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How To Spot An Ankle Fracture The Easy Way With Ottawa Ankle Rules! Clinical Skills - Dr GIll

  Рет қаралды 38,237

Dr James Gill

Dr James Gill

Күн бұрын

Пікірлер: 82
@Op99298
@Op99298 4 ай бұрын
We are finally, after all these years out of the medical room.
@DrJamesGill
@DrJamesGill 4 ай бұрын
We’ve still a few to do!
@starfishgurl1984
@starfishgurl1984 4 ай бұрын
As someone with hereditary joint problems I really appreciate this video because my left ankle has been effected by them almost my entire life and sometimes I worry when it’s acting up and I need to use my brace that I’ve unknowingly injured it so this is very helpful!
@kitchenasmr6876
@kitchenasmr6876 3 ай бұрын
I just had an incident yesterday. No need for sports or adventure. I had been sitting on my foot while working, got up without realizing my foot was asleep, and then put my full weight down on it. Since I couldn't feel it, I didn't realize it wasn't actually underneath me, but rather getting caught on a cardboard box on the floor. It twisted and I heard a giant crack as it rolled from the outer edge over to the top. By that time I was catching myself on whatever was around, but the damage had been done. So, perfect timing with the video, doc. Thanks.
@LadyDanger420
@LadyDanger420 3 ай бұрын
I like to listen to these as background noise while writing and this being the video that came up when I hit shuffle is very funny as my main character just sprained their ankle 😂
@fadeskywards1245
@fadeskywards1245 4 ай бұрын
Ironically, dr Gill filmed this video on a terrain DESIGNED to break ankles. 😆 Thank you, dr Gill, for another amazing lecture. This one is quite new to me. 💪
@MrZomg17
@MrZomg17 4 ай бұрын
The sound quality in this video is perfect
@MidwesternDiva
@MidwesternDiva 4 ай бұрын
Since my ankles pronate terribly, I am constantly spraining, straining, or even breaking them. This video is gonna be so helpful!
@DrJamesGill
@DrJamesGill 4 ай бұрын
Hopefully this will help in future
@9709Nick
@9709Nick 4 ай бұрын
4:15 I love the way he just says that
@DrJamesGill
@DrJamesGill 4 ай бұрын
Tis fact 😊
@ryansibz2532
@ryansibz2532 27 күн бұрын
why am i getting tingles just hearing your voice
@TuckerHelmsMusic
@TuckerHelmsMusic 3 ай бұрын
You’re a legend Dr. Gill
@ccwaitingroom
@ccwaitingroom 4 ай бұрын
When youve broken a bone... its broken.
@DrJamesGill
@DrJamesGill 4 ай бұрын
True facts 😊
@jaclynrachellec
@jaclynrachellec 4 ай бұрын
Thanks for the info! I recently sprained my ankle, and now ankle sprains have become a bit of a special interest for me.
@DrJamesGill
@DrJamesGill 4 ай бұрын
Oh dear. Hopefully you’ve had good after care?
@jaclynrachellec
@jaclynrachellec 4 ай бұрын
@@DrJamesGill I'm four months post-sprain and I'm in physical therapy because it doesn't seem to be getting better. Hopefully the p.t. will help! 🤞🏻
@AbbeyB77
@AbbeyB77 4 ай бұрын
Rather timely, as I am currently trussed up in a boot with crutches after an unfortunate run in with stairs, gravity, and concrete in Ottawa.
@krzysztoftylek787
@krzysztoftylek787 4 ай бұрын
Is that you TITANIUMGEEK? I man though to be lost forever popped on my instagram feed with some random Hrv device Ad. Good to see you back on YT Sir (although it seems you have never left 😂) Cheers 🎉
@DrJamesGill
@DrJamesGill 4 ай бұрын
Sure is!
@georgewalford7027
@georgewalford7027 4 ай бұрын
This was incredibly helpful!
@DrJamesGill
@DrJamesGill 4 ай бұрын
Glad it was helpful!
@paulus12345
@paulus12345 Ай бұрын
GREAT video !!!!
