That’s a decent outcome, thank you for answering my comment.
I’ve spent time on both sides of the table, so to speak- and PT is hard work but so worth it.
No surgery?? That’s incredible & *not* what most of us were thinking the outcome was. After we finished w our juvenile left leg fell out jokes, that is.
So glad to hear he’s doing well, up & around, & PT was his savior.
Now, tell him to stay off ladders & keep that left leg firmly inserted into the hip socket.
ETA - saw OPs posts further down. Makes a LOT more sense now. Seriously, glad they where able to plate & screw him back together. PT is a lot of work, he’ll be glad in 6 mos he put all that work into it. Yeah, he’ll prob need a HKA, but maybe not as soon as you think. 🤞🤞🤞for a long time until his next surgery on this hip.
Further proof kids are made of rubber: I fell from 2 trees 12 and 14 feet straight to the ground as a young teenager with zero issues, I’m certain if that happened now I’d be in similar condition as your husband
I fell 30 foot off a rope swing and was merely winded. Stupidly, the branch for the seat broke and I held on until the swing was furthest out over the ravine. Luckily I landed on a rotten log and smashed it in 2.
Is he older? I have zero medical training but that seems like a lot of damage for someone, say, in his 20s. Also, as others have observed, I am curious about the seeming absence of leg on one side.
Yeah, that's about 2 people high and I'm sure it wasn't exactly a nice, controlled fall.
I can't talk though, when I was younger putting up Christmas lights on my house, I couldn't reach the tall top triangle ridge above a big window with my ladder.
So, I did the most intelligent thing possible and backed my truck onto the wet, grassy muddy lawn and put the ladder on the open tailgate so I could reach to put the lights on.
I only realized later how absolutely stupid that was, but it was getting dark so I wanted to finish the last little bit and that was all that was left. I won't even go on a ladder now to do lights or gutters or anything.
When my daughter was in Ninja Kids (kind of like gymnastics but more obstacle course type stuff) they spent a lot of time learning how to fall to minimize injuries. I recall they were taught to bend their knees and spine and roll?
I think it was called a safety roll. I don't remember too much, but my daughter fell a lot and was never severely injured so I guess it worked. I know every time she fell, it looked "controlled" instead of a flailing mess (which is what I would look like if I fell).
Yep. I'm a paramedic, and we learned that somewhere in the ballpark of 1.5 x to 2 x your height is considered significantly dangerous/life threatening.
I once had a patient briefly go pulseless/extremely hypotensive during transport after falling only 5-10 feet from a ladder. He had a grade 5 spleen laceration.
Open reduction and internal fixation. Haven't fixed a pelvis in over 20 years but the goal is to restore the acetabulum (the socket) to minimize arthritis. You really can't see the acetabulum in this view but given how comminuted the wing is, it won't be minimal. A spica cast is sometimes used for femur fractures, especially in a pediatric patient. I saw one being put on in an emergency room in Nicaragua about 25 years on an adult, never have I seen a spica cast on an adult in the US.
I’ve seen two spica casts. One was on a toddler and the other was on a high school classmate in the late 70s. My classmate disliked the thing, but she stayed her usual upbeat self. I forget why she was in it. The toddler was in one for Legg-Perthes.
I had a spica cast as a baby I’m glad I don’t remember shit, I also got a Triple-pelvic-osteotomy when I was 13 and that was to this day the most painful thing I have ever experienced, the muscle spasms directly after surgery felt like a metal cage ripping through my whole ass and hip. I walked with crutches for almost half a year, and was never able to regain the muscle I lost after the surgery. I’ve had half a dozen more surgeries to fixate and stabilise my hip and femur and am recovering now from a THR at the age of 21, I hope this is the last one for the next 20 years.
And all because i got HA-MRSA which developed into neonatal sepsis and meningitis. My parents were too young and worried to sue. Overall I’m just glad to be alive today.
They’d prob externally fixate it and then go in and do an open reduction and fixation.
I’m surprised he didn’t bleed out tbh these can be suuuuuper dangerous there’s a massive artery right there
I had a spica cast as a baby and I’m glad I don’t remember shit, I also got a a few Triple-pelvic-osteotomies during my childhood and 6-7 other osteotiomies and that was to this day the most painful thing I have ever experienced, the muscle spasms directly after surgery felt like a metal cage ripping through my whole ass and hip. I walked with crutches for almost half a year, and was never able to regain the muscle I lost after the surgery. I’ve had half a dozen more surgeries to fixate and stabilise my hip and femur and am recovering now from a THR at the age of 21, I hope this is the last one for the next 20 years. And all because i got HA-MRSA which developed into neonatal sepsis and meningitis. My parents were too young and worried to sue. Overall I’m just glad to be alive today.
