#comminuted fracture

[forensicfield]

Types of Bone Fractures

The various types of bone fractures exhibit distinct characteristics and can be classified accordingly. #Typesofbonefractures #forensicscience #forensicfield #forensicbiology

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[turtle-titan]

*kicking my feet, twirling my hair in my finger, giggling* so what kind of fracture do you think mikey’s legs got in exodus? :3c

[pangur-and-grim]

hey how long after your broken leg were you walking? im 5 weeks into a broken leg and im starting to lose my mind a little at not being able to walk

oh god. good luck!

you might have a better recover time than me, depending on your type of break? mine was a comminuted fracture, which take longer to heal (because your bone is totally fucked). but I can give my rough timeline:

Feb 28, leg broke

April 10, can put weight on leg, walking with cast on

May 1, walking without cast indoors (though still wearing the cast outdoors)

May 8, able to walk outdoors without cast

June 28, able to walk for long periods without limping

August (still to come!) able to go back to weight lifting as a hobby

[cripplecharacters]

Is it realistic to use a cane/crutches to beat the shit out of someone/run someone over with a chair/rollator/etc? I would personally do it but I wonder if it's different for those who use different aids. (If the context matters, it's between two characters who don't really care about larger ramifications in a kind of typical dumb teen delinquent way, they have a vitriolic relationship where they get on but express their emotions by brawling in the parking lot and such things)

Hello,

Not very.

Most mobility aides are not structurally sound enough to be used as a weapon, meaning they would bend, dent, or otherwise break if used to strike someone or something. And if you are reliant on your mobility aid to get around, you wouldn't want to risk damaging it by using it as a weapon in a fight. You might need to use it to run away, and it's very hard to run away on dented crutches. Plus, if it's damaged, you will need to replace it, and replacing your mobility aid can be a real pain and very expensive. Unless they have one of those fancy canes that are specifically reinforced for combat purposes (which are hundreds, if not thousands, of dollars and far heavier than normal canes,) they'll either break their mobility aid or they won't put enough force behind the swing to do damage. It would be a desperate last resort measure.

(Plus, assuming your character can swing a cane or crutch hard enough to do actual damage, it would be very easy to accidentally put someone in the hospital or even the morgue. You aim an aluminium pole at someone's temple or neck and you run the risk of killing them even if you don't put a lot of force behind the swing. Same problem with the face. Hit them in the gut and you can damage organs, at the chest and you can accidentally snap ribs or stop the heart. Aim it at a joint and you could severely mess up said joint. Aim it at the back and you run the risk of messing up organs or the spinal cord. Aim it at any bone beyond something like the femur (trust me, hollow aluminium pole is not going to do more than bruise the femur unless you're Superman, you will break the cane or crutch long before you will so much as crack the femur) and you could cause a serious break, like an open or comminuted fracture. Even aiming it at a major blood vessel like the femoral could cause catastrophic internal bleeding or haemorrhaging. That's another reason it's a last resort measure, because if you can do actual damage, you're likely to do a lot of it. Remember, a mobility aid is still a metal pole. You would break it if you put enough force behind it to cause damage, but there is a potential for serious harm there that you don't want to take unless it's life-or-death.)

You could roll someone over with a rollator or wheelchair. I have seen people run over other people's feet using the wheels of their wheelchairs (one famous example is that Stephen Hawking used to run over the feet of people he did not like with his wheelchair.) You wouldn't be able to run over someone's body with it, that's far too uneven a terrain, but running over someone's foot or hand is plausible. Unlikely to do any real damage, but plausible and at least likely to hurt due to the number of nerves in the hand and foot.

Using a mobility aid as a weapon is a last resort measure- I've seen people state that they would sooner look for an improvised weapon such as a plank of wood before they considered using their cane or crutches to whack someone. If you're writing it as a last resort measure, yes, it can be realistic. But very few people are going to swing at someone's head with a cane if they're just in a little spat or are just sparring. Plus, using this trope just reinforces the idea that disabled people's mobility aids are threats. A cane or crutch is already seen by cops as a potential bludgeon, a prosthetic leg as a potential bomb, a wheelchair as somewhere you can hide weapons. Even though the use of mobility aids as weapons is a very rare occurrence, people assume it is more common, so everyone using a mobility aid is treated as a potential threat or even as if they've already done something wrong when they haven't. And if you attack someone with a mobility aid, it's seen by the law as less of a crime because "they have a weapon and just didn't use it." Best not to perpetuate the stereotype as it does have real-world consequences.

