![]() ![]() Through our mobile-friendly technology, you can earn points and redeem them for Free Days and Free Weeks – all from your phone.” “With Fast Park, it’s easy to get rewarded. “Settle into our comfortable, climate-controlled shuttle – but not for long! Our drivers quickly get you to the terminal, unload your luggage and send you off for the journey ahead.” (they also offer free newspapers, bottled water and kids’ coloring packs for the asking) After directing you to an available space, our professional shuttle drivers will assist you with your luggage and get you airport-bound right away.” “Our friendly cashiers will welcome you with a smile and a weekday morning newspaper. Fast Park & Relax currently serves 15 cities:Īs per their website, here’s how it works: The Fast Park Airport Parking family includes Fast Park & Relax, Fast Park 2, Airport Fast Park and Park Place Airport Parking. We decided to go with Fast Park & Relax, because we had gotten credit for a free day after we parked at MIA for a week when we went to Cuba a few years ago. We live in a decent-sized city and our airport, Orlando International Airport (MCO) is the 14th largest in the country, so we’re lucky in that there are lots of off-site parking options to choose from. ![]() So Joe finally talked me into (duh, duh, DUH!) offsite parking. That was still doable for several years but our local airport is now in the midst of some vast growth, to the point where the parking garages were usually not an option because they’re almost always 100% full, and the “economy” lots had expanded into the outlying grass…and besides the shuttle buses running slower because they had to make more stops, there was poor makeshift signage, and dragging your rolling suitcase over wet grass and dirt is not fun at all. So our costs went from about $17 per day to about $10 per day. Still on airport property, but you have to take a shuttle to get to and from. However, the cost of parking at the airport has gone up astronomically, so in recent years I’ve agreed to park in the “economy” lots if we’re going to be gone for more than 1 or 2 nights. But hey, if I’m going out of town, I want to get to where I’m going ASAP and if I’m coming home, I want to get back to my car ASAP. When Joe and I are going out of town somewhere, my #1 favorite place to park is in the airport terminal parking garage. I’ll admit it – I’m a snob about airport parking. ![]()
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![]() “Working together might seem ideal, but Chance Cards can abruptly shake things up with things such as lousy neighbors, vegan meatloaf and bad plumbing,” the description states. They can consider the best interest of the group, or do what is in their individual interest. Players are offered a series of choices that seem to highlight the potential for others to defect from “socialism.” They can either contribute to the community fund, or choose to deplete it. The game pokes fun at the idea of working together, presenting it as ultimately incompatible with the selfish motivations of some players. ![]() It sparked debate this week when a Twitter thread highlighting the version went viral. The jokes were covered by Junkee and Mashable.Monopoly for Millennials is not about real estate because 'you can't afford it anyway,' Hasbro saysīut depending on where you are on the political spectrum, the tone of the game is either condescending or tongue-in-cheek. Monopoly claims to be 'self made' but she got her start up capital from her uncle, The Monopoly Guy," gaining over 2,200 retweets and 16,000 likes (shown below, right). Twitter user wrote, "Ms Monopoly is such a pitch-perfect storm of soulless 'girlboss' corporate feminism that i have a hard time being convinced it's not performance art" (shown below, left). Monopoly to the internet's attention again, and inspired a new string of jokes and criticisms about the game. there is no way you're going to be able to predict what this ad is trying to sell youįinally, now more than ever, women can buy our product /f68JCM7vvt finally, now more than ever, women can buy our product," gaining over 49,000 retweets and 190,000 likes. ![]() there is no way you're going to be able to predict what this ad is trying to sell you. On May 8th, 2020, Twitter user reposted the commercial for Ms. In the following days, multiple news outlets reported on the game and the related controversies, including articles by CNN and The Washington Post. On Reddit, multiple memes pocking fun at the game and its mechanics were posted (examples shown below). In multiple posts the fact that Monopoly was created by Elizabeth Magie as The Landlord's Game, whose idea was later copied and sold by Charles Darrow under a differend name and who wasn't given credit in the Ms. A tweet by user in which they accused the game of being sexist received 140 retweets and 1,300 likes in one day (shown below, right). For example, a tweet by user posted on September 10th, 2019, gained over 180 retweets and 700 likes in one day (shown below, left). Receptionįollowing the announcement, users on Twitter, Reddit and other platforms criticized the game for virtue signaling and misrepresenting the issue of the wage gap. ![]() ![]() The game also features other differences such as