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Re: Thigh
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Re: Thigh - August 2, 2005 7:39:00 AM
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JLS_PT_OCS
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From: USA
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If it was a gunshot wound, there's no saying that it has to hit the femur square on. Which would likely shatter it, as Greg alludes to.
It could easily have just bumped the side of the femur on the way out of the thigh.
Perhaps those are bone fragments next to the injury?
Something doesn't look right for it to be one of those benign lytic lesions, it's too localized and the borders are too well defined.
I'll throw my hat in with Chris and vote for a GSW.
J
_____________________________
Jason Silvernail DPT, OCS, CSCS
Homo Vegetus
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko, Writer and Physical Therapist
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Re: Thigh - August 2, 2005 8:35:00 AM
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Matthew
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From: Regensburg, germany
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It`s definitely a gunshot wound.
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Re: Thigh - August 2, 2005 3:17:00 PM
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jma
Posts: 2301
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From: NY
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Are there more pictures to look at?
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Re: Thigh - August 2, 2005 4:23:00 PM
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karmzack
Posts: 181
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From: Hawaii
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It could be a GSW or it could be a fragmentation injury from material such as rocks made into projectiles during an explosion.
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Zack Solomon MPT, OCS, CSCS
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Re: Thigh - August 3, 2005 2:02:00 AM
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Sebastian Asselbergs
Posts: 1061
Joined: September 29, 1999
From: Barrie, Canada
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Or a hockey puck, golfball or baseball...
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Mundi vult decipi
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Re: Thigh - August 3, 2005 6:05:00 AM
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chiroortho
Posts: 655
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Could be termites. Never know.
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Greg Priest, DC, DABCO
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Re: Thigh - August 3, 2005 6:23:00 AM
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JLS_PT_OCS
Posts: 1684
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From: USA
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Oh, yeah, I think I see one of those termites in there...
:)
J
_____________________________
Jason Silvernail DPT, OCS, CSCS
Homo Vegetus
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko, Writer and Physical Therapist
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Re: Thigh - August 3, 2005 6:28:00 AM
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ehanso
Posts: 353
Joined: September 14, 2004
From: Minnesota
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If it isn't a gun shot wound it may be from shrapnel.
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Re: Thigh - August 3, 2005 7:11:00 AM
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vt2c1ms
Posts: 74
Joined: May 9, 2005
From: Kansas
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Steel tipped arrow? :)
Mark
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Re: Thigh - August 3, 2005 8:55:00 AM
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Shill
Posts: 1044
Joined: February 13, 2003
From: Madison WI USA
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L2 facet that needs to be mobilized? :p
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Steve Hill PT
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Re: Thigh - August 3, 2005 9:22:00 AM
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Synergy
Posts: 589
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From: Forney, TX
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LOL! Greg may be on to something here. I think I read a recent RCT that discussed termite infiltration into the long bones of the body. Personally, I think this patient needs to contact the Orkin man. :)
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Chris Adams, PT, MPT
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Re: Thigh - August 3, 2005 12:52:00 PM
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karmzack
Posts: 181
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From: Hawaii
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I think a USPS postal truck hit him.
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Zack Solomon MPT, OCS, CSCS
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Re: Thigh - August 4, 2005 1:39:00 AM
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KAK
Posts: 198
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Good call Chris.
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Re: Thigh - August 4, 2005 1:47:00 AM
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jma
Posts: 2301
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From: NY
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That was a good case Alex. Keep them coming!
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Re: Thigh - August 4, 2005 3:21:00 AM
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chiroortho
Posts: 655
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I'm especially impressed by the poster that caught the periosteal reaction.
Once again, you folks are impressive.
But I'm sorry, I still think it's termites.
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Greg Priest, DC, DABCO
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Re: Thigh - August 6, 2005 4:02:00 AM
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dragonfire
Posts: 61
Joined: January 18, 2005
From: usa
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Termites, L2 facet mobilization, usps postal truck, LOL!
Alex, thank you for this case.
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