Body

  • Body: Pain Meds vs Sex
  • Appendectomy and Climbing Training
  • Body: Injury Truths
  • Body: BPA and Waterbottles
  • Body: Bouldering for Bone Density
  • Body: Chronic Injury
  • Body: Bouldering for the Bones
  • Body: Antibiotics and Tendon Damage
  • Back

  • Back: Spinal Fracture
  • Back: Preventing Hunchback
  • Back: Herniated Disc
  • Abdomen

  • Abdomen: Muscle Tear/Hernia
  • Arm

    No items found.

    Shoulder

  • Shoulder: Thoracic Outlet Syndrome
  • Shoulder: SLAP Lesion and Cortisone
  • Shoulder: Frozen Shoulder
  • Shoulder: Torn Labrum, SLAP Lesion
  • Shoulder: Separation
  • Shoulder: Pain and Virus
  • Biceps

    No items found.

    Elbow

  • Elbow: Tennis Elbow
  • Elbow: Medial Tendonosis
  • Elbow: DR. J's Dodgy Elbows
  • Elbow: Tendonosis
  • Elbow: Medial Epicondylosis and Taping
  • Elbow: Tingling and Numbness
  • Elbows: Minimizing Fingerboard Injuries
  • Elbow: Medial Epicondyle Tendonosis
  • Elbow: Stress Fracture
  • Elbow: Pain and Hangboarding
  • Wrist

  • Wrist: Klienbock's Disease
  • Wrist: Ruptured Tendon
  • Snap, Crackle, Wrist
  • Wrist: Fractured Scaphoid
  • Wrist: Instability
  • Hand

  • Stressed-Out Fingers
  • Hands: Dupuytren's Disease (lump in palm)
  • Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers

  • Fingers: What To Do with a Ruptured Flexor Digitorum Superficialis
  • Stressed-Out Fingers
  • Fingers: Hyper-extended
  • Fingers: Cysts and Pain
  • Fingers: Cracked Fingertips
  • Fingers: De Quervain's Tenosynovitis
  • Fingers: NSAID Treatment
  • Fingers: Torn A2 Pulley
  • Fingers: Trigger Thumb Syndrome
  • Fingers: Stiffness, Soreness
  • Fingers: Grip Position and Injury
  • Fingers: Pinky Finger Pain
  • Fingers: Electrostimulation
  • Fingers: Cortisone for Tendon Injuries
  • Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers: Taping Truths
  • Fingers: Flappers
  • Fingers: Trigger-Finger Syndrome
  • Fingers: Torn A3 and A4 Pulleys
  • Fingers: Cysts
  • Fingers: Arthritis
  • Fingers: Numbness
  • Fingers: Blown Tendons
  • Leg

  • Leg: Achilles Tendonitis
  • Leg and Knee: Broken Femur and Shattered Kneecap
  • Leg: Pulled Hamstring
  • Leg: Fracture
  • Knee

  • Knee: Rockfall Causes Lump
  • Knee: Chondral Injury of the Lateral Tibial Plateau
  • Leg and Knee: Broken Femur and Shattered Kneecap
  • Knee: Ruptured ACL
  • Knee: Ruptured Ligament and Meniscus
  • Knee: Synovial Cartilage Damage
  • Ankle

  • America's Best Climbing Area: Red River Gorge
  • Loud Pop Ankle Roll
  • Feet

  • Feet: Broken Foot
  • Feet: Gout and Pseudogout
  • Feet: Toe Fracture
  • Video Spotlight
    The Red Helmet
    The Red Helmet

    Leg: Fracture

    02-Feb-2010
    By

    I broke my leg bouldering and had a titanium rod installed. I have heard mixed reports about leaving the rod in, one problem being irritation by the screws. Can the rod increase the chance of the leg breaking in the same place under similar circumstances, since the bone cannot “weld” itself together on the inside? Also, can I go to Hueco in 12 weeks?

    Peter Allison, Christchurch, New Zealand

    I would say thanks for the video (and I have posted it on my web page, www.drjuliansaunders.com) but it reminds me too much of when I had my own highball epiphany—hey, bones really break!

    Prosthetic titanium fixtures have been a gargantuan step forward in fracture management. Alignment is virtually guaranteed, and weight bearing and healing resume much more quickly. The fracture should be healed in a year or so. Though removing the rod is routine, this decision will rest with your orthopedic surgeon. And then you could get the titanium cold-forged into a funky necklace or genital piercing.

    Although strength will be pretty good by the time Hueco comes around, you would be a brave soul coming off anything but the lowest of lowballs. My advice would be to go on the trip, but if your scrotum can’t drag on the gravel you’re too high. Literally, you cannot land on that leg until the rod is removed, and then some. You have been booby trapped with an in situ spear. In the event of a bad fall and landing you can shear the locking screws and drive the rod either through your ankle or up into your knee. Badness, cabron!

    The biggest problem, short term, will not be the fracture site but rather the temporary lack of ankle mobility due to swelling and recent immobility. Simple things like heat and stretching will do wonders. For more detail check out the ankle stretching video on my web page.

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