new game tokens which include a white hat, a watch, a barbell, a glass and a jet plane. Additionally, each time a female player passes go, they must collect $240 contrary to standard $200 collected by male players. Īt the start of the game, banker distributes $1,900 in Monopoly money to each female player and $1,500 to male players. Instead of investing in real estate, all players can invest in notable inventions made by women such as bulletproof vests, chocolate chip cookies and ladies' shapewear. Monopoly, a variation of Monopoly board game featuring several differences in gameplay and aesthetic. On September9th, 2019, toy company Hasbro announced Ms. ![]() ![]() ![]() Cover and cook over low heat for 5 to 6 hours.Remove the browned chops from the skillet and place the pork chops on top of the apples and sauerkraut.Heat a heavy skillet on top of your stove and brown the pork on both sides.Layer the sauerkraut and apples on the bottom of your slow cooker.How to make Pork with Sauerkraut in a Slow CookerĬreating delicious and tender pork chops with sauerkraut and apples is a breeze with a slow cooker. This is the perfect recipe to make ahead of time, here's how: Brown the pork chops and store them in the refrigerator in an air-tight container for up to 1 day.Īpproximately an hour before serving, add the sauerkraut, apples, and browned pork to an ovenproof skillet or casserole, cover, and bake. Shelf-stable sauerkraut has been pasteurized and many of the health benefits are lost.įun Fact! Eating pork and sauerkraut in New Year's Day is a German tradition because it brings luck. If you don't have homemade sauerkraut, look for good quality refrigerated sauerkraut such as Bubbies Sauerkraut near the deli in your supermarket. It tastes much better than packaged sauerkraut and has so many health benefits. I use homemade sauerkraut to make this recipe. Good quality fermented sauerkraut is best. Our favorites are Braeburn, Fuji, Honeycrisp or Granny Smith Apples. Any type of apple will work in this recipe. Substitute pork chops with pork tenderloin, small boneless pork loin or pork ribs.Īpples. I prefer boneless pork chops in this recipe, but you can use bone-in pork chops as well. Can be substituted with an equal amount of avocado oil.īoneless pork chops. Remove the cover and cook for 10 to 15 minutes longer until the internal temperature of the pork reaches 145 degrees. It’s probably too sweet.Place pork chops on top the sauerkraut and apples cover, and bake for 30 minutes. That’s what I would have put into this recipe anyway, had I had it on hand. If all cheeses are a trigger food for you, Kite Hill’s plain yogurt will work just as well, if not better, in this dish. Now, you might not be adding this ingredient to your Whole30 menu, and that’s perfectly fine. After standing in front of my frig and pantry for a while, and deciding coconut cream would probably not taste great in this dish, I scooped a spoonful of Kite Hill ricotta into my dish. I was also out of almond yogurt and contemplated for a few minutes on how to give the sauce the creaminess I desired. Introducing, smothered pork chops! They’re Whole30, Paleo, and gluten-free! So, instead of frying my pork chops, I decided to drown them in a yummy onion gravy. I’ve gotten careless (oh, Thrive Market, I love you dearly but my budget does not!) and need to rein that in a bit. I’m determined not to go grocery shopping again this week! It’s going to be a “no-spend” week for me as I tackle my out-of-control food budget from 2018. Normally, I bread my pork chops in gluten-free breadcrumbs or almond flour and fry them (see this recipe for jagerschnitzel) but I was running really low on oil. A package of pork chops was sitting on the bottom of the deep freezer, just wishing to be used, so I complied. I felt really good all day yesterday so I experimented with several new recipes throughout the day. I did not cave though! The thought of having to start over was enough to keep me compliant. Yesterday, while I was feeling good, I was CRAVING carbs like none other! Popcorn was calling to me, whispering my name from the pantry. Though strangely, I started both days feeling pretty good! It just went downhill as the day went on. It’s Day 6 of this round of Whole30 I’m doing and I’m finally feeling good again! Day 3-4 were the hardest so far for me I went to bed both nights with a headache. ![]() ![]() ![]() Virtual machines resume up to 38% faster now. ![]() If you then transfer this virtual machine to another Mac, Parallels Desktop will allocate CPU and memory based on the new hardware configuration. Parallels Desktop evaluates your Mac’s hardware and automatically allocates as many resources to your virtual machine as needed to provide the best possible experience with Windows. Parallels Desktop Business Edition Changelogīelow is the list of changes made to the current version of Parallels Desktop Business Edition. **Processor:**Intel Core 2 Duo, Core i3, Core i5, Core i7, Core i9, Intel Core M or Xeon processor or Apple Silicon M1/M2 Chips.**RAM:**4 GB available memory.**OS:**macOS 10.13.6 or later 64-bit.