I'd give them some other form of weapons if you would like them to engage in armed combat.

Mod Aaron

[literaryvein-reblogs]

Writing Notes: Fractures

The illustrations above feature common sites where fractures occur.

Fracture - a complete or incomplete break in a bone resulting from the application of excessive force.

Symptoms of fractures usually:

begin with pain that increases with attempted movement or use of the area and swelling at the involved site.

The skin in the area may be pale and

an obvious deformity may be present.

In more severe cases, there may be:

a loss of pulse below the fracture site, such as in the extremities, accompanied by:

numbness,

tingling, or

paralysis below the fracture.

An open or compound fracture is often accompanied by bleeding or bruising. If the lower limbs or pelvis are fractured, pain and resistance to movement usually accompany the injury causing difficulty with weight bearing.

A fracture usually results from traumatic injury to bones causing the continuity of bone tissues or bony cartilage to be disrupted or broken.

Fracture classifications include:

Simple fractures (more recently called ‘‘closed’’) are not obvious as the skin has not been ruptured and remains intact.

Compound fractures (now commonly called ‘‘open’’) break the skin, exposing bone and causing additional soft tissue injury and possible infection. [NOTE: A single fracture means that one fracture only has occurred and multiple fractures refer to more than one fracture occurring in the same bone.]

Fractures are termed complete if the break is completely through the bone and described as:

Incomplete or ‘‘greenstick’’ if the fracture occurs partly across a bone shaft. This latter type of fracture is often the result of bending or crushing forces applied to a bone.

Fractures are also named according to the specific part of the bone involved and the nature of the break. Identification of a fracture line can further classify fractures.

Types include:

linear,

oblique,

transverse,

longitudinal, and

spiral fractures.

Fractures can be further subdivided by the positions of bony fragments and are described as:

comminuted,

non-displaced,

impacted,

overriding,

angulated,

displaced,

avulsed, and

segmental.

Additionally, an injury may be classified as a fracture-dislocation when a fracture involves the bony structures of any joint with associated dislocation of the same joint.

Source ⚜ More: Notes & References ⚜ Writing Realistic Injuries

[nyx-fey]

Was trying to finish a TFP fic, when Keferon's apocalyptic ponyo au absolutely full-body possessed me. Ended up writing about dratchet instead lol

https://www.tumblr.com/keferon/777869602801795072/alright-hear-me-out-ratchet-as-a-steller-sea-lion?source=share

(I know Gemma Inkyboots on Ao3 already has a couple (really, really good- you should read them if you haven't already) fics on apocalyptic ponyo dratchet, so in the effort of staying unique I'm focusing on the au's pre-dratchet backstory. There's not gonna be much, if any romance, and a lot of angst.)

Also trigger warning just in case, the injuries that Ratchet sustains in this AU are really, really bad. I'm not sure if the way I described it here was enough to quantify straight up body horror, but it is a bit visceral. Probably don't read if that wigs you out.

(also this is my first time posting anything I've written here pretty please be patient if I've done some sort of faux pas, just let me know and I'll try to fix it)

In The Poachers Net

Ch.1

His body was on fire.

Patient has multiple deep lacerations, is hemorrhaging from the superficial palmer vein, tarsal plexus, and median arteries. Serious blood loss. Possible bacteria introduction from unclean blades. High risk of infection.

Salt from the sea seared against his open wounds. Every movement, every tiny flinch sent lancing pain through the fibers of his body. He couldn't stop, he couldn't get away from it, he couldn't escape-

Multiple traumatic muscle strains, ranging from grade II tears, to complete ruptures. Especially along the right and left supraspinatus tendons, and the right and left rotator cuffs. Complete ruptures of both the flexor hallucis, and flexor digitorum.

He. He was sinking. He was sinking too fast. He couldn't swim, couldn't get back up. He couldn't get away from the boats. He couldn't get away from them.

Luxation of both glenohumeral joints, and Subluxation of left pelvic girdle joint. Compound fractures on both the left and right humerus, with further greenstick and comminuted fractures on the right humerus. Possible impact fractures across multiple lumbar vertebrae, further examination required before treatment can proceed.

Away away he needs to get away. He needs to escape. HE NEEDED TO SWIM.

Amp. Amputation-

He could just make out the surface, through the shadows of the ships and the mud kicked up from the nets and anchors and hooks. The light of a distant sunset just barely breaking across the waves.

It was red with blood.

Patient is experiencing tachycardia, and oncoming hypothermia . Hemorrhagic shock highly likely, if not already ongoing.