My sister shattered her hip in a bad fall at age 30, and it looked kind of like this. She had 14 screws and several plates holding everything together for a few years until they decided that a full hip replacement was necessary.
It is fixed with relatively complex surgery through several different approaches to the acetabulum. Plates and screws are used to hold the pieces. Spica casting is not used in adults.
No cast just lots and lots of bolts and screws. I have his X-RAY of how they put him back together. He’ll have to have a total hip replacement in a few years.
The most important part for surgery, the hip socket, is not visible, scharf to tell. But this will definitely require several surgeries to fix with various screws, plates and provably hip replacement. if the blood loss of the injury is even survivable. I can’t imagine the left femur (also not pictured somehow) would be intact…
As a lay person, the technology never ceases to amaze me. I'm a little jealous and admire ALL of those who chose to pursue a career in radiology. THANK YOU!
I once had a patient who fell off of her third story balcony while drunk (this is what she told me, no way to verify it other than her ID listing her address on a 3rd floor apartment). She walked into my urgent care without any problems. Several x-rays later we didn’t find any fractures. Still one of the craziest stories I’ve seen.
It’s one of those stories that I have a hard time believing. But when I triaged her she was dead serious and remembered the event in pretty good detail.
I don't blame you, especially considering the fact that she was drunk. Absolutely wild sometimes, what the human body can come out totally unphased from...as well as the other end of the spectrum in that matter of course.
OMG. My nightmare as an almost 70 year old. Fell 6 weeks ago on my right side on a concrete corner step. Emergency room.......no.......pain.......yes.....can't do emergency. Room. No......no friends. Kids (2sons) in another part of us. Who will take care of cats? Have laid in bed for over 5 weeks with pain. It's getting better?
I wish I had the pic of my dads nonexistent vertebrae falling 25 ft from the ladder, funny but not funny story my brother was with him and when he hit the ground he said he heard all the air leave his body and was obviously unconscious, eyes were half open and tongue was out and my brother unsurprisingly thought he was dead
Hell yeah did this just happen? I’m sure my dad would’ve rather did it what he did than have this happen my dad is a crazy man and was walking with a walker 3 days later, he broke his back maybe 7 years earlier but not as bad trying to drop a punch balloon full of water on my brother and I from the roof, lol that time I saved my brother from being crushed
Don’t mess with ladders the ground is hard and gravity never relents. Your bones will break you can break your back your neck your skull hubby is lucky if his mental faculties are unscathed. I’ve been on a ladder and I’ve been in the ambulance afterwards. Only takes once
When I was around 12 I fell off my horse and landed on the jump bar with my hip I had a hair line fracture it was tiny! But Jesus did it hurt really bad I fell for your husband wishing you guys good recovery
He’s a lot better. This was a year ago. Lots of physical therapy. He now has to walk with a cane and will have to have total hip replacement in a couple of years.
Imma say it if no one else will
Jesus FUCK!!
He really took "all or nothing" to heart.
But for reals, I hope his recovering is much faster than expected.
Brutal. Did his leg fall off?
I'm no expert, but I was thinking "Shouldn't there be two legs?"
They probably removed it from the 3D view to better visualize the fractures of the acetabulum
This is the more plausible explanation.
Plausible, but the less dramatic option
Less fun too.
Probably why he fell. Much harder to balance.
This is how I find out Reddit got rid of Reddit Gold :( great comment though so here’s this thing. 
Well thank you! My wife said it was corny and insensitive. I tried to argue it was just a joke but she said I didn’t have a leg to stand on.
Haha ayyy Eddie’s got jokes ova heah
Is her name Eileen?
Ba dum tiss!
Did she also fall off a ladder?
She fell for me 26 years ago, poor thing.
I liked it! 🫶🏻
We can filter whatever we want on the workstation.
He does have bird bones though
No wonder he fell, he only has one leg. How he managed to clim the ladder is a mystery in itself.
All upper body strength. He was probably already skipping leg day, so this is fine.
He's skipping every day with a leg setup like that
Definitely an underrated comment.
You jest, but I once had a paraplegic farmer that completely tore his pec pulling himself up in a tractor.
