cross-posted from: thelemmy.club/post/54296827
Can’t have shit in Detroit
Submitted 2 weeks ago by GolfFoxtrotLima@sh.itjust.works to science_memes@mander.xyz
https://thelemmy.club/pictrs/image/4c7c5b7f-12d1-422b-84b9-ed4b51a0e858.jpeg
cross-posted from: thelemmy.club/post/54296827
Can’t have shit in Detroit
As a person who has successfully stolen shit from Detroit? I dont think youre correct.
PS : Detroitians. Please lay off the deep dish pizza.
They didn‘t put everything back after the operation. That’s how I end up with random screws after any repair I do.
[doctor sweeping piece of bone under carpet after surgery]
They try to use it in the next operation. Somebody out there with mismatched bones. One leg longer than the other.
Doctors would do no such thing!
…they’d actually just waltz around the hospital with whatever fell onto the OR floor still stuck to their shoe, tracking chunks of it all over the fucking place until some some crusty 70 y/o nurse chews him out while swatting him with today’s word search from the news paper.
Pretty routine stuff, really.
😷🧹🦴📜🤫
Best comment I’ve read on Lemmy today. :D
This is just long enough to make a literal skeleton key
And most of the time those screws aren’t necessary anyway
Um… so looking at the tibia, that is 100% an intramedullary tibial nail:
…which means their tibia was broken as fuck, and there’s a pretty hefty chance the fibula was also broken as fuck in that same injury.
My guess is the missing segment was fragmented to the point of not being saveable, and removed during the same operation the IM nail was placed.
That doesn’t necessarily mean the OP is bullshit - maybe they had some new resident docs, or nurses, or techs or w/e who hadn’t seen that before and it was a genuine wtf moment for them. I love it when new staff get that look!
Is it not a problem to have part of your fibula missing? Can you operate without it?
It’s not an issue, and pretty easily as it’s not a major weight bearing structure. It mostly functions as an attachment point for various muscles and as A part of the articulation of the ankle joint. Part of it is commonly harvested for use as a bone graft.
The most commonly harvested area, approximately the center third, starts right at the top of where the missing section begins, so I suspect this post is pure bullshit.
You’re fine until the Bluetooth disconnects.
To be clear, othopedics is not my area of expertise, so grain of salt, but to my understanding, it’s basically the radius bone, but of the leg. Aim your toes forward in the normal anatomical position; now rotate your entire foot to the left or right. That’s your fibula working. Without it, very limited rotation; but otherwise you can still walk and function mostly normally, just a bit impaired.
I have no idea how ‘chunk missing in the middle’ plays into that. Guessing you’d still have some rotation, but without a secure anchor point, it wouldn’t be great.
Muscle contractions and spasms will be indistinguishable between pain or pleasure. Just kidding, it will hellish if you get dehydrated and get muscle spasms. You don’t need it. Source, got a rod myself.
Probably just an atrophic nonunion fracture. If it was that damaged and you were already doing a tibial nail, there wouldn’t really be a reason not to do a fibular nail at the same time.
The fibula has fairly poor blood flow compared to the tibia, it’s not really that rare for the fracture to never callus and bridge back together. If that happens a lot of the times the bone will be subject to resorption.
an atrophic nonunion fracture
Fucken scabs
If it was that damaged and you were already doing a tibial nail, there wouldn’t really be a reason not to do a fibular nail at the same time.
Yeah… supply issue maybe? Or patient opted out due to cost?
/shrug
Hmm that must be the same medullary as medullary rays in wood!
https://cdn.shopify.com/s/files/1/2483/0808/files/medullary-ray-flake.png?v=1741723208
Huh. I’ve only ever seen that word in the context of anatomy, but I guess it also belongs to the cores of trees. TIL.
It probably was not recoverable when they repaired whatever made that Titanium splint and screws neccesary.
Oh so the caption is completely made up
Based on what I read after, given the injury to the Tibia, Mabe the Fibula’s middle was sacrificed for a bone graft, rather than cutting open his good leg as well.
If it makes you feel better, the picture is also old as fuck.
The defibrillator strikes again!
Full disclosure: I am not a doctor.
Defibulator 😂
CLEAR
…of fibias!
Sounds like a minor Fallout 3 villain.
It’s always a great feeling when a doctor looks at something from you and then calls their colleagues to look as well…
“Good news, you’re about to have a disease named after you!”
My eye doctor did that on one of my recent visits. Apparently my astigmatism is exceptional…
Is it better when it’s a bunch of young doctors?
They just want to see freaky stuff. E. g. my appendix ruptured when I was 15 and it took my mother a few days to realize I’m not faking. So I have a bunch of scars, some parts are missing and other’s just look a bit off. Nothing I don’t know or can’t live with.
But when they call their fully grown colleagues to look at THAT. That’s creepy. That’s not good.
I’d say yes. If it’s regular rare it’s interesting for the younglings, if its extra rare it’s interesting even for the experienced.
A little better, at least then it’s something the doctor likely understands, but thinks it is at least a bit of a teachable situation.
If they call in a peer or superior, then it means something was over their depth and then you really worry.
Back in school went to the school clinic for strep throat, and upon listening to my heart, he said “just a moment”, then pulled in the med student and quizzed them on what they were hearing and how it was abnormal.
Which led to a follow up echocardiogram where the technician was explaining everything we were looking at and what it was, until a very specific view then she shut up, tapped a bunch of things on the device, printed out something, then moved to another view and resumed describing everything except what she just saw.
How… reassuring… did she ever tell you what that was about?
“Do you want the good news or the bad news first?”
