Podcasts about femurs

Timestamps - 0:00 – Intro: Aaron Returns to LL LIVE0:33 – Aaron's 7.4 cm Femur Lengthening and Bow-Leg Correction Overview1:14 – Femur X-Rays, Nail Removal, and Full Consolidation3:03 – Post-Removal X-Rays and How Strong the Bone Looks3:43 – Bow-Leg Correction: Osteotomy, Plates, Screws, and Bone Graft6:04 – Follow-Up X-Rays and Early Tibia Healing Progress8:04 – Weight-Bearing Rules After Bow-Leg Correction9:35 – Aaron Walking Four Weeks After Surgery11:44 – Pain Comparison: Bow-Leg Correction vs. Femur Lengthening14:26 – Live Q&A Begins15:45 – Shin Conditioning, MMA, and Tibia Bone Strength After Healing17:23 – Insurance, Costs, and Budgeting for Surgery19:02 – PMAX Quadrilateral Timing and Realistic Height Goals21:24 – Clothing, Proportions, and Life After 7.4 cm21:52 – Why Aaron Chose Limb Lengthening23:41 – Aaron's PT Routine and Pool Therapy “Cheat Code”25:42 – MK-677, Appetite, and Recovery Supplements28:01 – Bow-Leg Hardware: Keep It In or Remove It Later?29:37 – Why 10+ cm on Femurs Alone Can Be Problematic32:31 – Pre-Surgery Stretching and Mobility Prep34:42 – Peptides, Stem Cells, and Recovery Timing35:57 – Nerve Pain, Numbness, and Aaron's Recovery Timeline39:42 – Gabapentin, Ice, and Slowing Down for Nerve Symptoms40:52 – Master Distractor Joins with Weight-Bearing Update42:26 – Athleticism After Bow-Leg Correction44:21 – Tibia-to-Femur Ratio and Choosing Femurs First46:59 – Rebuilding Leg Muscle After Lengthening49:23 – Peroneal Nerve Release and PMAX Tibia Questions52:18 – Squatting, Ratios, and Biomechanics After Lengthening55:48 – Master Distractor's Recovery and Proportion Update1:07:09 – Athletic Tradeoffs After Limb Lengthening1:14:14 – Regret, Gatekeeping, and Doing LL for the Right Reasons1:18:42 – Is 7 cm Safe on Femurs?1:20:25 – Quadrilateral PMAX Timing and Final Q&A1:21:52 – Closing Sign-Off______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life

LL LIVE Ep. 204: PRECICE Max is one of the latest breakthrough developments in internal limb lengthening technology, and this podcast livestream is to give patients clarity on the expectations, safety, mobility, weight bearing, recovery, femurs, tibias, and surgical planning.Topics include:• What PRECICE Max / PMAX is• How it compares to predecessor PRECICE 2.2 nail• Why PMAX nail strength and size matter• Weight bearing, mobility, and rehab expectations• Potential benefits for femur, tibia and quadrilateral • What patients should still be cautious about including PT• Timing, availability, cost, and safety questions• Brief LIVE Q&A from the limb lengthening communityContact info for Dr. PaleyWebsite: https://limblengthening.org/Email: inquiry@limblengthening.org_____________________Timestamps -0:00 – Intro: Dr. Paley on the New PRECICE Max Nail1:10 – What Changed from PRECICE 2.2 to PRECICE Max3:16 – FDA Disclaimer and Paley Institute Weight-Bearing Protocol4:17 – Why Paley's Protocol Is Built Around Safety and Reliability6:32 – How the PMAX Protocol Differs from P2.27:16 – 5,000 PRECICE 2.2 Nails and What the Breakage Data Shows8:44 – First PMAX Launch, Manufacturing Delays, and Relaunch Timeline11:50 – Exclusive July 15th Launch at Paley Institute13:11 – First 60 PMAX Cases and Early Hardware Results15:43 – Weight Bearing as Tolerated After Surgery17:36 – Why Limb-Lengthening-Specific Physical Therapy Matters19:16 – Walking Without Aids, Stairs, Curbs, and Cane Protocol21:57 – How PMAX May Reduce Muscle Loss and Deconditioning23:49 – Femurs vs Tibias and Quadrilateral Weight-Bearing Rules24:43 – PMAX Nail Sizes and Weight Limits28:00 – Bone Healing, Wolff's Law, and Titanium Nail Loading30:17 – Tibia Lengthening, Achilles Stretching, and Ballerina Foot Risk34:41 – Why Surgeon Experience Matters with PMAX36:06 – Fat Embolism Risk and How Experienced Teams Reduce It39:30 – PRECICE 2.2 vs PMAX: Cost, Benefits, and Decision Factors42:37 – Scheduling PMAX Surgery at Paley Institute45:08 – PMAX Availability in Other Paley Clinics47:19 – PMAX Weight, Consultations, and EOS Scan Process50:47 – Can PMAX Help Patients Reach More Than 5 cm on Tibias?52:03 – Why Paley Does Not Do Preventive Compartment Releases53:56 – Driving During Distraction with PRECICE Max55:02 – Can Simultaneous Quadrilateral PMAX Reach 13 cm?58:53 – Safety, Safety, Safety: Why Experience Matters1:00:10 – PMAX vs P2.2 Recovery Timeline1:02:25 – What If a 10 mm PMAX Nail Does Not Fit?1:05:27 – Vitamin D and Slow Bone Healing Support1:06:49 – Side Quest Recovery Video: Stride Nail Case Study1:10:06 – Running, Sports, and Long-Term Athletic Recovery1:10:46 – The Success Triangle: Surgeon, PT, and Patient Compliance1:14:34 – Final PMAX Takeaways and How to Contact Paley Institute