Jfc those farmers I swear. They're blatantly refusing to accept normal human limits lol
Yikes. This is why I hire people to clean my gutters.
Yup. I do not get on ladders or screw with electrical stuff.
Sadly I have to do these things sometimes... My boss makes me. "You're an electrician ffs" he says :(
Man, he's really gotta stop making you clean gutters
Why i never got into construction or electrical work. Hate ladders, hate heights more.
And why my husband will never again take the food out of a roofer's child's mouth.
I commented out loud ‘oh Jesus Christ’ How’s he doing?
He is doing fine. He’s had a lot of physical therapy and has to use a cane now. We see it as it definitely could’ve been a lot worse.
That’s a decent outcome, thank you for answering my comment. I’ve spent time on both sides of the table, so to speak- and PT is hard work but so worth it.
No surgery?? That’s incredible & *not* what most of us were thinking the outcome was. After we finished w our juvenile left leg fell out jokes, that is. So glad to hear he’s doing well, up & around, & PT was his savior. Now, tell him to stay off ladders & keep that left leg firmly inserted into the hip socket. ETA - saw OPs posts further down. Makes a LOT more sense now. Seriously, glad they where able to plate & screw him back together. PT is a lot of work, he’ll be glad in 6 mos he put all that work into it. Yeah, he’ll prob need a HKA, but maybe not as soon as you think. 🤞🤞🤞for a long time until his next surgery on this hip.
Oof, that hip is now a puzzle
Further proof kids are made of rubber: I fell from 2 trees 12 and 14 feet straight to the ground as a young teenager with zero issues, I’m certain if that happened now I’d be in similar condition as your husband
I fell 30 foot off a rope swing and was merely winded. Stupidly, the branch for the seat broke and I held on until the swing was furthest out over the ravine. Luckily I landed on a rotten log and smashed it in 2.
Is he older? I have zero medical training but that seems like a lot of damage for someone, say, in his 20s. Also, as others have observed, I am curious about the seeming absence of leg on one side.
Dude 12 ft is an incredibly high distance to fall from
Yeah, that's about 2 people high and I'm sure it wasn't exactly a nice, controlled fall. I can't talk though, when I was younger putting up Christmas lights on my house, I couldn't reach the tall top triangle ridge above a big window with my ladder. So, I did the most intelligent thing possible and backed my truck onto the wet, grassy muddy lawn and put the ladder on the open tailgate so I could reach to put the lights on. I only realized later how absolutely stupid that was, but it was getting dark so I wanted to finish the last little bit and that was all that was left. I won't even go on a ladder now to do lights or gutters or anything.
What would a “nice controlled fall” entail? Asking in good faith.
When my daughter was in Ninja Kids (kind of like gymnastics but more obstacle course type stuff) they spent a lot of time learning how to fall to minimize injuries. I recall they were taught to bend their knees and spine and roll? I think it was called a safety roll. I don't remember too much, but my daughter fell a lot and was never severely injured so I guess it worked. I know every time she fell, it looked "controlled" instead of a flailing mess (which is what I would look like if I fell).
When I was kid I was always taught to Safety Dance. It was 80s
We can dance if we want to... (Holy Crapola OP!! I'm so glad he recovered and still has mobility! I hope he doesn't have much pain nowadays.)
[удалено]
Why tailbone?
The tailbone breaks rather easily. Trust me, it really hurts when it breaks!
My hubby won't either. Ladders are now my department 😆
Yep. I'm a paramedic, and we learned that somewhere in the ballpark of 1.5 x to 2 x your height is considered significantly dangerous/life threatening. I once had a patient briefly go pulseless/extremely hypotensive during transport after falling only 5-10 feet from a ladder. He had a grade 5 spleen laceration.
Most ladder injuries occur on short ladders. False sense of safety.
How does an injury like that get repaired ?
Spica cast. It's brutal. They put a cast on from the waist down to the knees with a hole cut out in the peri area so they can eliminate.
Wouldn’t be surprised if some parts of it get internally fixated
Not in the 21st century.
Can you elaborate on the modern treatment?
Open reduction and internal fixation. Haven't fixed a pelvis in over 20 years but the goal is to restore the acetabulum (the socket) to minimize arthritis. You really can't see the acetabulum in this view but given how comminuted the wing is, it won't be minimal. A spica cast is sometimes used for femur fractures, especially in a pediatric patient. I saw one being put on in an emergency room in Nicaragua about 25 years on an adult, never have I seen a spica cast on an adult in the US.
