History: A 19 year old gentleman injured his middle finger joint while punching a wall. He presented to my office with an inability to flex and extend his middle finger and with pain and swelling. Diagnosis: Middle finger PIP joint intra-articular fracture with subluxation, moderately improved with traction Treatment: Middle phalanx open reduction, internal fixation with screws Outcome: He…
Deep Palm Infection – Franko
History: 71 year old female presented to the hospital about 2 weeks after a fall with increasing pain and swelling in her hand and palm. She had a history of psoriatic arthritis for which she took methotrexate and infliximab. Her presentation was very concerning for a deep infection with a WBC of 41,000, lactate of…
Flexor Tenosynovitis – Franko
History: A 55 year old female with diabetes presented to my office with severe pain and swelling in her middle finger a few days after burning the tip of her finger. This was initially treated with antibiotics for cellulitis however she rapidly progressed to flexor tenosynovitis based on the appearance and was taken to the operating…
Segmental Galeazzi ORIF – Franko
History: 24 year old gentleman presented to the hospital after crashing his motorcycle. He had obvious deformities to his right forearm and wrist. I evaluated him and recommended surgery for his complex radial shaft and DRUJ injuries. Intra-operatively he was found to have multiple shaft fractures, further complicating the surgery. Diagnosis: Right wrist and forearm Galeazzi fracture…
Open Galeazzi – Franko
History: 58 year old male was hit by a vehicle and presented to the hospital with obvious open deformities of his right forearm and wrist. He was diagnosed with an open radial shaft fracture and instability of the distal radioulnar joint. Diagnosis: Right open Galeazzi fracture Treatment: Open reduction, internal fixation of the radius with a combination of plates…
Radius and Ulna Shaft ORIF – Franko
History: 25 year old male injured his left forearm and fractured (broke) his radius and ulna. He was splinted in the emergency department and presented to my office for further evaluation. His job includes very heavy lifting and his priority was to return to work as soon as possible. Diagnosis: Left radius and ulna shaft fractures…
Mallet Finger CRPP – Franko
History: 31 year old female administrator injured her finger about 3 weeks prior to seeing me in the office. She had a fracture-dislocation of the finger tip, also known as a mallet finger or mallet fracture with dislocation. I recommend surgical treatment. To avoid making an incision, I recommended percutaneous pin treatment. Diagnosis: Right ring finger…
Essex Lopresti ORIF – Franko
History: 53 year-old male presented to the hospital after falling from a roof. He had a severe injury to his right elbow and pain at his wrist. X-rays showed an intra-articular radial head fracture as well as a dislocation of the distal radioulnar joint at the wrist, also known as an Essex-Lopresti injury. I recommended…
Olecranon Sled – Franko
History: 47 year old woman sustained an elbow injury when she was hit by a car while riding her bicycle. She went to urgent care and was found to have an olecranon (elbow) fracture. As a yoga instructor, it was very important to her that any treatment would allow her to continue doing yoga and would not…
Humerus Nonunion ORIF – Franko
History: 53 year-old female came to my office 5 weeks after an injury to her right arm below the cement from a prior shoulder replacement. She was initially treated by a different surgeon but referred to me after she failed to show any healing and was having a lot of pain after nearly a month and…