@DrJamesGill
@DrJamesGill Ай бұрын
Glad you enjoyed it
@paulus12345
@paulus12345 Ай бұрын
@@DrJamesGill I didn,t enjoy it I LOVED it! Can I ask you a question,? Would/could you do the weight bear, test first & if the patient can't weight bear , stop the test & dial 999, if they can't do the 4 step rule , (then stop & dial 999) OR would you do a complete check first (including A,B,C & D, before you do the weight bear & 4 steps. As a side note some people might not know that you CAN dial 911 in the UK for Emergency services. They did this because so many youngsters in the UK watch USA films, documentaries & programmes, they knew the number 911, but didn't know the UK one was 999. By the way I do know you can also dial 112!!
@Ice_cherryes
@Ice_cherryes 4 ай бұрын
You are the best doctor ❤
@DrJamesGill
@DrJamesGill 4 ай бұрын
🙏
@jerodast
@jerodast 4 ай бұрын
I have broken both ankles and a wrist (one more to go!). The first one (ankle), I walked home 7 blocks from our senior year event afterward, and decided to get a ride to to the medical center the following morning. And that is the number one reason not to drink excessively before going to a carnival featuring an inflatable jousting arena :P So I am glad to see there are specific pain tests even if you can walk!
@DrJamesGill
@DrJamesGill 4 ай бұрын
Ouch, that sounds bad. How are things now?
@jerodast
@jerodast 4 ай бұрын
@@DrJamesGill Oh that was a while ago now, everything healed up fine, although my wrist I slacked off on the physical therapy and it took a couple years to get back to normal strength. Just to be clear, these were separate incidents! Whew, all three at once would've been bad indeed :)
@makennaswartz6386
@makennaswartz6386 4 ай бұрын
Incredibly helpful to someone who loves hiking! Question though, what about swelling? Immediately after injuring my ankle, point C swelled to a large painful bump. At the time I treated it as a sprain but now I’m wondering if it was actually fractured.
@DrJamesGill
@DrJamesGill 4 ай бұрын
Swelling can be both soft tissue and bony issues, Often tenderness is related to ligament injuries, hence why the positive predictive value is only 1 in 3 will have a fracture
@JetLagRecords
@JetLagRecords 4 ай бұрын
Dr James Gill, great video you deserve more subscribers
@DrJamesGill
@DrJamesGill 4 ай бұрын
Glad you think so!
@mb11349
@mb11349 14 күн бұрын
Thank you sir for this video. I am medical student from Turkiye and I have a video advise to you. Can you make a video about the protecting ourself from the hospital infections or medical risks?
@derrickw5204
@derrickw5204 4 ай бұрын
In EMS , we examine for deformity and we use Circulation , Motor , and sensation to assess ankle fractures .
@TheInterwebzMan
@TheInterwebzMan 4 ай бұрын
I fractured my ankle trying to walk down icy stairs. I screamed so loud when it happened
@DrJamesGill
@DrJamesGill 4 ай бұрын
I’m sorry to hear that. How is it now?
@senesterium
@senesterium 4 ай бұрын
I'm very blessed on that side. I've rolled my ankles a lot, at very nasty angles, and I mean reeeaaally nasty. got in actual pain very few times, and actually never got injured in my entire life. The worst I could think of, I was in pain for like a whole afternoon. A couple days ago, i slept in a bump hole on wet grass. Slided at a 50-60 degrees angle inwards, crossed my legs, almost fell. And I'm overweight, almost obese. But all I felt at this moment was ridiculous (and lucky). I got my balance back, went ahead and walked a good kilometer forth and back (avoided the damn hole back) before climbing the stairs towards my 3rd floor. I have freaking titanium ankles. Or rather, rubber ankles.
@LambSauce.