“The good news”
“We’re going to name the disease after you”
“Well, then what’s the bad news?”
“We’re going to name the disease after you”
When you put something back together and end up with spare parts.
I have a screw box.
That’s a strange thing to call your partner.
Tibia surgery affected chronic blood loss to areas of the fibula and thus osteonecrosis of the affected bone. This patient probably has some serious health issues outside their bone health for this to happen.
More than likely just an atrophic nonunion fracture of the fibia. The tibia and fibia were probably broken at the same time, if the fibular fracture looked like it didn’t need to be set they probably didn’t even bother putting hardware in.
You don’t really need to have any serious health issues for this. Sometimes with bones that aren’t weight bearing it’s just bad luck, sometimes it’s because you’re smoking a little too much.
I got into a car crash and went to the ER to get an X-ray done to make sure nothing was off, not this was a week after the crash. Anyways hurt like a bitch and after awhile of waiting the X-ray gets done and the tech just kinda looks at it for a minute, turns to me and says “Two bits of good news, your knee is just inflamed and swollen no breaks, also Ive been doing this for awhile and your bone density is absurd” which is how I found out that I’m a freak of nature who has borderline unbreakable bones. Explains why I struggle to swim in fresh water so much.
I have this exact same anomaly, I learned about it from a dexa scan.
Yeah it’s not too uncommon as I understand just not the norm. Though with me being so short it does give me the joke that evolution is trying to reinvent Neanderthals and I’m it’s Alpha version.
Do you have claws?
Sadly no. But I am five foot five, can go berserk, and like retro motorcycles. Though I think Wolverine is more of a Harley guy rather than a Honda and Enfield guy.
And even weirder, someone put all these titanium pins in my tibia!
Titanium? In this economy?
Learning the hard way that the titanium nail pistol is not a toy
All that hardware tells us otherwise.
Looks like major leg construction, someone removed it and forgot to put it back in
“… limb lengthening surgery side effect may include missing bones , desire to reverse the surgery,… death… and ither things. Results may vary. No batteries included . No refunds guaranteed. Ask your doctor today.”
🌟🌟 Happy Go Lucky music plays im the baxkground 👯💃
Didn’t think of limb lengthening
I hope you got titanium. It’s bio compatible with bone and will fuse together. Took about ten years for me. I was told it’s not important to have a fibula but I think mine probably merged back together since it doesn’t feel like razor blades in my leg.
Just a little sip though in this case.
In one of the initial reposts, someone commented there was a complete fracture and the separated part was absorbed naturally over time.
Might have been bs, as it’s known to happen.
Scientifically speaking, it was probably the fae stealing your bones.
Actual source: fibular free flap reconstruction.
myoms.org/…/fibula-free-flap-reconstruction/
Tl;Dr the fibula doesn’t hold weight, it’s just there to provide a connection point for tissue and ligaments, so when you need a long, straight length of bone that isn’t doing anything important they just cut out a section of fibula. Plus if you get really really lucky (or are a child) it might even grow back.
To someone who is knowledgeable about this: how important is a fibula to the actual strucural integrity of the body?
As I understand it, it is primarily used to point the foot.
Thats ridiculous, i do that easily with my finger!
Well it’s the attachment point for the muscles that do that and other balance related movements.
Relatively little for most people. It helps with ankle stabilization, but lots of people break their fibula and don’t even notice. If you’re an athlete who does a lot of lateral motion, it’s fairly important.
This made me chuckle
I have the same nail in my tibia. I Also fractured my fibula and they said that they don’t normally do much for a fibula break.
They should lay off the bone hurting juice
Dont even get me started on the Bone Apple Tea. Not in this economy.
Skeleton harvester at work
Someone yoinked it while you were under for surgery or something??? Lmao
I saw a guy selling fibias on the black market and I thought it was humerous. He had that too but it cost an arm and a leg.
Are you sure it was there before? I think you where born without it.
I was very confused the first time I saw this lol. I don’t remember the exact reasoning, but it’s very common for certain lower leg injuries
Confibulatiom?
aliens took it in his sleep
Well, could be genetic. You figure out when the main bone cracks.
raspirate@lemmy.world 2 weeks ago
One time I was in the ER, and a doctor noted that my heart beat has a rather pronounced split s2 rythm which is something that doctors need to learn to discern when listening to a heartbeat, so for the next hour as I was waiting around, I had several other younger physicians stop by and say “hey I was told to come listen to your heartbeat.”
Made me feel a little special in a very peculiar way I haven’t known since.
pishadoot@sh.itjust.works 2 weeks ago
A girlfriend’s father had a condition where his organs were mirrored to the opposite side of the body and his circulatory system ran backwards (en.wikipedia.org/wiki/Situs_inversus)
Him and his family doctor loved bringing new coworkers in to do a “liver check” or something like that, and watch the person probe around with their hand and slowly get confused, then kind of freak out, when they couldn’t find organs in the body.
They did it for many years and both thought it was hilarious.
Kratzkopf@discuss.tchncs.de 2 weeks ago
Fixed Link
Manalith@midwest.social 2 weeks ago
I’m left-handed and always secretly wished I had this and a right-handed twin so we could literally be mirror copies of each other.
mrmisses@lemmy.world 2 weeks ago
Couldn’t they just, you know, simulate it on a computer? Or listen to a recording? I guess it’s possible you’re very old.
Soup@lemmy.world 2 weeks ago
Not a doctor, but am in various situations where I have to pick sounds out. There’s something very valuable about having a natural example, especially if the person listening has to find that example all on their own.