Tuesday, November 4, 2008

Elly's diagnosis from Orthopedic doctor

Today we went in at 8 AM to see Dr. Aaron Jacobson, PA-C, in Orthopedics to get Elly's diagnosis on her left hip. He compared her x-rays before we got there from Wednesday, Oct. 29th to yesterday's x-rays, Monday, Nov. 3rd. He was not getting a clear enough picture so right away we did an x-ray of her pelvis. The other two x-rays were more of her hip, leg and ankle. After about 20 minutes we were told that they wanted to do her right side to compare each side. So we went back in for another round of x-rays of her pelvis. Dr. Jacobson came out later and showed us Elly's x-rays starting with last Wednesdays and going through today's. What we found is, that in deed as rare as it is, that she did fracture her lesser trochanter. You can see in this image where the lesser trochanter is located. You can see in this image where the muscles run up and down and connect to the lesser trochanter.
What happened is she must have fallen or twisted at some point and when she did this, she pulled that muscle to much and it then pulled on the lesser trochanter and chipped a piece off. The next thing was to find out if there was any inflammation, infection or fluid in that area. That meant another round of labs. If these labs came back with inflammation, infection or any fluid we would need to take her directly to surgery yet today or tomorrow at the latest. After finding this out, this was the longest and scariest wait of Harry and I's entire life.

White blood count were normal.

CRP (also known as C-Reactive Protein, is a test which measures the concentration in blood serum of a special type of protein produced in the liver that is present during episodes of acute inflammation or infection)...Wednesday was 14, Yesterday was 13, Today was 12....so this is good because if there was a little infection and/or inflammation in there it is going down.

Sed rate (A sedimentation rate or Sed rate is common blood test that is used to detect and monitor inflammation in the body. The sed rate is also called the erythrocyte sedimentation rate because it is a measure of the red blood cells (erythrocytes) sedimenting in a tube over a given period of time)...was 12 yesterday and 16 today. This is good, even though it is going up, as long as it stays under 20.

After all said and done we are going to just wait and let it heal on its own. We are not encourage her to use her leg. It could take up to 2 weeks before she is able to walk again and it could be up to about 2 months before she is completely healed. They do not think this will have any effect on her long term growth. We do have to go back next Tuesday for a recheck of x-rays but hopefully not labs.

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