Steve McHale @stevemchale.bsky.social · 27/01/2025Someone was telling me yesterday about a blind sailor who could helm a yacht by sound and the feel of the breeze on his face. That said operating with vision is probably optimal. 110
Steve McHale @stevemchale.bsky.social · 23/01/2025Oh but hang on this wasn’t the right kind of PRP and it was given in the wrong way or this randomised trial ignores my very important anecdotal experiences. 😂 030
Steve McHale @stevemchale.bsky.social · 08/01/2025Look, you guys already call crisps chips, coriander cilantro, and rocket arugula. We’re quite used to you having weird alternative names for stuff. Happy to nod along. 120
Steve McHale @stevemchale.bsky.social · 07/01/2025That is great. I might have to insist on all my patients having a St George’s cross on their casts. You know just to identify them easily as my patients 😂 020
Steve McHale @stevemchale.bsky.social · 07/01/2025I saw a good cast over the Christmas period that had been done in festive green and red stripes. 110
Steve McHale @stevemchale.bsky.social · 27/12/2024I knew taking pictures of these signs would prove useful one day! 110
Steve McHale @stevemchale.bsky.social · 25/12/2024Did that go in there? That’s an expensive whiskey to use as an ingredient! 120
Steve McHale @stevemchale.bsky.social · 25/12/2024Yes it’s Christmas Day, yes it’s Christmas Day, it’s Chir hi hi hi hi stmas Day. 020
Steve McHale @stevemchale.bsky.social · 10/12/2024Anyone used the ACT system for osteochondal allograft? Pros? Cons? Experiences? #orthosky 020
Steve McHale @stevemchale.bsky.social · 07/12/2024I’m not sure how robust this data is. Zero seems like a very small number even for the UK. 000
Steve McHale @stevemchale.bsky.social · 05/12/2024TBF that is what I understand you Americans refer to as a “butt load”. 120
Steve McHale @stevemchale.bsky.social · 05/12/2024If I detected one I’d probably EUA it and place syndesmotic fixation if needed. Can’t say it’s a situation I’ve recognised to date. Perfectly possible that I’ve seen it but not recognised it. Any data on how common these injuries are as a proportion of ankle sprains? 100
Steve McHale @stevemchale.bsky.social · 05/12/2024So… what you’re saying is that you’ve treated at least 10,000 medial epicondyle fractures? Okay, I’ll buy it. 😂 110
Steve McHale @stevemchale.bsky.social · 04/12/2024Pretty envious of the skiing right now. Especially as I’m melting in the heat here. 020
Steve McHale @stevemchale.bsky.social · 03/12/2024About as well as my daily reminder not to eat chocolate. 010
Steve McHale @stevemchale.bsky.social · 02/12/2024If he thinks you’re anonymous he definitely doesn’t follow your posts 😂 150
Steve McHale @stevemchale.bsky.social · 02/12/2024media.tenor.coma painting of a man with a beard and a crown with the words course it 's a good idea below himALT: a painting of a man with a beard and a crown with the words course it 's a good idea below him 010
Steve McHale @stevemchale.bsky.social · 02/12/2024We have addressed this problem by (mostly) not having stairwells. One fringe benefit of working in a high seismic risk location where land is not at a premium. 110
Steve McHale @stevemchale.bsky.social · 01/12/2024This is a source of friction in our home. Mrs Dr McHale is a big fan of the pentatonix Christmas album. For me…media.tenor.coma person is putting nails on a blackboard .ALT: a person is putting nails on a blackboard . 010
Steve McHale @stevemchale.bsky.social · 01/12/2024You can only do your best. After all it’s not like you broke his ankle (I assume!). 010
Steve McHale @stevemchale.bsky.social · 30/11/2024Similar to Francisco. Creating an anterior/superior pocket is key. I often use a Bristow just above to acetabulum to clear soft tissue. I used to use various things to cover the trunion but generally don’t bother now. 010
Steve McHale @stevemchale.bsky.social · 30/11/2024I’ve managed to sort it. I had to go into my account settings on the website and turn on “adult content”. There’s then options regarding different kinds of adult content so you can still block porn but be able to see cases. 010
Steve McHale @stevemchale.bsky.social · 30/11/2024Sadly this has been blocked by a moderator, which seems to be a problem on Bluesky. 110
Steve McHale @stevemchale.bsky.social · 29/11/2024I agree that operating prone is a struggle. I find it best to operate while standing, although occasionally I do sit down. 100
Steve McHale @stevemchale.bsky.social · 25/11/2024Looks a little like what I was taught as a Nottingham trauma stitch, but not exactly. Seems to have worked though. 010
Steve McHale @stevemchale.bsky.social · 23/11/2024Not united at 1 year is a non-union for me. Saggital alignment was good. Coronal was fair. Rotation might be off looking at the cortices so worth assessing now. Unlucky not to unite though so worth a metabolic screen and addressing pt factors like smoking. 110
Steve McHale @stevemchale.bsky.social · 23/11/2024Looking at the post nail removal XR I’d guess that union was probably incomplete and there was probably some bridging callus but not all the way around. Personally I’d re-nail and probably do a fibula osteotomy. Would be interested to hear others opinions. 110
Reposted by Steve McHaleDr Ed Oates @traumaticum.bsky.social · 19/11/2024So it took me a bit of head scratching but I figured out this 'labels' thing from @medsky.social this technique seems to provide the best #orthopedics #orthosky etc content feed so far. esentially you just need to label yourself as an #ortho and the feed generates itself tinyurl.com/mrx8rkpa 4142