@LambSauce. 3 ай бұрын
Dr.Gill, can you do a video about hiatal hernias, their symptoms, what possibly causes them, and possible treatments? I myself have had one for 3 years now. I'm thankful that my Gastro doctor listens to me about my symptoms and he wants to push for me to get surgery, but its a slow process. However, I am in a facebook group for people who have hernias. We give advice, support, and vent about the frustrations of having this horrible thing. I bring this up because I've heard alot of doctors dismiss their patients when it comes to the symptoms of the hernia. telling them that their hernia isint the cause of their symptoms. I had sooo many symptoms when I first got my hernia and it was just 2 cm. its now 3 cm and I developed Gastritis. Before it became 3 cm I did not have gastritis as my Gastro doctor did an endoscopy on me. This go around I did a second endoscopy and it seems its gotten worse. In the facebook group alot of people are dismissed by their doctors and get gaslighted them. I know doctors are the professionals dont get me wrong I respect it, but they arent the patient, so why dismiss what the patient is telling them? I truly feel like more studies need to be done about hiatal hernias and why they are becoming waaay more common as the years pass. Do you have any experience with treating patients with a Hiatal Hernia? I think this would be a good video to discuss all of this.
@GeorgiaArmstrong-g5w
@GeorgiaArmstrong-g5w 3 ай бұрын
I think I saw you in Sainsbury’s (Canley Coventry) last Friday! I really wanted to come and say hello but I was way too shy 😅
@rd6144
@rd6144 3 ай бұрын
Dr Gill, I wondered if you would do a video on gut health linked to psoriasis, I keep getting prescribed topical treatments which unfortunately don’t get to the root cause.
@LordDeathwing17
@LordDeathwing17 4 ай бұрын
I actually rolled my ankle about two years ago at work. Had to limp my way to my car and into bed, but I kept it elevated and on ice over night, then took the next day or two off, and I was fine. Now my only foot-related problems are my flat arches. On the subject of sprained body parts, could you do a video on how to identify/diagnose sprained wrists? I’ve sprained both of mine over the past year, and I think my job might have had something to do with it (I load/unload packages from semi trucks.)
@DiogenesClub1887
@DiogenesClub1887 4 ай бұрын
Cuando hay fractura en la epífisis distal de tibia o fíbula, si haces percusión en la diáfisis o epífisis proximal se produce un aumento momentáneo de la intensidad del dolor en la zona de fractura, algo que no ocurre en los esguinces.
@DrJamesGill
@DrJamesGill 4 ай бұрын
That’s a very good point. It is always why we could use a tuning fork to detect the fracture
@DiogenesClub1887
@DiogenesClub1887 4 ай бұрын
​@@DrJamesGillBuena idea.
@k.cxsmic
@k.cxsmic 2 ай бұрын
I wish I had this years ago. I rolled my ankle a couple years ago and i think it may have been sprained and didnt heal fully cause it still gives me trouble sometimes at certain angles and sudden pressure or too much weight on one spot. Also when im running or standing for too long
@brock9119
@brock9119 3 ай бұрын
I rolled my left ankle last year, tore every major ligament that holds the damn thing together!
@jooseppib1082
@jooseppib1082 4 ай бұрын
I jumped down a staircase Right foot first and landed on something that twisted my ankle with all my weight behind it. It hurt really bad and my foot went blue and really swollen and sore. X-ray showed no fracture to the bones. Doctors said that the soft tissue will heal themselves without any surgery. Its over 10 years ago but it still hurts just a little when I do certain exercise.
@DrJamesGill
@DrJamesGill 4 ай бұрын
Unfortunately I think we are poor at correlating healed with perfectly returned to normal. Frankly I think all injuries to ankles should have physio therapy offered
@Thatonedude227
@Thatonedude227 4 ай бұрын
What if I don’t live in Ottowa?
@DrJamesGill
@DrJamesGill 4 ай бұрын
😂😂😂 just like the rules of gravity. They still apply
@atticstattic
@atticstattic 4 ай бұрын
If 'A' and 'D' are more then 6 inches apart, a break might not be the more immediate problem.
@DrJamesGill
@DrJamesGill 4 ай бұрын
Well that’s certainly true…
@Saad-ir5bq
@Saad-ir5bq 11 күн бұрын
The sensitivity and specificity might be mixed up. Isn’t sensitivity about true positive and specificity about true negative?