He couldn't reach it. He hadn't taken a breath before they'd dropped him back into the ocean, too caught up in the confusion and ropes and pain, god so much pain.

It is impossible to know at this time if the patient's confusion and dizziness is caused by shock, panic, or hypoxemia.

He needed to breathe, he needed air. His lungs already hurt from screaming, and he'd probably swallowed some sea water in his panicked drop. But the light from the surface was so far away, and it was only getting farther. His arms weren't strong enough on their own to lift him to the surface, not over the weight of his tail-

His tail-

He wasn't. He wasn't going to make it. Every desperate push was only working to burn through what little oxygen he had left. He couldn't call for help. Not anymore, not with no air, and a ragged voice. He wouldn't want it to come anyway, if someone else got caught up in this blood bath because they were trying to save him-

Please someone, anyone save him-

Patient has begun experiencing symptoms of hypercapnia, exacerbated by an acute stress response and physical exertion. Submersion injuries expected.

He could hear his heartbeat, ringing deep within his ears, but he couldn't tell if it was too slow or too fast anymore; His count kept getting lost in that distant red, and faint thumping of the waves. The shadows from the boats overhead were blurring together, growing into a large inescapable mass that blocked out the sun.

The pain was starting to fade, everything was getting colder.

His lungs burned.

You are going to die.

Ratchet tried desperately to steer his thoughts towards home. He wanted, more than anything, for his last moments to be spent remembering family and laughter and safety and warmth.

But all he could think about as his vision clouded over was the cold creeping dread of feeling another poachers' net wrap around his form, dragging his dead weight right back into hell.

The last thing Ratchet saw before everything went dark was a blinding light, and the color gold.

[lsunstreakerl]

Famiglia-Familie

Chapter One Analysis:

First off- most of chapter one is kind of over a few concurrent days, so this is a bit shorter than my analysis for the other chapters is going to be.

- I imply in later chapters that Max sees more of the accident than what I actually write in chapter one, and that's true! There's a couple of reasons for that, one being that I just didn't want to write that, and the other being a super convenient excuse for reason one! the human brain, especially a young one (like, maybe, 14?) is going to block out a traumatic event, especially the finer details. Max's brain is literally rewriting what he's seeing in front of him and during the actual crash, in order to try and minimize the psychological damage.

- This ties into the way that Max struggles to even refer to the accident later on- he cuts himself off before he says "Jos", he won't call it "the accident" or even really think of it at all. Max divides his life solidly into a "before" chunk and an "after" chunk.

- "But issi/sunny, why was Force India even there?" Honestly, the way GP and Max meet in this fic is complete chance. There are so many spots where it could have gone otherwise, but it doesn't. I mention at the beginning of the fic that it's leading up to the race weekend, but it's still a wednesday, so there's a lot of the support staff driving around. A group of the Force India guys, including GP, were carpooling back to the hotel when they see the accident site, and they're genuinely just being good samaritans when they stop their car and start trying to help people.

- Max's arm is bothering him a bit while he's still stuck in the seatbelt, but the way that it has him restrained, (which he can't see) is actually doing him a bit of a favor at that point in the fic. It's cutting off blood flow, so Max isn't feeling how majorly fucked up his own bones are. (For curious minds: in this fic, Max has a spiral fracture down the body of his right distal ulna, comminuted fractures across his fingers in a few spots, and an impact fracture on the distal end of his right radius. There's some impact damage on the proximal ends as well, where the elbow joint forms, but it's not as severe as the fingers and wrist.)

- Because of the way Max landed, Hayden isn't able to see the way his arm is caught in the seatbelt until he asks Max to start moving, at which point he asks for the knife. Hayden does have a moment here where he's looking at the injury and wondering if it might be better to let EMS cut Max out, but he's worried they won't get there fast enough, and this is a kid, trapped in a metal van, when there's lightning out, and he makes the decision to cut Max out, and whatever those consequences are he's willing to live with them. (Triage is traumatic and stressful and for those of you who care about original side characters, yes, Hayden goes to therapy.) ((also because he saw a dead man))

- When Hayden cuts Max out of the seatbelt to pull him out, Max gets that blood flow back, which allows his arm to tell his brain "we have a problem!" Which is why he starts screaming. Rough night for him.

- Max is having such a genuinely awful night the entire time that that as soon as he's out of the car and someone (GP) is being kind to him, he decides he's going to cling, and he's not going to let go, and there's nothing anyone can do about it. GP is such a genuinely nice guy, and Max is tugging at all of his heartstrings, that he's like "sure I'll go to the hospital" because GP and the Force India crew could see Jos, and they know that Max is alone now.

