Dr. Lynn Snyder-Mackler

@NuelleSportsMD 2/2. Osteotomy w or w/o revision reconstruction, UKA/ if no PF OA. which we cannot see. big range. I

@NuelleSportsMD Looks like a trans tibial tunnel with suspension fixation on the femur. Absent the original indications and year? I could guess, but why? However many years later, there is medial compartment OA that is severe and depending on age (big range, and graft status) , Answer 2/2

ACL Friday! Can you identify the implant/technique and guess the year it was placed?

@ChrisDJackson @DrBiden 👍

Getting really tired of some “Democrats” acting like @DrBiden has no right to tell her side of the story or promote her own memoir. She stood by her husband and family, did the work of First Lady, kept teaching, showed up every day, and carried herself with humility and grace through more than most people could handle. She has more than earned the right to tell her story in her own words. I don’t know about you, but I’m looking forward to her book. I’ve got Dr. B’s back. Do you?

@HunterBiden Congratulations Hunter

Almost seven years clean and sober. Not a victory lap. Just a fact. To anyone in the fight right now: it gets quieter. Not easier. Quieter. In the quiet, you find out who you actually are. That’s the part they can’t take from you.

@BarackObama 🎯

Barney Frank was one of a kind. For more than three decades in Congress, he fought tirelessly for the people of Massachusetts, helped make housing more affordable, stood up for the rights of LGBTQ+ Americans, and helped pass one of the most sweeping financial reforms in history designed to protect consumers and prevent another financial crisis. Barney’s passion and wit were second to none, and our thoughts are with his family today.

@layxsnv B? Oxford comma and all

Okay, where are the English scholars, which one?

@drkeithsiau @Ghost_Pilot_MD 5th metatarsal stress reaction.

@Ghost_Pilot_MD No trauma / sprain - and no, I haven’t had drunken blackouts 😅

This is my swollen ankle - started this weekend and needed crutches to do my ward round. Glad to have made it to Milan, but I’m now paying the price! PS what’s my diagnosis? 😂

@drkeithsiau @smallstminority yes, acute flat foot indicates posterior tib rupture

@smallstminority Correct about the flat feet. Is there such a thing as acute flat feet? 😂

@drkeithsiau @hjluks Could be knee. not at all what we see with gout. swelling from a knee injury is usually diffuse/puffy worse later in day. Focal pain directly over the outer ankle or 5th metatarsal could suggest an actual foot/ankle injury such as 5th met stress rx/fx, ankle sprain

@VinGuptaMD How about what we are living in now?

Young people deserve so much better than the world we’re leaving them.

@TheRickWilson good lord it’s unimaginable that anyone…

Good Lord, Trump is honestly so stupid and self-destructive it defies the imagination.

@hjluks Medial thigh and knee pain are common Sx

This should be a never event. Second opinion for knee replacement. Granted. Complaint was knee pain. Not hip pain. Only knee pain 🤦‍♂️ Rotate the femur folks.

@NuelleSportsMD @Robptatcscs @hjluks Amen to that

@hjluks It is not an exaggeration to say 85% (or more) of our patients would benefit from/need some form of physical or occupational therapy. For every patient that may need an operation I see 5 that don’t. Send. Them. To. PT.

Fun day .. “You’re my 5th opinion.” Knee injury These are usually a problem. Previous 4… -Only one exam -All repeated X-rays -2 MRIs. - One Special NY hospital often insists their MRIs are better and wants new ones 🤦‍♂️. The fourth doc started PT 🙌 🥳 4 surgical recommendations... but 3 different procedures. PT is working. Me: “Do you think you need an operation?” Them: No. I feel pretty good. Me again. “Cool… nice meeting you. Have a great weekend”. I wish these were rare or isolated cases.

@hjluks @DrCHuber They should be in the water

@DrCHuber Bull💩… total nonsense.

Statins drugs are not needed by anyone. They obstruct your essential cholesterol and CoQ-10, and that damage impairs heart and brain and immune function, and increases cancer risk. If you know anyone on a statin, they need this article ASAP. open.substack.com/pub/unbekoming…

@DrCHuber Bull 💩! They should be IN THE WATER!!!

@S_____C_____ @agordon55 @LenMacPT email me smack@udel.edu.

@doclsmack @agordon55 @LenMacPT Do you have links to those papers? I truly am curious because the QT graft is a polarizing topic in PT right now

Former College soccer player 2+ years out of ACL-QT graft and trying to play pro soccer BUT she can’t get the strength back in her quads.

@LenMacPT @agordon55 Re Achilles, the evidence is absolutely not the opposite. No blue check so my answers on X are short. Don’t know why you are so defensive. You clearly have a problem with your QT grafts. Why not try it?

Wish I had better results but also seems counterintuitive to put a muscle/tendon on stretch and isolate it with resisted extensions to prevent it from stretching out. We do the opposite for an Achilles and it’s still sometimes stretches out. What do you think is the mechanism and why do we have to be so specific? Does it apply to all quad tendon grafts or just full thickness dissection? What about partial thickness dissection? What about ones that use a bone dash tendon?

@AdamKinzinger It’s a high school that he was enrolled in by his parents because of his unruly, rebellious behavior andtroublemaking at his previous school.

Hahahhahahahaha toy soldier really hopes you think the military academy is the military! It ain’t lol

@agordon55 @LenMacPT Abby, I don’t know why it hasn’t. we have been banging this drum for quite a few years now. We have published papers on it and incorporated it into our open source ACL practice guidelines for some years now

@doclsmack @LenMacPT Interesting… I haven’t thought of it this way before and it makes sense as something to consider and add in… if this approach really has a big impact for patients with QT grafts, the word doesn’t seem to have gotten out and the struggle with these patients is so massive.