**Space:**600 MB for Parallels Desktop application installationAdditional disk space for the guest operating system (at least 16 GB is required for Windows OS). Parallels Desktop Business Edition System Requirementsīelow are the minimum system requirements for running the Parallels Desktop Business Edition. Quickly move files, apps and more from a PC to a Mac.Fast-run Windows apps without slowing down your Mac.Access Microsoft Office for Windows and Internet Explorer.Develop & test across multiple OSes in a virtual machine for Mac.Key Features of Parallels Desktop Business Edition Hit enter, type your password and wait for the crack to finish. ![]() Open terminal app on mac, type “sudo” then enter a space and drag the “install.sh” file from crack folder to the terminal window After installation, go to the crack folder.Launch parallels install and install it as you normally would (skip when asked for upgrade during installation, only tested current version). How to use Patched Parallels Desktop Business Edition?įollow the below instructions to activate your version of Parallels Desktop Business Edition. You can donate by using Paypal ☑️ or Debit or Credit card users □ : □ Support us guys and help to grow this community : Parallels Desktop Business Edition v17.1.4 Patched (macOS) Patch.zip | Mirror | Mirrors Parallels Desktop Business Edition v18.0.1 + Crack (macOS).zip | Mirror | Mirrors Older Version Parallels Desktop Business Edition Download Links ![]() Maccleaner Review (How to Clean your mac) :
![]() If adhesive adheres to blade, clean with solvent and insert into sheath for new release coating. 3 prize packs to win Enter to win Defined by quality and service since 1952. You need a thin but strong edge that won’t damage the surface. Scotty Peelers traditionally come in red but may be ordered also by quantity in white or blue. Many hospitals and healthcare facilities, including medical equipment leasing centers, use the metal peeler (the SP-2) to remove labels from equipment and medical supplies. ![]() Its non-stick surface peels labels away easily without damaging. Sheath contains a release agent which recoats the Scotty Peeler blade. Product Description Designed to help you remove labels with minimal effort Choose the economical all-plastic peeler for general use Blade is sharpened on 3 sides for easy operation 5-1/2' Related Products & Accessories ONLY AT DEMCO Demco Shelf Backstop Adapter (15) 56.14 - 61. SPN-1 Scotty Peeler SPN-1 plastic peeler for paper products the original Scotty Our original all plastic Scotty Peeler is terrific at removing labels off of paper or other soft surfaces. IMPORTANT regarding Scotty Peeler metal blade: So far they have lasted without any wear issues for almost a year at our print stations. 38. ![]() The Scotty Peeler is an indispensable tool for any 3D printing enthusiast or professional, and it can make the printing process smoother and more efficient.įunny name, but amazingly great tool. The Scotty Peeler is also helpful for removing support structures and cleaning up any residual adhesive from the build platform. This is especially important when printing delicate or complex objects that might be difficult to remove with other tools. The Scotty Peeler is a simple but effective tool that has a thin, flexible blade that can slide under the printed part, separating it from the build platform with ease. Scotty Peeler Label and Sticker Remover Set - 1 Original SP1, and 1 Metal SP2. It is indispensable for 3D printing because it helps to remove printed parts from the build platform without damaging them. Brand: Scotty PeelerColor: Red HandleFeatures: Great value Takes care of all of your sticky problems - Makes peeling off sticky labels easy, labels and. The Scotty Peeler is a small, handheld tool that is widely used in the 3D printing industry. We brought a few on to the Print Farm when Valerie spotted them. This is one of those tools that you never really think you need, or even know about. ![]() ![]() However, without Trump in the field, Pence garnered 25 percent support, trailing only Florida Gov. 6.Ī Harvard-Harris Poll survey released earlier this week showed Trump leading the field of potential 2024 GOP primary contenders with 67 percent support, while Pence trailed at 9 percent. The former vice president has said he’s spoken with Trump “many times” since the two left office at the beginning of the year, but speculation about frostiness between the two men has persisted, with the former president putting out multiple statements chastising Pence for overseeing the certification of electoral votes on Jan. We’ll reflect, we’ll pray and determine where we might best serve, and we’ll go where we’re called,” Pence told a CNN reporter in Manchester, N.H., on Wednesday.Ī 2024 run will likely require Pence to figure out a way to address his time in the Trump administration, first as a loyalist and then as the target of extreme anger by the former president and his backers. “I can honestly tell you in 2023, my family and I will do what we have always done. In his most direct comments to date, Pence did not rule out a potential 2024 bid, even if Trump also entered the race, as the former president is increasingly hinting he’ll do. While the former vice president insists that he is laser-focused on bolstering support for Republican candidates running in 2022, New Hampshire is the latest early primary state he’s visited as he works to navigate political life after former President Trump. ![]() In New Hampshire, Pence made a number of campaign-style stops, attending a fundraiser for Republican state Senate candidates, meeting with local political activists and stopping by a local bakery. Former Vice President Mike Pence’s visit to New Hampshire last week and stops in other high-profile early primary states are fueling speculation about a potential 2024 presidential run - and questions about whether he can win over the GOP voters he angered on Jan. ![]() ![]() “He’s a really good quarterback,” Brady said of Burrow afterward.