- Max gets morphine in the ambulance. yippiee!

- Max is terrified in the hospital, because of everything that's been happening, and his arm, and all he has now is this unfamiliar stranger he'd decided to cling to, so he's like "fuck it, all in, I'm attached to this guy now" and then he doesn't want to even let GP consider leaving, which is why he makes life harder for the hospital staff by refusing to let go of GP.

- The Force India guys called Colin as soon as they pulled over, letting him know about the accident and that they were going to help. Colin keeps in touch with all of them throughout the night, finds out from one of the other guys that GP is with a random kid in the hospital, and acts accordingly. (Has people collect emergency supplies for a teenager and put it in GP's room)

- GP has a reputation in the garage for being soft hearted, so no one is at all surprised about how the situation actually ends up, because of course the guy who always breaks for squirrels and gets out of his car to carry a turtle across the road takes in a child in an emergency, that's just how Gianpiero is.

- When GP first calls Colin is the hospital, he's mostly just getting reassured that it's all okay, and to do whatever he needs to do for the kid. Colin tells him that if Max needs to come to the garage with him for the next few days, Force India can accommodate that.

- Max isn't really thinking about the "not talking" thing until he's confronted when the social worker, where he makes the conscious decision not to speak, both because "that makes everything real" and also because he's in an unfamiliar country, and he doesn't have a legal adult taking care of him, and he doesn't want to say the wrong thing and accidentally back himself into a corner.

- "He didn't get letters for very long" is one of the subtler more heartbreaking lines, because Victoria continues sending him letters for months, Jos just doesn't let Max know about them, so Max thinks Victoria stopped sending them, and Victoria thinks her older brother doesn't like her.

- GP goes through the legal hoops in the background of this fic. Colin has to vouch for his employment status a million times, he has to call the British Embassy in Germany to get the ball rolling on emergency foster certification and then standard foster certification, he has to get the emergency foster certification from Germany, and he has to juggle so many emails. Your average person would be completely overwhelmed, but GP is a race engineer, and being overwhelmed is kind of his job, so he handles it pretty well.

- Max goes into emergency surgery to handle some of the worst parts of his arms and fingers, but the hospital is still super clear with GP that Max needs to have some follow ups. (Max ends up with some serious hardware in his hand. He still has struggles with fine motor skills, and he's got killer osteoarthritis in his fingers, wrist, and forearm, but the brace helps with it.

- "issi/sunny, any hospital that lets a pediatric patient leave that soon after a surgery of that magnitude without a thorough welfare check should be ashamed of themselves!" IM NOT HERE TO BE REALISTIC IF I WANTED THAT I WOULD GO TO WORK.

- Max not looking in the mirror goes hand in hand with him not speaking, or acknowledging the accident. He knows he's injured, he knows as soon as he sees himself in the mirror with his injuries that he can't fool himself anymore, so he's not looking at all.

- GP has no idea what to do with a teenager, which is why he's kind of awkward at first. It's important to note that GP, again, has zero clue who Max is. GP thinks he's taking care of a kid who had a normal home life before a traumatic accident. GP does not think he's taking care of a kid who was already traumatized even before the accident, and he's not able to pick up on some of those warning signs until he and Max are living together.

- "Why doesn't Max go straight to Michael?" Max is 14, and has been told his entire life that nothing is more important than racing, and so of course this would be true for a world champion as well, and Max is so petrified of being a burden that he doesn't want Michael to know at all, because he knows Michael will drop everything to take care of him. (He's been raised to think that kind of behavior is soft and he doesn't need it.) He especially doesn't want to tell Michael right before a race as well. Max is also still trying to pretend it's not real, so the less familiar faces he's around the better.

- Max gets really into the data partially as a coping mechanism, because if he's looking at the data and trying to learn then he's not thinking about the accident. This is also why listening to GP read it out loud is soothing to him. GP has a nice voice, and Max can listen to him rattling off numbers and variables for hours. This is also the beginning of a little routine for the two of them when one of them is having a hard time, where they sit and they go over data together. (nerds)

- The Force India engineers are so excited to have someone genuinely interested in what they're doing that they fall in love with Max immediately.

- The Force India garage also knows why GP has Max- they know that Max is from the accident, and they know he's very grim and quiet, so they actually do kind of make a game out of trying to make him laugh, or at least smile.

- Yes, that is the actual qualifying and race results for Force India in the 2011 German GP.

