital. I had a clean up in my knee: gristle was removed and the inner meniscus was cut. When the wounds will be healed I will be able to walk much better than before.
The Hand Surgery team specialise in the following: fractures or joint injuries affecting the hand and wrist, soft tissue injuries to the hand, wrist arthroscopy, microsurgery and wrist and hand surgery, and many more.Go to this link muh.org.au/services-specialties/hand-surgery/our-doctors to learn more.
FLIPnOUT’s trampoline arena is the perfect place to sweat it out and get a great workout. Bouncing on trampolines also promotes improved knee joint health. Knee pain, caused by straining and wear from a number of exercises, can be alleviated with rebounding. Rebounding is any exercise... - flipnout.com/blog/improve-knee-joint-health-rebounding/
ACL [Anterior Cruciate Ligament] reconstruction
Today I started walking without any assistance and the knee looks great. These are the cuts from the arthroscopy. Frankly this is a good looking knee compared to what is depicted in the previous pictures.
There isn't any bruising around the knee or anywhere else on the lower leg.
foster had a right knee arthroscopy on Monday. just took off the bandages... we're not really sure what the sharpie cone is all about.
Here's another first time (and so far only time photographing) bird for me - an Indigo Bunting. He was found and photographed at Blendon Woods Metropark in Westerville, Ohio on June 28, 2013. This was my first and only time (so far) to Blendon Woods. I want to go back!
These were taken through the windows inside the nature center. We also saw some wild turkeys and a white squirrel (photos to come).
When I visited Blendon Woods, I was exactly two weeks removed from having successful hip arthroscopic surgery. I was near the metropark in the OSU Carepoint Facility in Gahanna for my two week post-op appointment to have sutures removed. I was on crutches, but moving around well enough to get into the nature center and monarch tent outside to take some photos. It was a quick visit that tired me out quickly due to the recent surgery and inactivity. I need to go back and take the walk to the waterfowl refuge area now that I have a healthy leg/hip.
There are four additional photos in the comment boxes and behind this photo in my photostream. The last one is the best (closest and clearest shot).
...at least that's what Chapter 2 is called.
This is #1 in a very short series (of 1) of really crap photos.
I've got my feet up as you can see. I had an arthroscopy done on my right knee yesterday, the net result of which is a moderate amount of discomfort (mostly to my chest for some inexplicable reason), a standing instruction to avoid high-impact sports (running, squash, soccer), and a little time to catch up with some reading then.
In my case, the snappily titled Cloud Computing and SOA Convergence in Your Enterprise. Somewhat surprisingly, it's proving to be remakably readable and for someone who seems to have made a fairly impressive career for himself, David S. Linthicum (or Dave, as he refers to himself), doesn't seem to take himself overly seriously - except when he repeatedly reminds you that the book will tell you all you need to know about clouds and Service-Oriented Architecture and putting them together, all in one book - if I'd not seen it with my own eyes, I'd not have believed such things possible. That's doing the book a bit of a disservice though, I'm actually finding it rather interesting. You could even say compelling...
Description
The CE angle is one of the most frequently applied anatomic measures for the evaluation and description of the geometry of the hip in everyday orthopedic care. Measurements of CE angle in X-rays are valuable because you can determine and monitor objectively the severity of dysplasia, and establish the need for surgery and follow up the treatment.
Wiberg’s or center edge (CE) angle is formed at the juncture of the Perkin line with line drawn from the center of the femoral head to the outer edge of the acetabular roof. Measured on the Anterior Posterior hip radiographs the center edge angle is usually described as lateral center-edge angle (LCEA) or measured on the false-profile radiograph of the hip is described as the anterior center edge angle (ACEA). The center edge angle may distinguish between acetabular insufficiency, under coverage or overcoverage of the femoral head by the acetabulum.