īurrow said “we said ‘good game’ after the game” during his press conference.īurrow didn’t want to become the latest young player to ask Brady for his autograph after the game. Brady and Burrow notably expressed their mutual respect in separate press conferences after the game on Sunday. While Brady reiterated his respect for Foles since, the perception remained. He didn’t shake hands with then- Philadelphia Eagles quarterback Nick Foles, and a similar instance happened again with Foles when Brady and the Bucs fell to the Chicago Bears in 2020. Jack – Canadian Bengals Superfan December 19, 2022īrady developed a reputation of occasionally not shaking hands with the opposing quarterback, which started after a loss in Super Bowl LII with the New England Patriots. You MAD BRO?! #Bengals #WhoDey #RuleTheJungle /P8hYvv3YST Patrick Neville of Castle Rock in a lawsuit against the state over the mask mandate, was in attendance at the press conference, according to a tweet from 9News' Marshall Zellinger.Tom Brady had NOTHING to say to Joe Burrow after their collapse. Randy Corporon, an attorney who represents Malkin and Republican Rep. We encourage everybody, including Bandimere, to find a way to do that safely." "That provides a framework for larger events that have cohort groups with distinct entry points. Polis said the Broncos are playing by the same rules as any other large event, with a series of 175 people in a very large outdoor setting. Jefferson County Public health is again suing Bandimere Speedway for holding an event that organizer Michelle Malkin said exceeded 5,500 people. Polis was asked if his decision to allow Broncos fans to attend games was a sign of favoritism. That could be big news for casinos in Gilpin County, which have been barred from offering table games, but under Protect Our Neighbors could host up to 500 patrons. Three counties this week - Gilpin, Mesa and Rio Blanco - have been given permission to go to the final stage of reopening, known as Protect Our Neighbors. Colorado will be the first in the nation to try it out, a launch planned for the end of the month. The token does not contain individual information and would drop off after 14 days, Tuneburg said.Ī similar product has been used very effectively in South Korea and helped quickly stem that country's outbreak. Once someone tests positive for COVID, the other person would be notified that they had been exposed, along with information on resources, including testing. If the app is enabled on both phones, a token would be exchanged between the two. The app works like this: two people could be meeting, wearing masks, but one later develops symptoms of COVID-19. No information will be tracked or shared. ![]() Sarah Tuneburg, the director of the governor's innovation response team, said it will be up to individual users on whether to enable the app. Polis also announced that the state will partner with Google and Apple on EN Express, a contact tracing app that will be free and automatically downloaded on Apple devices and available for download for Android devices. This applies to school districts that are doing in-person learning and so long as it doesn't interfere with students getting back into the classroom, the governor explained. "Our organization is hopeful this is the start to gradually increasing fans at Broncos games," Bowlen said.Ĭould high school football be far behind? Polis said if schools want to propose a fall football season through the Colorado High School Athletics Association, "we would be thrilled to work with them to make it happen." Restrooms and concessions will be touchless and cashless. In addition to masks and social distancing, seating will be done in small pods and sections broken into groups. that's why we're excited to welcome back a limited number of season ticket holders with many health and safety enhancements in place."Įmpower Field will look and feel very different this season, Bowlen said. "The players have continued to use their platform to set the right example for our community, "she added. ![]() Bowlen said the agreement had been worked out with the Colorado Department of Public Health and Environment. ![]() ![]() ![]() The rugged, reverse cone on the end of the call resembles the mouth of a buck, which leads to the most realistic buck tones I’ve ever heard or been able to produce. The call produces all types of deer grunts, requires very little air, and is easy to master. If I had to take one deer call into the woods across the country, it would be Quaker Boy’s Brawler Buck Call. ![]() The call sounds exceptionally natural, I’ve never had a buck spook from it, and it performs flawlessly when the mercury takes