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Bill Mallon

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24 Feb, 4 tweets, 1 min read

As a comparison, here are pictures of Tiger's car and Hogan's car after the two crashes

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.

Hogan could likely not have done that wearing a seat belt and as you can see in the picture, the steering wheel would have impaled him had he not been able to move. However, in a more modern car the damage would not have been as extensive either.

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Bill Mallon

@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 22 tweets

Bill Mallon

@bambam1729

24 Feb

https://twitter.com/DanielNMiller/status/1364363635045228545

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".

https://twitter.com/DanielNMiller/status/1364363635045228545

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

Bill Mallon

@bambam1729

23 Feb

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

Read 6 tweets

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