Timestamps00:00 – Intro01:22 – Noah's Recovery Update: Walking Without Crutches03:02 – Femurs vs. Tibias: Choosing the Right Segment07:46 – Internal Nails vs. External Fixators10:12 – Common Complications & Lessons Learned13:39 – Why 6–7 cm Can Make a Huge Difference15:05 – Best Limb Lengthening Options in Germany15:28 – Will You Fully Recover After Limb Lengthening?17:27 – Recovery After LLD & Trauma Cases vs Cosmetic Lengthening19:05 – Tailor Spatial Frame (TSF) for Tibia Lengthening19:47 – When Can You Walk Normally and Drive Again?22:56 – The Future of Cosmetic Limb Lengthening25:35 – Noah's Height Gain: 171 cm to 178 cm26:51 – Does PRECICE Take Longer to Recover From?27:44 – Germany Surgeon Discussion: Betz, Becker & Thaller29:05 – Is Noah Planning a Second Surgery?29:46 – Fastest Recoveries Ever Seen After Limb Lengthening32:31 – When Are Complications Most Likely to Happen?34:06 – How Long Does It Take to Get a Normal Gait Back?36:28 – Can Deformity Correction Be Done During Lengthening?37:41 – Accutane and Limb Lengthening Surgery38:25 – PMAX, Testosterone & Future Recovery Optimization40:40 – Athletic Ability, Body Composition & Post-LL Weight Loss43:24 – Returning to the Gym After Limb Lengthening44:04 – Upper Body Training During Recovery45:40 – Best Methods for Faster Recovery46:15 – Aaron Joins the Show46:48 – Aaron's Nail Removal & Bowleg Correction Update48:01 – Aaron's Recovery One Year After Femur Lengthening49:05 – Asian Squat, Proportions & Life at 7.4 cm Taller50:00 – Recovery Timelines: Aaron's Perspective52:10 – Q&A: Walking, Running & Athletic Return55:30 – Community Questions & Surgeon Selection Advice59:00 – Final Thoughts on Recovery & Expectations1:02:00 – Outro____________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life

What should your next step be if your screening tests are negative. How worried should you be about child abuse in the setting of a femur fracture and when to pay attention to the exceptions. Here is the link to the study I refer to in the episode.  https://pubmed.ncbi.nlm.nih.gov/20373153/     Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com and the PEM Rules Store at  https://www.redbubble.com/shop/ap/164385928   Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall PEM Rules, the PEM Rules podcast or any guests or affiliated entities be responsible for damages arising from their use. This podcast should not be used in any legal capacity whatsoever, including, but not limited to, establishing "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the website or in the podcast.

Short Femurs

Well, none of us are feeling particularly patriotic at the moment. Luckily, neither is Cap, which makes Ta-Nehesi Coates's “Captain of Nothing” an appropriate read for the moment. ”Cosmic Cooties,” featuring both Moon Girl AND Devil Dinosaur, is less timely but still satisfying. Join us for the evening, won't you?

Discussing the limb lengthening process with patients who are planning to undergo or have undergone limb lengthening surgery. Natalie underwent Cosmetic Limb lengthening in early November 2024. She is currently at 65mm (6.5cm) on her femurs and plans to shoot for 75mm in the next 2.5 weeks. She's here to give us an update. Also, she's documenting her process via the links which you can see below... Ep 1. https://youtu.be/andsYlrLqE0?si=6i3OnOmyBL5RNJ2S Ep 2. https://youtu.be/E9l6Bt9h8mE?si=t7O1ALfPJUZaw-WQ ________ Audio Podcast: will be available within 48hrs when stream ends Timestamps: 0:00 - Intro 0:26 - Back from Holiday Hiatus 0:39 - Introducing Natalie: Current Lengthening Status 1:10 - Beginning Natalie's Story 1:22 - Why Natalie Wanted Limb Lengthening Surgery 2:11 - Psychological and Social Reasons for Surgery 3:06 - Anticipating Perception Shifts Post-Surgery 4:30 - Changes in Perspective as Height Increases 5:10 - Natalie's Height Goals and Current Progress 6:43 - Starting Height, Current Height, and Goal Height 7:51 - Surgery Date and the Journey Thus Far 8:09 - Pain After Surgery: Experiences and Management 10:19 - Unique Mobility Challenges Post-Surgery 11:03 - Demonstrating the Bunny Hop Swing Technique 12:34 - Realities of Limited Mobility During Lengthening 14:48 - Preparing for Physical Limitations During Recovery 16:11 - X-Rays: Comparing Bone Growth Progress 17:35 - Supplements for Bone Healing 18:16 - Daily Supplement Routine 19:40 - Nerve Pain Experiences and Management Strategies 21:10 - The Onset and Challenges of Nerve Pain 23:03 - Using Medications to Manage Severe Nerve Pain 24:48 - "Honeymoon" or Waiting Phase After 5cm 27:15 - Managing Pain Throughout Lengthening 28:55 - Physical Therapy Routine at Paley Institute 30:01 - Benefits of Aqua Therapy During Recovery 32:03 - Deciding Between Precice 2.2 and Precice Max Nails 34:26 - Reflections on Choosing the Precice 2.2 Nail 35:58 - Looking Ahead: Life After Surgery and Increased Height 37:51 - Answering Audience Questions: Lengthening Fatigue 40:14 - Managing Expectations Around Height Goals 41:02 - Thoughts on Being Taller and Future Adjustments 42:53 - Nerve Pain Discussions from the Audience 43:12 - Using Ice to Manage Nerve Pain 44:59 - Addressing Mobility Challenges and Stair Navigation 45:33 - Importance of Flexibility and Prehab for Surgery 47:00 - Final Advice for Prospective Patients 48:13 - Outro ________