a severe dip. Why It Made The Cut: During my tenure in the deer woods, I’ve called in and killed nine Pope & Young bucks with the Brawler. The Best Deer Calls: Reviews & Recmomendations Best Buck Grunt Call: Quaker Boy Brawler Buck Call No, these aren’t the only quality calls on the market, but these models have produced results for me in the deer woods, and that’s what matters most. Best Custom Deer Call: Rush Custom Callers Deer Grunt TubesĪll of the calls suggested in this article have been proven effective by me while hunting deer.Best Doe Bleat Call: Woodhaven Custom Calls The Closer.Most Versatile Deer Call: Rocky Mountain Hunting Calls Dialect Deer Grunt.Best Beginner Doe Bleat: Hunter Specialties Adult Doe Estrus Bleat.Best Aggressive Buck Call: Primos Rut Roar Grunt Call.Best Synthetic Rattling Antlers: Primos Fightin’ Horns.Best Buck Grunt Call: Quaker Boy Brawler Buck Call.We took a look at some of the best deer calls on the market and when to use them. Understanding when to break out a grunt tube, rattling antlers, or doe bleats is just as important as executing a realistic-sounding call. Many calls yield the best results during particular times of the season. Hunters that have a variety of calls and know how and when to use them will be more successful during the fall. ![]() When you understand the sounds deer make, know what those sounds mean, and can create those sounds on a manufactured deer call, you’re going to punch more tags. Deer use various sounds to communicate with each other from the early part of the season to its end. Heading into the woods without a few deer calls isn’t a good plan. ![]() ![]() ![]() For the treatment of pathological keloid scars, the recurrence rate of surgical excision without adjuvant therapy is as high as 45 to 100%. However, as an invasive technique, surgery has a high risk of inducing the new scar formation and recurrence of scarring. It is taken to correct the deficiencies and deformities and is especially applicable when a patient has functional impairment caused by contracture of the scar. Surgical intervention is currently one of the mainstream methods for the treatment of traumatic scars. Many treatment options have been developed for the management of traumatic scars, which are divided into surgical and non-surgical approaches. The early stage scars have diffuse capillaries and excessive abnormally arranged collagen fibers in histology, which manifest as red hypertrophic scars, whereas the late stage of scars has closed vessels and excessive fiber deposition, which manifest as normal color or reduced color scars with elevation, flat, or atrophy in morphology. The dysregulation of proliferation and apoptosis of fibroblasts, an imbalance between synthesis and degradation collagen in the extracellular matrix, and abnormal structure of epithelium are responsible for scarring. Traumatic scars, therefore, are the results of wound healing after tissue injury. Even after remodeling for many years, the wounded tissue never regains the properties of uninjured skin. During the remodeling phase, a variety of extracellular matrix (collagen and elastic fiber) and their corresponding enzyme system (matrix metalloproteinases) act to achieve the purpose of restoring normal histological structure. The remodeling phase can take up to a year or longer to complete, which is characterized by the rearrangement of granulation tissue, the replacement of collagen III by collagen I, and the contracture of the lesion through the action of myofibroblasts. Keratinocytes from the edge of the wound and adnexal structures migrate and proliferate to make the wound healed by re-epithelialization. Angiogenesis is initiated by the function of endothelial cells in response to the upregulation of vascular endothelial growth factor (VEGF). Activated by the cytokines and growth factors, such as transforming growth factor beta (TGF-β) and platelet-derived growth factor (PDGF) released mainly from macrophages, fibroblasts are induced to produce collagen and extracellular matrix. The proliferation phase was accomplished by the migration and proliferation of various cells. Excessive inflammation response, resulting from infection for instance, often leads to abnormal wound healing and increases the risk of scarring. A moderate amount of inflammation is vital to the wound healing process for transition from the inflammatory phase to the proliferative phase. The inflammation is crucial to the removal of dead tissue and the prevention of infection by neutrophils and macrophages through the actions of phagocytosis and the secretion of proteases and cytokines. Īlthough the complete pathogenesis of traumatic scars needs further elucidated, the formation of pathological scars is regarded as a result of dysregulation in the process of wound healing which characterizes by an inflammatory phase, a proliferative phase, and a remodeling phase. It should always be noticed that patients with traumatic scars are prone to having anxiety, depression, or even the serious consequence of suicide. Severe linear or diffuse contracted scars usually require aggressive therapy such as surgical intervention to relieve tension and ultimately improve range of motion and correct the deformities. Restricted range of motion