- I don't actually know if Paul di Resta is a good guy or not, and I didn't want to look it up. ignorance is bliss and all that.

- Max taught himself to be ambidextrous because he thought it would be a cool party trick, and instead it's totally saved his ass now that he literally can't move his right hand.

- "issi/sunny, did you actually look at places for rent in Buckingham for this fic?" guys, I ended up on one of the Buckingham city council's 117 page documents detailing next years public transportation plans from like 2013. do not underestimate the depths I will go.

- Max trying to figure out what he would even want in his room is a bit heartbreaking, and GP doesn't understand why Max struggles with it so bad. (Again, GP is assuming Max lived in a house somewhere, when Max's house was the van, and the van is gone.)

- GP gets attached to Max almost immediately. Here is this quiet kid, from a horrific accident, and he's so scared, and for some reason he's putting his trust in GP, so GP isn't going to betray that. And then GP finds out that his quiet kid is so smart, and that he likes looking at the data, so of course GP is like "give him all the data he wants" and the garage loves him because he's quiet and well mannered and genuinely interested.

- Word gets around the paddock pretty quick about the accident in general, because it made local news, and then it also spreads that one of the race engineers from Force India is actually taking care of a kid from the accident site, so Max has always got people looking out for him when he's around the paddock. (Max doesn't realize this in the fic) he's quite literally a grid kid, in the realest sense.

- GP spends the entire time he's driving from his old flat to the new house freaking out about the whole thing. He's very careful and responsible to not ever show that in front of Max, but trust that there are multiple points in this fic where he is internally flipping his shit.

Feel free to ask questions/request clarification on things! If you actually read to the end of this 🫶

[strandnreyes]

Ooh that .5 fic sounds so good!! I really loved the little glimpse we got in 404 of grumpy baby Carlos on a stretcher, and that man would def NOT be good at accepting help!

thanks!! A little bit of grumpy Carlos for you:

“Just a broken leg.”

TK huffs and looks down at Carlos’ body. “Can I…” He gestures towards the blankets covering Carlos’ lap. “I’ll be careful.”

“Yeah.”

Carlos helps him slide the blanket off his left leg to reveal Carlos’ shin propped up on a stack of pillows, surrounded by ice packs. It’s fully covering the limb, keeping TK from seeing if it’s bruised or cut.

“‘Just a broken leg’,” TK grumbles.

“Hey. Compared to gunshots and comas, this isn’t so bad, right?”

TK lets out an exhale and finally looks at his husband's face again. “So, what’s the damage?”

“Comminuted tibia fracture.”

“Com—” TK pinches his nose and then juts his hand out. “Carlos, you need surgery.”

Carlos blinks at him. “I know; they’re getting an OR ready.”

“Oh my god,” TK says in disbelief. “‘Just a broken leg’, you made it sound like they’d cast you up and give you some pain meds and we’d be out of here.”

Carlos huffs and looks particularly grumpy. “I wish.”

[maounteighn]

Hear me out.

AK-Amputee!Orel

I've already seen mobility aids hcs for Orel, but taken his initial physical trauma + shit show of a medical help he received for it, it's not impossible for his leg to start deteriorating in the future.

i think it's canon that he got a nasty femur fracture from that shot. they were hunting game at least as big as a deer, so the bullet Orel got was also scary big. there's no way he got away with just a crack. it probably was comminuted fracture, it requires more intervention than just a cast. so in the end, his limping was probably coming from incorrectly healed bone and tendon I imagine once he is able to seek competent medical help as an adult, it would be a bit to late to regain anything. In the end, above the knee amputation becomes the only other option.

Of course, amputation comes with it's own issues like nerve damage and phantom pain etc., but is still be better that nothing. Also, he would be able to resume tracking once he heals and learns how to walk and run with a prosthetic.

[eirianerisdar]

As a supporter of Daniel and as a doctor, I'm gonna break this down for you guys

He broke his metacarpal. Not his wrist.

The metacarpals are the five long bones in your palm, an example of which has K wires as shown here:

2. I don't know which metacarpal he broke or how he broke it. The site, severity, and displacement of the break will all determine how best to handle it. But usually, there are two choices Daniel and the team can make.

Option A: he could opt for a closed reduction and EXTERNAL fixation, or CREF for short, which involves straightening the bone without any operation and securing the break with a splint. In this scenario he would be out of commission for at least 6-8 weeks while the fracture heals completely.