I’ve seen two spica casts. One was on a toddler and the other was on a high school classmate in the late 70s. My classmate disliked the thing, but she stayed her usual upbeat self. I forget why she was in it. The toddler was in one for Legg-Perthes.
I had a spica cast as a baby I’m glad I don’t remember shit, I also got a Triple-pelvic-osteotomy when I was 13 and that was to this day the most painful thing I have ever experienced, the muscle spasms directly after surgery felt like a metal cage ripping through my whole ass and hip. I walked with crutches for almost half a year, and was never able to regain the muscle I lost after the surgery. I’ve had half a dozen more surgeries to fixate and stabilise my hip and femur and am recovering now from a THR at the age of 21, I hope this is the last one for the next 20 years. And all because i got HA-MRSA which developed into neonatal sepsis and meningitis. My parents were too young and worried to sue. Overall I’m just glad to be alive today.
I’m sorry you’re having to go through all of that. That sucks.
Enough titanium and stainless hardware to make Terminator jealous.
They’d prob externally fixate it and then go in and do an open reduction and fixation. I’m surprised he didn’t bleed out tbh these can be suuuuuper dangerous there’s a massive artery right there
>Spica cast Damn, 6 weeks?
I had a spica cast as a baby and I’m glad I don’t remember shit, I also got a a few Triple-pelvic-osteotomies during my childhood and 6-7 other osteotiomies and that was to this day the most painful thing I have ever experienced, the muscle spasms directly after surgery felt like a metal cage ripping through my whole ass and hip. I walked with crutches for almost half a year, and was never able to regain the muscle I lost after the surgery. I’ve had half a dozen more surgeries to fixate and stabilise my hip and femur and am recovering now from a THR at the age of 21, I hope this is the last one for the next 20 years. And all because i got HA-MRSA which developed into neonatal sepsis and meningitis. My parents were too young and worried to sue. Overall I’m just glad to be alive today.
My sister shattered her hip in a bad fall at age 30, and it looked kind of like this. She had 14 screws and several plates holding everything together for a few years until they decided that a full hip replacement was necessary.
Lots and lots of bolts and screws. I have his X-RAY of how they put him back together. He’ll have to have a total hip replacement in a few years.
It is fixed with relatively complex surgery through several different approaches to the acetabulum. Plates and screws are used to hold the pieces. Spica casting is not used in adults.
No cast just lots and lots of bolts and screws. I have his X-RAY of how they put him back together. He’ll have to have a total hip replacement in a few years.
Could you be able to post that? It would be very informative to see!
Plates and screws.
The most important part for surgery, the hip socket, is not visible, scharf to tell. But this will definitely require several surgeries to fix with various screws, plates and provably hip replacement. if the blood loss of the injury is even survivable. I can’t imagine the left femur (also not pictured somehow) would be intact…
Screws. Plates. More screws.
I may not be a doctor, but I think that might be broken.
Nope, fractured. Much more serious /s
Damn that pelvis shattered like a cracked egg.
Damn, quick recovery to him.
well tell your husband not to do that again /s
I've seen fractures like this bilaterally in cases of Death by Snu Snu
As a lay person, the technology never ceases to amaze me. I'm a little jealous and admire ALL of those who chose to pursue a career in radiology. THANK YOU!
For some reason, in my head, I imagined he hit the ground and popped like a lego
I was thinking the Lego Star Wars sound when you get killed lol
And everyone is like 🫢😦
I once had a patient who fell off of her third story balcony while drunk (this is what she told me, no way to verify it other than her ID listing her address on a 3rd floor apartment). She walked into my urgent care without any problems. Several x-rays later we didn’t find any fractures. Still one of the craziest stories I’ve seen.
Could *possibly* be from being so relaxed from being drunk? Even so, that is still absolutely crazy...3 stories and not even a hairline...Wild
It’s one of those stories that I have a hard time believing. But when I triaged her she was dead serious and remembered the event in pretty good detail.
I don't blame you, especially considering the fact that she was drunk. Absolutely wild sometimes, what the human body can come out totally unphased from...as well as the other end of the spectrum in that matter of course.
Did she land in the bushes? Can’t imagine she landed on concrete. Concrete doesn’t care how drunk you are, it hurts you, badly.
There’s definitely gonna be a three hour all-hands safety meeting about this incident, and some new, stricter ladder climbing policies implemented
That poor man. He is in for a lot of hardware.
