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[-] TranscendentalEmpire@lemm.ee 94 points 9 months ago

Not actually that rare to see. Reabsorption of bone is fairly common place in non unionized fractures that don't end up getting good blood flow. Osteoclasts will breakdown the bone fragments that don't unionize, especially if the bone isn't really responsible for weight bearing.

The only thing thats fake about this is a group of doctors being mystified by any of it.

[-] Objection@lemmy.ml 130 points 9 months ago

Reabsorption of bone is fairly common place in non unionized fractures that don’t end up getting good blood flow. Osteoclasts will breakdown the bone fragments that don’t unionize

This is why it's so important to talk to your coworkers and get organized, if those bones were unionized this never would've happened.

[-] jaybone@lemmy.zip 22 points 9 months ago

Bernie your bones, bro.

[-] Aganim@lemmy.world 47 points 9 months ago* (last edited 9 months ago)

The only thing thats fake about this is a group of doctors being mystified by any of it.

Sounds more like a teaching opportunity, which was interpreted as an 'ah, they have no idea what is going on' moment.

[-] TranscendentalEmpire@lemm.ee 1 points 9 months ago

Maybe? But again, reabsorption is so commonplace that it's not particularly a significant teaching opportunity. I

f we're assuming that what this person claimed is true, the only real educational thing about this is how important it is to stick to the prescribed follow up care. This more than likely would have been caught during follow up imaging post reconstruction.

[-] BattleGrown@lemmy.world 18 points 9 months ago

My granma had a spinal disc missing entirely. It was just gone. Must've broken it at some point and didn't realize. She was mostly bedridden and moved very slowly with a walker, needed a lot of support. May she rest in peace (death unrelated to missing disc)

[-] jaybone@lemmy.zip 12 points 9 months ago

Does this bone not assist with weight bearing?

[-] TranscendentalEmpire@lemm.ee 3 points 9 months ago

Not really during normal ambulation, it mainly aids in stability and in certain range of motions in the ankle. Even less so in post traumatic reconstructions like in this particular image.

[-] Simulation6@sopuli.xyz 8 points 9 months ago

Could also be bone eating bacteria.

[-] Venus_Ziegenfalle@feddit.org 15 points 9 months ago
[-] steal_your_face@lemmy.ml 7 points 9 months ago
[-] Viking_Hippie@lemmy.dbzer0.com 5 points 9 months ago* (last edited 9 months ago)

Alas, my only regret!

[-] tiredofsametab@fedia.io 5 points 9 months ago

Clearly the most obvious answer is bone-eating bones. Dirty cannibals.

[-] Swedneck@discuss.tchncs.de 2 points 9 months ago

possibly bone-eating sturgeons

[-] flicker@lemmy.dbzer0.com 3 points 9 months ago

Or the moopsy.

[-] TranscendentalEmpire@lemm.ee 3 points 9 months ago

Prob not, osteomyelitis is pretty nasty and would have been cause for revisional intervention. The limb would have been visibly swollen and the post op wounds prob would have been weeping a bunch of nasty pus.

[-] jaybone@lemmy.zip 2 points 9 months ago

Another new fear now. Yay.

[-] shalafi@lemmy.world 7 points 9 months ago

Wouldn't the patient miss the support that bone provided?!

[-] TranscendentalEmpire@lemm.ee 3 points 9 months ago

Nah, the fibula doesn't really bear much weight, it mainly helps with ankle stability and helps with ankle rotation. Things that probably aren't really a factor after the reconstruction that this patient acquired after their accident.

[-] ColeSloth@discuss.tchncs.de 4 points 9 months ago

Or, when his leg was being put back together they just straight up forgot to put it in during surgery.

[-] TranscendentalEmpire@lemm.ee 1 points 9 months ago

Haha, nah. You typically don't excise bone fragments when you plan on putting them back together. That would force you to unnecessarily remove a bunch of soft tissue that surrounds/attaches to the bone.

[-] ColeSloth@discuss.tchncs.de 1 points 9 months ago

Yeah, I was thinking more like it was shattered and they forgot to put in the titanium rod replacement.

[-] TranscendentalEmpire@lemm.ee 1 points 9 months ago

Really unlikely... It would be hard to miss a shattered tibia if you are already placing hardware in the fibula. Orthopedic surgery isn't really a gentle process, you are usually really moving the limb around a lot and limbs get really floppy when you have unsupportive fractures.

Plus, all hardware is tagged and tracked before, throughout, and after the operation. Mistakes happen, but it usually involves accidentally leaving a foreign body, and usually involves supplies that aren't specific to the individual surgery like gauze, sponges, or clamps.

[-] xorollo@leminal.space 4 points 9 months ago

I'm hearing that she should have joined a union?

[-] Venator@lemmy.nz 2 points 9 months ago

Maybe it was a teaching hospital like on the tv show scrubs?

[-] TranscendentalEmpire@lemm.ee 3 points 9 months ago

Nah, I practice at a teaching hospital. Knowing about reabsorption is stuff you learn when you learn about osteoclasts in med school. If you make it to a residency without knowing about osteoclasts, something horrible has happened.

[-] Venator@lemmy.nz 3 points 9 months ago

Nah i mean the teaching doctor might take the opportunity to show the residents an example of it, and the patient perspective given here is totally off, but they're just guessing why a bunch of doctors are all gathered around to look at the xray.

this post was submitted on 27 Apr 2025
264 points (97.1% liked)

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