Tuesday, April 16, 2013

Too many pieces

Last Tuesday (one week ago), my daughter broke her foot in a bad landing from an emergency dismount. Nutmeg may have been stung, or she may have brushed the electric fence, and took off like a shot. Choosing to do the emergency dismount made sense in that situation.

Poor Tessa has been here before.  Or so I thought.  I was expecting a run-of-the-mill fracture, a few weeks in a cast, and back to normal.  But then the podiatrist looked at her x-ray.   And ordered a CT Scan.
(Navicular bone ain't right).
The scan showed that her navicular bone had shattered into several (about five) small pieces. 

After a long discussion, the podiatrist told us that surgery was unlikely to effect a long-term fix on the joint.  There are too many small pieces to pin, and they are deep in the foot in a very difficult location to access surgically. 

I appreciated his candor and his restraint.  The prognosis is that she will likely end up with early arthritis. With or without surgery.  So why suffer the "slice-and-dice?" (Tessa's words).

She is in now in a non-weight-bearing cast for 4 weeks. At that point, they will re-evaluate those crazy bones. They will either want to put her back into a cast or transition the foot into a boot for a few more weeks. 

On the upside, I'm really into knowing the weather.  Hopefully, my arthritic daughter will be able to tell me when a storm is moving in.

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