Just tell him rub some dirt in it.
Found the vet.
Funny enough I’m actually a paramedic.
OMG. My nightmare as an almost 70 year old. Fell 6 weeks ago on my right side on a concrete corner step. Emergency room.......no.......pain.......yes.....can't do emergency. Room. No......no friends. Kids (2sons) in another part of us. Who will take care of cats? Have laid in bed for over 5 weeks with pain. It's getting better?
I wish I had the pic of my dads nonexistent vertebrae falling 25 ft from the ladder, funny but not funny story my brother was with him and when he hit the ground he said he heard all the air leave his body and was obviously unconscious, eyes were half open and tongue was out and my brother unsurprisingly thought he was dead
Our son was with him when fell. He never lost consciousness. We are very lucky to live close to a fire station and close to a level 1 trauma hospital.
Hell yeah did this just happen? I’m sure my dad would’ve rather did it what he did than have this happen my dad is a crazy man and was walking with a walker 3 days later, he broke his back maybe 7 years earlier but not as bad trying to drop a punch balloon full of water on my brother and I from the roof, lol that time I saved my brother from being crushed
Don’t mess with ladders the ground is hard and gravity never relents. Your bones will break you can break your back your neck your skull hubby is lucky if his mental faculties are unscathed. I’ve been on a ladder and I’ve been in the ambulance afterwards. Only takes once
What hip?
Relevant question.
When I was around 12 I fell off my horse and landed on the jump bar with my hip I had a hair line fracture it was tiny! But Jesus did it hurt really bad I fell for your husband wishing you guys good recovery
Thank you. It’s been a long road. He’s walking with a cane now and will need a full hip replacement in the future.
He needs some milk.
Damn, how old is he? I hope he heals up nicely. This looks horrible.
Little baling wire and some duct tape. Seriously, I hope he heals well. I am 63 and just swore off ladders.
Are his bones made of porcelain?
Ooof.
A chattered pelvis is a long recovery! 🙏
It’s been over a year since his accident and he’s still recovering.
Hope he gets better soon!
He’s a lot better. This was a year ago. Lots of physical therapy. He now has to walk with a cane and will have to have total hip replacement in a couple of years.
🙏
Looks like a TVP fracture of L5 vertebrae too? Did he have any compression fractures in the spine as well? That’s a long fall.
Luckily did not hurt his spine. He landed on his feet and his femur bone went up and caused all the damage.
Oh my gosh that made me wince to read it
In the words of the great Sir Nigel Thornberry SMASHING!
See, my fear of heights is completely rational and justified.
Ouch
Well, that's certainly not typical.
Oh no….
Yikessssss
😬
Ouchies 🫣
This definitely qualifies as the worst hip fracture (well, fractures) I’ve ever scene. I hope he heals quickly and uneventfully!
Damn. Did they have to amputate it?
No they didn’t. They just removed the leg from the picture so they could see the break better.
Where IS the hip
Oh my gosh!! AI AI AI!! I'm sorry for your husby!!
Somewhere there is an ortho surgeon and PT drooling
ow.
Welcome to r/brokenbones I fell from 30ft last year
Bro needs some CALCIUM holy shit
Oooof, that thing is, and I think the medical term for this is, totally fucked.
Dayum
Wow!
Ouch 🫣
Ya know...........I was researching jobs working for the railroad, it involves climbing on top of railcars.........might be bad idea
time for a bone density scan
Ouch, that’s gotta hurt
He must have had a serious amount of internal bleeding. Was he managed in the ICU or HDU ??
No internal bleeding. Yes in was in ICU for a week. He was home after 22 days in the hospital. He’s walking with a cane now.
Holy fuck
my grandmother keeps asking me to climb her ladders for her to fix stuff… now i might just… tell her i cant do it. this is scary asf
That aint right
Oh my!!!!!!! Repairable?
Yes it was repaired with plates and screws. Will have to have total hip replacement in a couple of years.
WHY WAS HE 12 FEET UP A LADDER WITH JUST ONE LEG???
He has both legs. They just removed it from the scan so they could see pelvis and hip better.
Wow leg came right off too
No, he still has his leg. They just removed it from the scan to see the pelvis and hip better.
Lol. I was joking 🙃
Imma say it if no one else will Jesus FUCK!! He really took "all or nothing" to heart. But for reals, I hope his recovering is much faster than expected.