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Case Studies

Case Study #1
U.S. GYMNASTICS CHAMPIONSHIPS

 
  Click on image below

CB is a 15 year-old Olympic level gymnast who fractured both the bones in his  right forearm after his wrists lock up on the high bar.


He was taken to the Emergency Room at Methodist Willowbrook Hospital where his fracture was set and splinted. He was then sent home and told to follow up at KSF with Dr. Jafarnia.


He was taken to the Emergency Room at Methodist Willowbrook Hospital where his fracture was set and splinted. He was then sent home and told to follow up at KSF with Dr. Jafarnia.


The following morning he was seen and upon examination, he had significant swelling in his forearm with evidence of compartment syndrome. Compartment syndrome is a condition that can arise from a high-energy trauma. Compartment syndrome involves compression of nerves and blood vessels within the forearm. It leads to impaired blood flow and muscle and nerve damage which can result in long-lasting deformities or even amputation of the limb.


Given the urgency of the C.B.’s condition, he was immediately taken to the operating room for treatment of his unstable fractures and compartment syndrome. Internal plates and screws were used to stabilize his fractures and we relieved the pressure in his forearm.


To treat the pressure and swelling in is forearm compartments, several long incisions were made in the skin to release the pressure building up inside.   The incisions were then progressively closed over the course of three weeks, as the swelling in his forearm decreased. While waiting for the swelling to subside, his open wounds were diligently cared for by our hand therapists with whirlpool treatments. He was also closely followed in our clinic to monitor his progress.


To facilitate his recovery, he underwent extensive occupational therapy. Over the course of nine months, he worked on regaining his flexibility and strength at our KSF Hand Therapy Center.


His fractures healed and he made a full recovery from his injury.  He went back to competitive gymnastics on 1/15/05 in the First AA Elite Division.  Today, he is at the University of Oklahoma where he continues gymnastics at the top of his game.  In the 2006 NCAA Championships, he  s et career highs on the pommel horse and parallel bars, he posted a 9.6 during the NCAA Team Finals and received All-America honors on the high bar.

 
3/9/04: X-ray taken in the ER of C.B’s forearm after his injury


3/9/04: X-ray of C.B.’s forearm after his fracture is set and placed in a splint in the ER

3/10/04: He had an open reduction and internal fixation of his fractures and fasciotomy.






3/23/04: The patient was taken to the OR for further wound closure



 
07/22/04: C.B. worked on his strength and mobility at KSF Hand Therapy Center 

    

 

Case Study #2  
   Click on image below
F.A. is a 56-year-old male who sustained a fracture to his right arm during a motorcycle accident. He was initially seen at a clinic in Clear Lake where xrays were taken. Xrays of his right forearm revealed an unstable right radial shaft fracture which extended into his joint. Surgery was recommended for fixation of his fractures and he was referred to Dr. Jafarnia at KSF. 

Given the unusual severity and extent of his fractures a special plate was manufactured specifically for this patient, one of the first plates of its kind.  He underwent open reduction with internal fixation of his right wrist fractures using an extra-long custom-made plate.

F.A. did well post-operatively and in therapy. A.F.’s fractures healed and he progressed to have close to full range of motion.
  
 
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