Thomas A. Keel, MS

Gail zimmerman, Md



Crushed Hand and Wrist

September 14, 2005

A 22-year-old soldier's left hand, wrist, and distal forearm were crushed by an object that weighed 90.8 kg (200 lb). There were no signs of open fracture; soft-tissue injuries were obvious. No neurovascular deficit was discerned in the limb.

Senile Osteoporosis

September 14, 2005

The wife of an 82-year-old man with Alzheimer's disease was concerned about her husband's poor posture. According to the woman, the patient had never sustained a back injury and had always maintained a sedentary lifestyle. He never smoked cigarettes and did not use alcohol. His history included multiple transient ischemic attacks (TIAs).

Lunate Dislocation

September 14, 2005

A 24-year-old man sustained a fall on his outstretched hand (FOOSH) injury that was complicated by wrist hyperextension. He complained of persistent right wrist pain and loss of grip strength.

Medial Collateral Ligament Tear

September 14, 2005

A 51-year-old man-a 6 ft, 240 lb bodybuilder-presented with long-standing, chronic rotational instability of the left knee as the result of a valgus blow to the joint during a football game 20 years earlier. The patient complained of extreme pain and reported that he felt the tibia sliding around under the left femur.