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  1. #1
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    Simon43's Avatar
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    Nearly broke my fcuking arm and hand this morning!

    So there was my black plastic septic tank, located in the hole that we'd dug for it. Trouble was, the workers had dropped it into the hole a few weeks ago, and had failed to line up the inlet and outlet pipes. The tank needed turning.

    It's a heavy tank, even with only a small amount of water in it. We set up a fulcrum with some it boks on the ground and a large metal beam inserted into the wide opening of the tank.

    With 3 of us, two were able to lift the tank a little in the hole, and I was able to turn it.

    All was going ok until we reached the last stage of turning the tank. Suddenly the water at the bottom of the tank 'slopped', causing the tank to move quickly into the desired and final position. But the sudden movement threw both me and the BIL off-balance!

    He was thrown quickly across the top of the plastic tank and I was thrown almost as quickly in the same direction, but luckily a fraction of a second after the BIL.

    So the BIL broke my fall, but I landed with my full weight on my left arm and hand bent in the wrong direction.





    I was amazed that I didn't hear the bones crack. As it was, I felt really faint from the pain for about 10 minutes.

    Bloody painful, but I can now move my fingers OK, so no permanent damage done.

    The moral of the story is obvious. If you need to do some risky DIY, get a Burmese to do it.......

    (Please add the following IP address-dependent sentence after the above)

    If IP address = USA ==> 'The above sentence was obviously a joke in very poor taste'

    else 'Ha ha ha!!!!! '

    Simon
    Groping women when you're old is fine - everyone thinks you're senile

  2. #2
    disturbance in the Turnip baldrick's Avatar
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    Quote Originally Posted by Simon43
    Nearly broke my fcuking arm and hand this morning!
    there must be a fisting joke in there somewhere

  3. #3
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    if that photo is real, then it looks like a broken humerus to me.

    (Complications

    Neurologic and brachial plexus injuries
    Neurologic and brachial plexus injuries occur in up to 50% of proximal humerus fractures. Anterior fracture dislocations may injure the axillary nerve. Carefully document any deficits, and monitor them via electromyography. Explore injuries showing no improvement at 3 months. The risk of nerve injury is increased in elderly patients, fractures at the surgical neck, dislocation, blunt trauma with associated hematoma, and in failed open reduction and internal fixation.

    Vascular injuries
    Injury to the axillary artery may occur in displaced proximal humerus fractures, usually following severe blunt trauma or penetrating trauma. This injury may also be seen with minimally displaced fractures in the elderly patient with arteriosclerosis due to lack of elasticity of the vessel walls. Although it is always important to evaluate the radial pulse, its presence in a case of vascular injury can be misleading because of collateral circulation.

    Maintain a high index of suspicion, and proceed to an angiogram when signs of vascular compromise are present. These include expanding hematoma, pallor, paresthesias, pulselessness, unexplained hypotension, bruits, and pulsatile external bleeding. Perform arterial repair emergently when indicated. Failure to recognize and treat these injuries can have catastrophic consequences, including amputation, gangrene, and neurologic compromise (due to compression from the hematoma).

    Stiffness or frozen shoulder
    Stiffness or frozen shoulder may occur with nonoperative and operative management of proximal humerus fractures. This emphasizes the need for a directed physiotherapy program to maintain mobility during the postfracture and postoperative period. Patients who do not respond to stretching exercises may require operative management, including arthroscopic and/or open release of adhesions. Manipulation under anesthesia should not be performed alone, as risk of refracture exists.

    Avascular necrosis
    Avascular necrosis is seen in up to 14% of 3-part fractures treated with closed reduction and in up to 34% of 4-part fractures. This complication leads to pain and stiffness in the shoulder and may ultimately require total shoulder arthroplasty.

    Malunions
    Greater tuberosity malunions occur as a result of the pull of the rotator cuff. Displacement is superior if only the supraspinatus is involved. Union at this site may result in impingement syndrome. Displacement is posterior if the pull is predominately infraspinatus. Union at this site may result in posterior impingement against the glenoid, resulting in decreased external rotation. Indications for surgery include pain and loss of function. Superior tuberosity malunion may be treated with acromioplasty if it is not severe, or tuberosity osteotomy and cuff mobilization. Acromioplasty offers no benefit in posterior malunions, which are treated by tuberosity osteotomy and capsular release. Isolated lesser tuberosity malunions are very rare and will not be discussed.

    Surgical neck malunions and malunions of 3-part fractures may be multiplanar in nature with combinations of rotation, flexion/extension, and varus/valgus deformities. Significant angulation may be accepted at the surgical neck. However, there is a concomitant loss of elevation. Additionally, varus malunion places the greater tuberosity in the subacromial space with loss of lateral humeral offset.

    Malunion and avascular necrosis of the humeral head in 3- and 4-part fractures usually requires prosthetic replacement. Frequently, posttraumatic arthritis is present on the glenoid surface, and a glenoid component also should be used.

    Malunion of a fracture-dislocation may be difficult to treat. The head component may be dislocated anteriorly or posteriorly. Great care must be taken in its mobilization and removal, as there may be adhesion of the neurovascular bundle in the associated scar tissue. Prosthetic replacement usually is necessary.)

    i'd let a quack have a look at it.

  4. #4
    Thailand Expat
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    That's a stock library photo! You don't really think:

    - I'd be happy with an arm that shape
    - I look like the dork in that photo

    Simon

  5. #5
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    I look like the dork in that photo
    having never met you i cant say, but it is not beyond the bounds of possibility.

    ....... 50ish, not quite past it, greying, black polo shirt (both buttons undone), metal strapped timepiece, exuding the gravitas of an expat hotelier with three or four ex wives to support

  6. #6
    Thailand Expat
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    exuding the gravitas of an expat hotelier
    If my arm was that shape, the last thing I'd be exuding is gravitas....

    Come to think of it, there is a passing resemblance to me. Just need to change his attire, drop the glasses, add a smile and more handsome appearance - then you're about there.

  7. #7
    I am in Jail

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    Karma for not paying the Burmese hospital bill.

  8. #8
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    Karma for not paying the Burmese hospital bill.
    Bugger! You may be right!

  9. #9
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    Karma for not paying the Burmese hospital bill.
    snigger.

  10. #10
    Banned

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    Fucking arms.....
    Naturally, know of the fucking hands - goes without saying.

    But, a fucking arm must be quite the sight and a handy tool to have around.

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