So does the fact that Tiger is having surgery on bilateral leg injuries indicate that they are each severe leg injuries? Not necessarily. 1/n
It is an orthopaedic trauma guideline that multiple extremity injuries, especially bilateral lower extremity injuries, and especially fractures, require surgery, regardless of the severity. 2/n
The reason is that, even if any single injury is not severe, the multiplicity or bilaterality makes it difficult to stabilize injuries enough to mobilize a patient without surgery. 3/n
With bilateral lower leg injuries, surgical stabilization allows rehab and recovery to start much earlier. Without surgery, patients may be wheelchair bound, or what we call bed-to-chair bound. 4/end
One of the LA County police officers mentioned that Tiger was in shock. Medically, that is probably unlikely. There is a specific medical definition of shock and it is very different from a lay persons definition of it. more/
A lay person says someone is in “shock” when basically they mean “they were shocked by what just happened.” Medically, to a trauma surgeon, being in shock is far worse and often can be life threatening.

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More from @bambam1729

24 Feb
So here are the ?s and some answers about Tiger and his injuries. First of all, Tiger and his handlers are notoriously secretive so we will likely not get full information. That is always a patient’s prerogative, and with HIPAA, treating MDs cannot reveal details. 1/n
Tiger had a “rod” placed into his tibia for tibia fracture(s) – this is what we usually call in orthopaedics an IM nail = intramedullary nail. It runs down the middle of the tibia (or other long bones) and stabilizes the fracture while it is healing. 2/n
His fracture was said to be comminuted. Comminuted is a fracture classification, as opposed to simple. Simple fracture = breaks into 2 parts only; comminuted fracture = breaks into more than 2 parts – could be parts, could be 100 3/n
Read 21 tweets
24 Feb
As a comparison, here are pictures of Tiger's car and Hogan's car after the two crashes ImageImage
Being hit by a bus is not a good thing. Also, cars are a lot stronger in 2021 than in 1949 to enable people to survive the crash longer.
Also, possible had Hogan had the accident in more modern cars, and been wearing a seat belt, maybe he would not have survived. He threw himself across his wife to save her.
Read 4 tweets
24 Feb
And for the media "compound fracture" is an archaic term that orthopaedists never use anymore. The correct term in use since the early 1980s, at least, is an "open fracture" as opposed to a "closed fracture".
An open fracture is one in which the skin is broken overlying the fracture and the break in the skin communicates with the fracture hematoma, or blood collection from the fracture.
Yes, bone fractures produce hematomas. Not well understood is that bones have a blood supply, and bones bleed when they are fractured.
Read 5 tweets

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