Guest guest Posted October 13, 2011 Report Share Posted October 13, 2011 I would think of Woll, MD at Rebound for this. If you are worried about an EHL rupture at the tuft it would be treated like a mallet finger. If in the joint space you have a bigger issue. Ted Forcum, DC, DACBSPBack In Motion Sports Injuries Clinic, LLCPortland Timbers Team ChiropractorPortland Winterhawks Team Chiropractor ACA Sports Council, Past President'08 US Olympic Sports Medicine Team Member11385 SW Scholls Ferry RoadBeaverton, Oregon 97008503.524.9040www.bimsportsinjuries.com The information contained in this electronic message may contain protected health information confidential under applicable law, and is intended only for the use of the individual or entity named above. If the recipient of this message is not the intended recipient, you are hereby notified that any dissemination, copy or disclosure of this communication is strictly prohibited. If you have received this communication in error, please notify Back In Motion Sports Injuries Clinic, LLC at 11385 SW Scholls Ferry Road, Beaverton, OR-97008. and purge the communication immediately without making any copy or distribution. From: [mailto: ] On Behalf Of Kat RossSent: Thursday, October 13, 2011 10:14 PMSubject: foot injury question! Hi All, I am looking for advice and a referral recommendation for a competitve gymnast on the track for a college scholarship. I am concerned she severed her EHL tendon while running on a wrestling mat and went to cut laterally. She jammed her big toe. The strange part is that from the tension of cutting laterally while have her toe stuck in plantar flexion, she ended up cutting the top of her 1st ray between her 1st mp joint and her pip, from the shearing force splitting open the skin cutting all the way down to the bone. ER stitched her up with 7 stitches, took xrays which apparently showed a chip fx (I haven't seen the xrays yet), gave her a walking boot and told her she'd be fine in 6 weeks. Based on the location and depth of injury, I am concerned that she tore her EHL tendon, she cannot extend her 1st ray (although it's only been 2 days post-injury). Looking for a either a foot ortho or podiatry referral in the Portland metro area. Thanks! Ross, DCBloom Natural Healthcare 125 NE Killingsworth St. #101Portland, OR 97211BloomNaturalHealthcare.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2011 Report Share Posted October 13, 2011 I would check out Dr. McClanahan who is a podiatrist and an avid runner. He is also a strong supporter of chiropractic and treats conservatively He is in NW Portland. Schneider DC. On Thu, Oct 13, 2011 at 10:14 PM, Kat Ross <gymnasticschiro@...> wrote: Hi All, I am looking for advice and a referral recommendation for a competitve gymnast on the track for a college scholarship. I am concerned she severed her EHL tendon while running on a wrestling mat and went to cut laterally. She jammed her big toe. The strange part is that from the tension of cutting laterally while have her toe stuck in plantar flexion, she ended up cutting the top of her 1st ray between her 1st mp joint and her pip, from the shearing force splitting open the skin cutting all the way down to the bone. ER stitched her up with 7 stitches, took xrays which apparently showed a chip fx (I haven't seen the xrays yet), gave her a walking boot and told her she'd be fine in 6 weeks. Based on the location and depth of injury, I am concerned that she tore her EHL tendon, she cannot extend her 1st ray (although it's only been 2 days post-injury). Looking for a either a foot ortho or podiatry referral in the Portland metro area. Thanks! Ross, DCBloom Natural Healthcare 125 NE Killingsworth St. #101Portland, OR 97211BloomNaturalHealthcare.com -- Schneider DC PDX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2011 Report Share Posted October 14, 2011 He does not do surgery. If this is a significant jointline fragment surgery might be indicated.Sent from I-phoneTed Forcum, DC, DACBSPOn Oct 13, 2011, at 10:43 PM, " Schneider" <portlandchiro1@...> wrote: I would check out Dr. McClanahan who is a podiatrist and an avid runner. He is also a strong supporter of chiropractic and treats conservatively He is in NW Portland. Schneider DC.On Thu, Oct 13, 2011 at 10:14 PM, Kat Ross <gymnasticschiro@...> wrote: Hi All, I am looking for advice and a referral recommendation for a competitve gymnast on the track for a college scholarship. I am concerned she severed her EHL tendon while running on a wrestling mat and went to cut laterally. She jammed her big toe. The strange part is that from the tension of cutting laterally while have her toe stuck in plantar flexion, she ended up cutting the top of her 1st ray between her 1st mp joint and her pip, from the shearing force splitting open the skin cutting all the way down to the bone. ER stitched her up with 7 stitches, took xrays which apparently showed a chip fx (I haven't seen the xrays yet), gave her a walking boot and told her she'd be fine in 6 weeks. Based on the location and depth of injury, I am concerned that she tore her EHL tendon, she cannot extend her 1st ray (although it's only been 2 days post-injury). Looking for a either a foot ortho or podiatry referral in the Portland metro area. Thanks! Ross, DCBloom Natural Healthcare125 NE Killingsworth St. #101Portland, OR 97211BloomNaturalHealthcare.com-- Schneider DC PDX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2011 Report Share Posted October 14, 2011 I know McClanahan does no surgery but a conservative view up front is always useful in my view. I like to see if there is a less invasive way to resolve problems before rushing into surgery. I know that McClanahan will recommend a surgeon if necessary. I am not so confident that the reverse is true of many experienced docs who have surgery in their bag of tools. Schneider DCPDXOn Fri, Oct 14, 2011 at 6:59 AM, Dr. Ted Forcum <TForcum@...> wrote: He does not do surgery. If this is a significant jointline fragment surgery might be indicated. Sent from I-phoneTed Forcum, DC, DACBSPOn Oct 13, 2011, at 10:43 PM, " Schneider " <portlandchiro1@...> wrote: I would check out Dr. McClanahan who is a podiatrist and an avid runner. He is also a strong supporter of chiropractic and treats conservatively He is in NW Portland. Schneider DC. On Thu, Oct 13, 2011 at 10:14 PM, Kat Ross <gymnasticschiro@...> wrote: Hi All, I am looking for advice and a referral recommendation for a competitve gymnast on the track for a college scholarship. I am concerned she severed her EHL tendon while running on a wrestling mat and went to cut laterally. She jammed her big toe. The strange part is that from the tension of cutting laterally while have her toe stuck in plantar flexion, she ended up cutting the top of her 1st ray between her 1st mp joint and her pip, from the shearing force splitting open the skin cutting all the way down to the bone. ER stitched her up with 7 stitches, took xrays which apparently showed a chip fx (I haven't seen the xrays yet), gave her a walking boot and told her she'd be fine in 6 weeks. Based on the location and depth of injury, I am concerned that she tore her EHL tendon, she cannot extend her 1st ray (although it's only been 2 days post-injury). Looking for a either a foot ortho or podiatry referral in the Portland metro area. Thanks! Ross, DCBloom Natural Healthcare 125 NE Killingsworth St. #101Portland, OR 97211BloomNaturalHealthcare.com -- Schneider DC PDX -- Schneider DC PDX Quote Link to comment Share on other sites More sharing options...
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