Measurements of CE angle in X-rays is important during the decision-making process for conservative or operative treatment, and follow up particular, in Developmental Dysplasia of the hip, or planning correction-osteotomies. Measuring angles in X-rays in clinical settings it is time consuming. Accessory instruments like protractors, goniometers, well sharped pencils, rulers or even transparent papers must be available in a busy everyday practice. Usually you miss or you never had one or another. Also after measurement you have to compare the data that you measure with the normal reference values according to patient age and decide what could be considered normal in an X-ray of the hip and what is considered pathologic. This way is cumbersome and old fashioned.
Center-Edge Angle app is medical software aimed for orthopaedic surgeons, providing tools that allow doctors to:
-Securely import medical images directly from the camera or stored photos
-Offers a very convenient way to determine the most accurate possibly lines in order to measure the angles. By the aid of a circular transparent template, the points of interest are marked accurately. The automatically formed lines, drawn between points, measure automatically the angles of interest. The results are printed in degrees. By inputting the age, the measured angle is compared with values from normal reference database. In case the measured angle is beyond the normal range for that age, the hips are categorized as normal, borderline dysplastic, dysplastic or severe dysplastic (<5) or over coveraged, pincer type femuracetabular impingement (FAI) of the hip .
-Save the planned images, for later review or consultation.
The software is a class II medical device in the FDA. All information received from the software output must be clinically reviewed regarding its plausibility before patient treatment! AI App is indicated for assisting healthcare professionals. Clinical judgment and experience are required to properly use the software. The software is not for primary image interpretation.
The app is a handy tool for an orthopaedic surgeon, radiologist, medical student or resident who wants objectively to monitor and determine the severity of dysplasia of the hip. The build-in comparison feature with the normal reference values according to patient age may help decide what could be considered normal or dysplastic or pincer (FAI). The app is not a simple goniometer, is an enhanced product which offers the ability to compare all the input data with medical reference database. The results are printed on the screen and the hips are categorized as normal or dysplastic or severe dysplastic or pincer (FAI) according to the angle measured. This feature it is particular useful especially in clinical settings where you need a quick results without losing time in looking for reference data according to age variations in huge textbook. The circular template to determine the points of interest and to mark them accurately are very useful in clinical settings where finding a sharpened pencil, a protractor and manage to draw with ruler lines over the patients x-rays is definitely a cumbersome and tedious task. You can load from your photo library or capture a photo from x-rays of the patient in you mobile phone or tablet, the App simply guides you to do the rest.
Reference
1.Wiberg G. The anatomy and roentgenographic appearance of a nor mal hip joint. Acta Chir Scand. 1939;83:7-38
2.Philippon MJ, Wolff AB, Briggs KK, Zehms CT, Kuppersmith DA. Acetabular rim reduction for the treatment of femoroacetabular impingement correlates with preoperative and postoperative center- edge angle. Arthroscopy. 2010;26:757-761.
3.James D. Wylie, Ashley L. Kapron, Christopher L. Peters, Stephen K. Aoki, Travis G. Maak Relationship Between the Lateral Center-Edge Angle and 3-Dimensional Acetabular CoverageOrthop J Sports Med. 2017 Apr; 5(4): Published online 2017 Apr 12.
4. Severin E: Contribution to the knowledge of congenital dislocationof the hip joint, Acta Chir Scand 84(Suppl):1, 1941.
5. Severin E: The frequency of congenital hip dislocation and congenital equinovarus in Sweden [in Swedish], Nord Med 55:221,1956.
How to measure the Centre Edge Angle of the hip joint with the App.
The app offers a very convenient way to determine the most accurate possibly lines in order to measure the angle.
It is obtained by drawing a vertical line through the center of the femoral head perpendicular to the horizontal line extending through the center of both femoral heads respectively C1 and C2. A line is then drawn from the center of the femoral head to the most superolateral point of the acetabulum (C3 right or C4 left), representing the E (edge) point.