@DrJamesGill
@DrJamesGill 10 күн бұрын
I’ll admit, I can’t get wrapped up in the terminology. The crucial bit is Sensitivity: the ability of a test to correctly identify patients with a disease. Specificity: the ability of a test to correctly identify people without the disease.
@creechman123
@creechman123 4 ай бұрын
Dr Gill, I have an off topic question. What Football club do you support if you support football?
@JetLagRecords
@JetLagRecords 4 ай бұрын
Dr James Gill, cool video it was really entertaining
@DrJamesGill
@DrJamesGill 4 ай бұрын
Any other areas you’d want us to do a video on?
@Eloise-q2m
@Eloise-q2m 2 ай бұрын
I broke my ankle when I was 15, walked home on it. Thought that was painful, until I rolled my ankle 5 years ago at age 35 and the pain that followed in the weeks after made broken ankle pain feel like nothing. It was so swollen I couldn’t get a shoe on for days. Painful to even try for a sock. Why was the pain so much worse than it was for a break?
@TenkoBerry
@TenkoBerry 4 ай бұрын
Hmm very interesting 👌
@DrJamesGill
@DrJamesGill 4 ай бұрын
Glad you think so!
@TenkoBerry
@TenkoBerry 4 ай бұрын
@@DrJamesGill Yeah and everywhere the ground is very uneven in a lot of cities Scotland and England and too many people keep falling due to unkept roads and not really enough path ways that haven’t been taken by the Land since the 1950s so a lot of people have to walk on uneven roads to get places
@MrZomg17
@MrZomg17 4 ай бұрын
If i lived in England i would choose you as my primary care doctor
@hoptech674
@hoptech674 3 ай бұрын
Back in 2018 i had a medial malleolus fracture from drunkenly jumping off a wall and I was genuinely confused on how such an insignificant looking fracture caused 8 weeks of recovery and a month of stomach injections😂
@samvanbreen
@samvanbreen 3 ай бұрын
I have been watching your videos on a regular base for several years now and I was wondering if you could recommend me any trustworthy information videos regarding FND. For the past 7 months I have been struggling with this disorder myself and often different websites offer different types of information, making it hard for me as well as my surroundings to properly understand what it actually is. Many thanks in any case for the wonderful videos you post and kind regards from The Netherlands.
@seang2012
@seang2012 4 ай бұрын
Where in the world is Dr Gill on vacation?
@DrJamesGill
@DrJamesGill 4 ай бұрын
Not vacation - working, doing a bit of expedition medicine
@Looksurprised
@Looksurprised 4 ай бұрын
Dr Gill ..the rain drop dodger.
@DrJamesGill
@DrJamesGill 4 ай бұрын
😂😂
@charliejones4590
@charliejones4590 2 ай бұрын
👍🏻👍🏻👍🏻
@nobilismaximus
@nobilismaximus 3 ай бұрын
X rays so expensive
@Jalabhar_Xho
@Jalabhar_Xho 4 ай бұрын
Hello there
@cdelano79
@cdelano79 4 ай бұрын
General Kenobi!
@DrJamesGill
@DrJamesGill 4 ай бұрын
👋
@xsham6224
@xsham6224 6 күн бұрын
this is not rain. he x-rayed so many ankles in the last week that he started emitting radiations that then were visible on the video.
@CS_Heavy_D
@CS_Heavy_D 4 ай бұрын
First
@DrJamesGill
@DrJamesGill 4 ай бұрын
👍
@polinahowardova6189
@polinahowardova6189 4 ай бұрын
what a timing! i am recovering from an ankle injury right now 🫡
@DrJamesGill
@DrJamesGill 4 ай бұрын
Hope it’s healing well?
@Eloise-q2m
@Eloise-q2m 2 ай бұрын
I broke my ankle when I was 15, walked home on it. Thought that was painful, until I rolled my ankle 5 years ago at age 35 and the pain that followed in the weeks after made broken ankle pain feel like nothing. It was so swollen I couldn’t get a shoe on for days. Painful to even try for a sock. Why was the pain so much worse than it was for a break?
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