Option B: If he opted (or if it is necessary because the fracture is comminuted) for closed reduction and INTERNAL fixation (CRIF) with K wires (seen in the xray example above) which would go through the back of his hand and into the bone to hold it in place while it heals, this would negate the need for a splint and mobilisation of the hand could start immediately.

HOWEVER, it is important to note that mobilisation DOES NOT equal driving an F1 car.

As we saw with Lance over the summer, he had an operation immediately. This meant he didn't need to have a cast as the bone was fixed internally and not externally. However he still needed a solid week and a half of physio to be deemed fit to drive.

I don't know how bad Daniel's break is. Even if it was necessary or he was given the option for K wire fixation, the last thing anyone would want would be for him to be pushed to drive too early and for the break not to heal properly/there to be other complications.

TLDR: If he is given the option to splint and he chooses that, he's out for 6-8 weeks. If he choses to K wire, he may return sooner (even arguably next week in Monza) but he would need an orthopaedic doctor to SERIOUSLY commit that the K wire fixation will stand up to the stresses of driving an F1 car.

Edit 27/8/23: Follow up post here after Daniel's surgery

[radioactiveradley]

Hi! I have a question: can broken or fractured bones be seen in MRI scans and CT scans?

Also, when and how do doctors determine whether an MRI or CT scan is needed after an x-ray (in case they didn’t see a problem in the x-ray or unsure if there’s a pathology or not on the x-ray scan)?

Thank you!

Hello!

You can absolutely see broken/fractured bones on both MRI and CT. If we're specifically looking for bony damage, we're more likely to use CT - MRI is the best modality for looking at soft tissue injury, but is far more expensive than CT, so we're not going to use it for any old break!

We use CT to look at complex, 'comminuted' fractures, where the bone has split into multiple fragments, or in other cases where surgeons really need a clear three-dimensional view of the break.

If it's a clean transverse fracture (horizontal snap of a long bone) you probably won't need CT.

However, if you have this shit going on...

(unstable comminuted fracture of left femur due to gunshot wound, courtesy of radiopedia)

Yeah, it's probably CT time.

Similarly, some fractures can be hidden when using X-ray - particularly intra-articular fractures (breaks within a joint).

Intercondylar fractures of the humerus or fractures of the radial head are a classic example. In these cases, we look at the plain radiograph for other markers - particularly signs of haemarthrosis (bleeding into a joint).

Fat pad sign, on a non-displaced radial head fracture that is otherwise invisible on this elbow radiograph - courtesy of wiki

Can you see the slightly darker, raised areas that the red arrows are pointing to? Those are pads of fat around your elbow joint, which usually aren't nearly so obvious on a radiograph. They've been pushed outwards by soft-tissue swelling and bleeding around the break. If we see these two little 'dark flags', it means there's an injury hidden within the elbow joint itself, which we can't see. So, away to CT the patient goes!

Then we have the fabulous lipohaemarthrosis (the word every first-year student dreads having to say out loud in front of qualified staff). Check this baby out!

Lipohaemarthrosis of the left knee due to a hidden tibial plateau fracture, courtesy of radiopaedia

Look on either side of the patella. See those dark blobs? They're fat. As shown on the elbow image, fat is radiolucent (appears dark on X-ray) in comparison to other soft tissue. Fat also floats on top of blood.

This means, if we lay you down with your knee pointing up, and you happen to have free-floating fat and blood around your joint... the fat bloops up to the top, and you get a clear line between the fat and the blood. This is a very clear sign of intra-articular damage - and, again, you'll be heading to CT to get a three-dimensional look at that hidden fracture.

As for when we would use MRI... If we suspect that you have a serious soft-tissue injury that requires surgery (tears to the anterior cruciate ligament in the knee being the classic example!) that's when you'll get a trip to my favourite magnetic man, Big Boomy Chungus. I can go more into that if you want, but it would probably need its own separate post!

Hope that helps! x

[tewwor]

𝗘𝗡𝗧𝗘𝗥 𝗡𝗘𝗪 𝗦𝗢𝗥𝗖𝗘𝗥𝗘𝗥 … like for a starter and/or ask! multi's please specify

STATS .

name: yuma kochiya

alias: tba

age: 34 ( verse dependent )

height: 5'11''

gender & sexuality: cis man ; he/him & bisexual

family: yasuo kochiya ( brother, deceased )

occupation: doctor at a small clinic during the day & on call semi-grade 1 jujutsu sorcerer / nightshift doctor at tokyo jujutsu high

fc: tba

CURSED TECHNIQUES & ABILITIES .