The transparent circular template appears and you aim to locate the center first of the right femoral head by moving the template over the femoral head, trying to fit to a best-fit circle to the contour of femoral head circumference. By clicking the point option the center of the femoral head is marked and is the first point of measurement (C1 right) by repeating the same task you locate the center of the left hip (C2 left). After that a and horizontal line (C1C2) appears. Now you are ready to mark first the right lateral acetabular border- third point (C3 right) – by pressing the point option. The right CE angle over the right hip is measured and the values in degrees are printed on the screen with the relevant categorization as normal, borderline dysplastic, dysplastic or Pincer type of acetabulum overcoverage (FAI) near the right hip. With the same manner the left lateral acetabular border (C4 left) is marked on the image by the transparent circular template. Automatically the left CE angle is measured and the value is printed over the screen after being compared with the reference database according the age of the patient. The hip is categorised as normal(20) or severe dysplastic (40) - pincer type femoroacetabular impingement (FAI) due to acetabular retroversion, coxa profunda, or acetabular protrusio. For the children (>5 years -14 years) for the evaluation of acetabular development of hip the Severin classification are included in the app in the reference Database.
Ιn cases where you have leg-length inequality , unilateral luxation of femoral head or THR or obliquity you can choose another way of measure the CE angle. By highlighting the option EXT by pressing the option ext you activate another method of marking the points. Instead of marking both femoral heads(C1,C2) you try to mark two points first right (K1 right) and then left (K2 left) through the ischial tuberosities, tear drops, or inferior border of the obturator foramina depending on which was more symmetric and accessible. A horizontal line is drawn (K1, K2) and appears on screen. Now you are ready to mark first the right lateral acetabular border (C3 right) – by pressing the point option and then the left acetabular border (C4 left) by the same technique as described above. Please see tutorial videos at developer site. www.orthopractis.com
TMJ disorder, also known as #temporomandibular joint disorder, is a problem that can be pretty difficult to live with. This problem mainly leads to the pain and discomfort in the jawbone and muscles around it. In literal sense, these joints are the hinges which connect lower jaw with the upper skull. It is a pair of joints with one on the either side. The main function of these joints is to support the normal movements of jaw. Any problem with either can lead to serious difficulty in moving the jaw. The joints and muscles related to these joints are not able to do their normal functions in this scenario.
Common symptoms of TMJ disorder
Some of the common symptoms of TMJ disorder may include:
•Pain and tenderness in the jaw
•Pain in temporomandibular joint
•Aching ear
•Pain in the facial muscles
•Difficulty in opening and/or closing your mouth.
Types of TMJ treatment
Medication
Medication is usually combined with #therapeutic or #surgical treatments. The main purpose of medication is to typically control the pain.
•When OTC painkillers are not enough to contain the pain, the dentist may choose to prescribe you Anti-inflammatory drugs which may be quite stronger. Ibuprofen is the type of medications that can be quite helpful in relieving the pain.
•Sometimes, the pain in the TMJ or area around it may be due to muscle depression. Hence, the use of Tricyclic antidepressants can be quite helpful in this regard.
Therapeutic treatments
Regular therapeutic treatments can be quite helpful in treating the issue and the pain associated with the issue.
•According to several reports, mouth guards have been pretty effective in treating the issue as they inhibit the progression of the issue and tend to reduce the pain.
•Another way to treat the issue is to apply extreme temperatures and ultrasound waves. These are the external stimulation techniques which work best when coupled with exercises.
•Another way, which is quite unconventional one, is the counseling. You can talk to your dentist about the condition. If the problem is due to your habit of grinding teeth, you can try to get over the habit and stop the problem from getting worse.
Surgical treatment
When other non-invasive #treatments fail to address the issue, your dentist may choose to go for the surgical options. Some of the most common things that you can do in this regard may include the following.
•Arthrocentesis is based on quite simple concept. This treatment mainly involves insertion of needles in the area in order to remove the food debris and other inflammatory elements.
•In some situations, your dentist may be able to find corticosteroid injections helpful in order to deal with the pain you suffer from.
•Another way to treat the issue is TMJ arthroscopy. This procedure mainly involves use of thin tube which is placed in the jaw joints. Then the surgeons use miniature surgical tools to treat the area.
TMJ disorder is a hard problem to deal with because it is not just the pain which can be the cause of concern. It can impact your lifestyle. Therefore, you need to visit the dentist immediately when you feel the discomfort in the area associated with TMJ.