of the functional joints and the deformities of facial organs resulted from contracture are among the most severe morbidities. Up to 87% of burn patients especially those with hypertrophic scars report the symptom of pruritus, which disrupts sleep and daily activities. ![]() ![]() Pruritus and pain associated with traumatic scars are major and very common morbidities. Besides the cosmetic effects, there are several other morbidities associated with traumatic scars. The traumatic scars especially those on the face and neck are cosmetically unappealing due to dyschromia and irregular texture compared to the surrounding skin. The prevalence of hypertrophic scar, the most common type of traumatic scars, is reported as high as 70% after burn injury. ![]() Scarring is regarded as one of the inevitable consequences of trauma. Tens of millions of individuals acquire traumatic scars every year caused by burns and other traumatic injuries worldwide. ![]() ![]() ![]() ![]() More recently, the lateral approach to fibula harvest was popularized by Gilbert, followed by Chuang et al., who described free, vascularized fibula transfer with a skin paddle and functional soleus muscle for forearm reconstruction. This is called talar shift and the ankle joint is unstable.Autologous grafts have been fundamental to reconstruct bony defects for more than a century the first description of free fibular graft transfer, however, was reported by Taylor et al. If they are not and the talar dome is not parallel to the tibial plafond, the syndesmosis has been torn. The joint spaces around the talus should be the same all the way around. whether there is another fracture (medial malleolus, talus).whether there is displacement (translocation, angulation, rotation).what type of fracture (transverse, oblique, spiral, comminuted).where the fracture is in the bone (relative to syndesmosis).Once you have seen the fracture, remember to describe: Remember that avulsion injuries may be small, and just involve the tip, or the internal surface of the malleolus. If there is a lot of soft tissue swelling over the lateral malleolus, but no fracture, then there has been a ligamentous injury. The AP and lateral views from an ankle x-ray will almost always allow detection of a lateral malleolar fracture. It is worth noting that fractures may be invisible on one projection. In most cases an ankle x-ray is all that is required for diagnosis and follow up. This results in widening of the distal tibiofibular joint and loss of integrity of the socket. In Weber B and C fractures the syndesmosis may have been torn (partially or completely). Weber C: above the syndesmosis (unstable).Weber B: at the syndesmosis (possibly unstable).Weber A: below the syndesmosis (stable).The commonest classification is the Weber classification that uses the position of the fracture relative to the syndesmosis to group fractures: ClassificationĬlassification of distal fibula fractures attempts to split fractures into groups by severity. The syndesmosis is a strong ligament that pulls the tibia and fibula together just above the distal tibiofibular joint. This socket is only functional because the tibia (medial and posterior malleolus) and fibula (lateral malleolus) are held together tightly by the syndesmosis. The ankle is a pseudo-ball-and-socket joint the talus is the ball and the distal tibia and fibula act as the socket. They tend to cause fractures that are higher up the fibula and the rotational component of the injury may cause syndesmosis tears. In some cases, inversion coupled with rotation leads to a more complex injury. Avulsion injuries do not involve the syndesmosis and the ankle remains stable. This results in either a pure ligamentous injury (complete or partial tear) or avulsion of the tip of the fibula (the lateral malleolus). A pure inversion injury will result in tension being applied to the supporting soft tissues of the lateral ankle, particularly the lateral collateral ligament. Most ankle injuries occur because of an inversion injury. inability to bear weight both immediately after injury and during clinical examinationĪn ankle x-ray series (AP and lateral views) is usually all that is needed to make a diagnosis.Īnkle fractures may be the result of a vast array of injuries that range from an inversion injury to a complex high energy trauma sporting injury.point tenderness at the posterior edge or tip of the medial malleoulus.point tenderness at the posterior edge or tip of the lateral malleoulus.The Ottawa ankle rules allow evidence-based decision making regarding the need for plain radiographs in patients with a traumatic ankle injury.Ī plain film radiograph is indicated in the setting of trauma if there are any of the following clinical examination findings 1: Most patients present following an episode of trauma with ankle pain, tenderness and an inability to weight bear. Risk factorsĬigarette smoking and obesity are both risk factors for ankle fractures. motor vehicle accident, sporting injury), while older patients present following minor trauma (e.g. Young patients present following injuries in relatively high-energy trauma (e.g. Ankle injuries, like many fractures have a bimodal distribution. ![]() |
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