bone destruction ( names of fractures — oblique, compression, comminuted, segmental, avulsion, etc ) & regeneration ( fuse ): able to break, splinter, crush, etc. any bone in his, and another's, body at will. the need for physical contact is required when manipulating others. he's also able to regenerate, mend the bones, and transplant marrow to boost blood regen.

density manipulation ( brick - heavy & feather - light ): this ability allows him to shift the density of bones at will i.e. 'hollow bones' and 'dermal armor'.

osteokinetic constructs ( manifest ): can turn bone into tools, objects, weapons and other items, create semi-living constructs and/or create structures/buildings of varying permanence. being rather efficient and near masterful with his technique, yuma's able to create anything within his mind's eye.

invisibility awareness ( passive ): yuma is able to detect anything that is made of bones — living or dead. thus, makes it practically impossible to sneak up on him if someone, or something, has a skeleton.

puppetry ( rally ): able to control and morph skeletons at will. very rarely does yuma resort to this as he thinks it disrespectful to the deceased & the living ( unlike his family ).

wing manifestation ( silver vein ): able to construct skeletal wings that act as both defense and offense. despite it's name, yuma isn't able to fly with these additional limbs.

HISTORY .

tw : car accident

The rumbling ambiance of gravel paths against thinned treads is what wakes you. Slow, like the meandering of that stormy cloud across the crescent moon above. You hear the faint wash of radio talk crackle from tinny speakers. Breathe in verbena buffed leather and clove scented smoke. The faintest tap, tap tap punctuates the switch in talk show speakers before a familiar, "hey-yo, sleep well?" pushes you further into the present. The first response you give is a groggy huff. Then a whine curls with the back of your tongue upon stretching what you can in this all too cramped car. Something's said about how you slept well enough with all things considered. Your older brother answers back with a huff of his own. Ends on an understanding, "fair 'nough" before a jaunty transitional tune takes over.

The two of you are squabbling over something stupid, something small. Both sides are justified in their own right, but there's an overlap of beliefs. A bunch of 'well I think's and 'no, you're wrong's being flung back and forth. Any hope of reaching a middle ground gets trampled by big personalities and even bigger opinions. Remember, it was stupid and small — you cannot forget this. You cannot let the looming thing caught in headlights eradicate it. Your brother was spirited; a shared likeliness of resilience and mulishness inherited by parents you've never met. He cannot be reduced to something only characterized by pain and suffering. There was zeal once, modest pride, undefeated geniality. He cannot be lessened to his last moments, writhing in agony by the shaking craft of your hands. You knew not of flesh nor organs then ( far too young, too green ), the complexity of nerves and skin, but you did know of marrow. Enough to mend the breaks with nothing else to stilt the hurt or staunch the ceaseless flow of blood. You have to remember how relentless he was in reassurance. Between the wet sucking of lungs, the crushed rasps and grunts and groans — trembling body misshapen among the debris of metal scraps and laminated glass. '—'s okay. I'll be.. Okay. —'m alright... Be fine.' Remember how you wanted to scream back? Take him by the torn, bloody collar and shake him back into sense? Shake more life into him somehow, by some miracle? But a shooting star didn't blink across the night sky — only lit bright by the full width of silver moon. All that's left is you, your dying brother, and that thing still on the road.

MISC. FACTS .

interests: ginger, rest, cute or funny bandaids, gag gifts

dislikes: taking things too seriously, his parents

often fights with a mass of bone ( yes, it’s his own — don’t ask or do 🫣 ). it’s kept fluid to act as extra defense and solidified when on the offensive. usually molds the bone into gauntlets, scythe, or spiked bullets. if he’s really feeling some type of way ( enraged ) he’ll cram liquified bone into a target’s mouth, eyes, ears, nose, or open wound and solidify it with spikes.

injuries sustained was a broken arm and 80% loss of sight in the left eye. otherwise, he was more or less okay.

yuma's trademark greeting of 'hey-yo!' came from his brother. the same applies to how he treats current patients like they're children ( constant gentle conversation to distract from the pain, the promise of a sweet threat after, etc ).

his favorite & most used scents are clove and leather. again, influenced by his brother.

after the incident, yuma threw himself into constant training. he took on far stronger curses to get a better understanding of his powers — both to harm and heal. his efforts paid off at a steep price.

VERSES .

main — jjk: works the nightshift at tokoyo jujutsu high ( so shoko doesn't have to ) and enjoys it! had a stint where yuma was a teacher for some brief period of time, but decided that he could help bolster their recovery instead. stayed with principal yaga & shoko during the shibuya arc as extra defense.

main — modern day / au friendly: works as an underground medic. good, bad, whatever’s in between — he’ll patch anyone up if they can pay the fee ( can be money or favors ). somehow weaseled his way into something legally binding so neither side tries to shake him down for information.

the marked: tba.

op: tba.

