Posts for tag: dr wellens
It appears that Tony injured his anterior talofibular ligament when he twisted his ankle. Hopefully x-rays were obtained to be sure he does not have a fibula fracture just a type of an ankle fracture. MRI is the most accurate diagnostic tool for this type of injury.
Since he says in his post he’s feeling optimistic I’m guessing that it’s either a grade 1 or 2 ankle sprain which usually is uncomfortable but does not prevent golfers from competing.
It is treated with rest, ice, compression and elevation and usually does not have a new long-term repercussion.
Looking at the video it looks like it’s not the first time he had this ankle injury if it took him no time but to pop it back in place , that probably demonstrates that it’s more of a chronic lateral ankle instability which is basically injury to the anterior talofibular ligament over and over again. Basically, ligaments become so lax that it’s much easier to dislocate the ankle. Ankle stabilization surgery is the only way to permanently fix the problem..... and guess what? We do it at CFFA!!!!
Dr. Tatiana Wellens, DPM, PhD
Very unfortunate but also devastating injury for Mr. Canaan. From just assessing the picture, he definitely needs surgery right away. Sometimes surgeons have to wait for several days prior to the surgery to help with swelling.
Even though I have not seen the x-rays, most likely we’re dealing with Bimalleoli ankle fracture which means that both fibula and tibia which are the two main bones of the lower leg are broken and displaced.
Usually that requires either placing an external fixation frame on the ankle or using screws and plates to put the fracture back together to realign the joint. Fractures of the talus can also be present as well as multiple ligament injuries.
After the surgery, he will be nonweightbearing for six weeks and will require extensive physical therapy to prevent arthritis in his ankle. He will probably return to normal activity within the next 6 to 9 months but osteoarthritis is very common.
At Central Florida foot and ankle we treat everything, from most simple conditions to devastating injuries like this.
Dr. Tatiana Wellens, DPM, PhD
Hyeon Chung defended his decision to retire in the second set of the Australian Open semi-final against Roger Federer after succumbing to the pain of a badly blistered "red raw" foot.
This is a truly disturbing picture that shows that the blister in this tennis player had ruptured and he has an infection. The wound is deep to subcutaneous tissue. Usually, it is very painful unless patient is diabetic and has neuropathy. It was probably caused by the friction of the shoe or the tape that was put on too tight. Bottom line, if I was his physician, I would advise him to stop playing immediately and take the pressure completely off his foot. He will also need to go on very strong antibiotics, starting with intravenous antibiotics and progressively transitioning to oral antibiotics.
Obviously, this is not common in weekend athletes or recreational athletes, but this situation is very common in diabetics. Due to diabetes, patients do not have normal feeling on the bottom of their foot therefore a blister cannot be felt until it gets deeply infected.
When a ruptured infected blister or a wound is present in the foot, we are concerned about circulation. In general, feet do not have a lot of soft tissue coverage and there is not a lot of space between skin and bone and bone infections (osteomyelitis) are very common.
Do not delay your care, a couple of days can be a difference between simple oral antibiotics and six weeks of intravenous antibiotics and hospital admission.