[gallifreyinstituteforlearning]

🤔💥 Can Gallifreyan bones break?

Despite their advanced physiology, Gallifreyans aren't immune to bone fractures. However, it takes extraordinary force to break these bad boys.

Fortified Skeleton: With enhanced spongy bone, dense cartilage, and thick cortical bone, Gallifreyan bones can withstand extreme impacts. For a Gallifreyan at the peak of physical health, it would take something like the weight of 21 bags of cement or an immobile giraffe to cause a fracture.

Types of Fractures: When fractures do occur, they're often severe due to the significant force required. Greenstick fractures are common in minor cases, but more intense trauma can lead to spiral, comminuted, or oblique fractures. Linear or transverse fractures are rarer and usually caused by very specific trauma.

Pain and Complications: Despite their toughness, fractures in Gallifreyans can be intensely painful and dangerous. Increased nerve density means a fracture can be extremely painful, and damage to the medullary canal could cause severe internal bleeding.

Healing Process: Minor fractures can heal independently with little intervention, but severe cases might need more attention. Their rapid healing can be a drawback, though, requiring quick medical responses to prevent misalignment.

So, while Gallifreyans have bones that make you go 'ooo!', they're not indestructible. When they do break, it's actually pretty serious. Don't be letting your Gallifreyan fob you off with the old, 'it's fine, I'm biologically superior to you' routine cos hun, you need to get that checked out.

Gallifreyan Biology for Tuesday by GIL

More content ... →📫Got a question? | 📚Complete list of Q+A →😆Jokes |🩻Biology |🗨️Language |🕰️Throwbacks |🤓Facts →🫀Gallifreyan Anatomy and Physiology Guide (pending) →⚕️Gallifreyan Emergency Medicine Guides →📝Source list (WIP) →📜Masterpost If you're finding your happy place in this part of the internet, feel free to buy a coffee to help keep our exhausted human conscious. She works full-time in medicine and is so very tired 😴

[lorablackmane]

Incident 2

At around 22:51, the sound of something coming down the steps to the second floor were noticed by two Housemaidens heading back to their rooms. The two upon seeing the ghost fled to find Euphrasie. Despite their screams and the screams of those that stumbled across the bloodstain in the Death Corridor, the entity continued on their path unbothered. Whether this is because it didn't notice the sound or they were ignoring it we're unsure of as they haven't answered any questions. They eventually arrived to the Infirmary alongside their 'buddy.' They are completely focused on the health of this buddy, who's closed fractures, while almost the same in terms of body area, are luckily not on the same scale of the entity's many compound and comminuted fracture which are... concerning. I am unsure how they're moving frankly. They're currently refusing to listen to anyone who tries to move them. We're waiting for the other to wake up, as they might be able to answer our questions.

Everyone say welcome to The Stoned! Bc of their nature their 1st art piece is below the read more so it doesn't catch someone by surprise. I hope u enjoy!

(cw: broken bones (some sticking out), blood)

[hikkisunny]

tord hater you haven't told us how much you hated tord all day! I missed your pure rage and anger towards him :(

sorry guys.. today my friend sent me a picture of tord while i was on my walk home and i got so angry i stopped in the middle of the road because i was so blinded with rage from this stupid red cunt (cunt not in a good way)

But anyways i guess i stood there for too long because a car came hurling towards me and hit me so hard i had to go to the hospital. I got a comminuted fracture in my left leg and a greenstick fracture in my left arm

i suspect it was all tord. I think he told my irl to send me a picture of him because he KNEW i would get angry. And then he hit me with his car. he thought thatd be the end of the tord hate but my hatered for tord saved me. i knew if i died i woukd let my poor tord haters down.

TRY AGAIN TORD. YOU RED BASTRD FUCK. I HATE YOU FOREVER AND THE HATERED THATLAYS INSIDE OF ME WILL POWER BODY FOREVER NOMATTER WHAT YOU DO. UGLY RED BITCH

[medullalyweird]

The mind. Such a labyrinthine. An abys yet to be completely expored. Complex in not only its functionality but also in its convoluted anatomy. Stay with me. Let's try and attempt to scratch its base. Hope we don't end up with a basilar fracture or, worse of all, comminuted fracture. That would be catastrophic, wouldn't it?