On the first Ball & Chain of the year, Rebecca and Steve welcome in the 2025 by recapping their holiday. Rebecca learns a cashew is not a nut. While Steve defends the thoughtfulness of his Christmas gift. All that plus Viewer Mail on the 282nd edition of the Ball & Chain Podcast.

Hour 3 of A&G features: Our guest, Ian Bremmer, on what happens next in Gaza The Great Stagnation The horrid photos coming out of the Hamas attack Taylor Swift's new extreme enthusiasm for football!   See omnystudio.com/listener for privacy information.

Hour 3 of A&G features: Our guest, Ian Bremmer, on what happens next in Gaza The Great Stagnation The horrid photos coming out of the Hamas attack Taylor Swift's new extreme enthusiasm for football!   See omnystudio.com/listener for privacy information.

Hour 3 of A&G features... Our guest, Ian Bremmer, on what happens next in Gaza... The Great Stagnation... The horrid photos coming out of the Hamas attack... Taylor Swift's new extreme enthusiasm for football!   Stupid Should Hurt: https://www.armstrongandgetty.com/See omnystudio.com/listener for privacy information.

This week we welcome special guest Eliana Sherriff, better known as Ellie in Space! Listen in as we discuss how a Starlink beta test kit led Ellie to make the move from the news desk to "Space-tube," where she now boasts over 70k subscribers following her coverage of all things space exploration and tech as she works to cover the new space age. Hear all about her experiences with Elon Musk, who now follows her on Twitter, her recent move to Austin to better cover Tesla and SpaceX, the purchase of her first Tesla vehicle, covering the first fully integrated Starship launch on crutches because of a broken femur, dabbling in stand up and much more! Be sure to subscribe to Ellie in Space on Youtube and follow Ellie on Twitter and Instagram. Host: Cale Matthews   Audio Engineer: Art Pipok Be sure to follow us on ⁠Twitter⁠⁠ and ⁠⁠Instagram and visit us at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠solid7podcast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to snag some ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠merch⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, rate the show, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠buy us a Jocko Go⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, see upcoming events, support worthy causes, and become a ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ supporter. © Copyright 2023 Solid Seven Podcast. All Rights Reserved.

Ever been baffled by uneven abs? Do you feel weaker during your period?  Can you enhance fat loss in your legs? What're the pros and cons of fat grips? In this Q&A episode, we delve into a medley of topics including hypertrophy versus strength training for fat loss, deloading, squatting with long femurs, and much more. As always, these questions come directly from my Instagram followers, who take advantage of my weekly Q&As in my stories. If you have a burning question, follow me on Instagram (@muscleforlifefitness) and keep an eye out for these Q&A opportunities. Your question might just make it into a podcast episode! If you like this type of episode, let me know. Send me an email (mike@muscleforlife.com) or direct message me on Instagram. And if you don't like it, let me know that too or how you think it could be better. Timestamps: 0:00 - Please leave a review of the show wherever you listen to podcasts and make sure to subscribe! 2:00 - What are you most afraid of? 2:27 - What is your opinion on fat grips? 3:49 - My core feels weak around the monthly. Is that normal? 4:25 - My abs are finally here but they are not symmetrical what can I do? 9:48 - Best source of information for current events? 10:58 - Do you enjoy eating a bunch of protein and then dutch ovening yourself? 11:10 - My free quiz to answer all your diet questions: www.muscleforlife.show/dietquiz 11:57 - How do you typically deload? 13:28 - What is your new year resolution for 2023? 14:15 - What book are you reading right now? 15:47 - What did you think about the US and Russia's prisoners exchange? 16:19 - Is hypertrophy training better for fat loss than strength training? 16:49 - Tricep pushdown underhand or overhand grip? 17:11 - Heels lift forward lean when squatting due to long femurs what is the best solution? 17:46 - Can I combine Legion's Genesis with Legion's Whey? 19:07 - How to lose fat from the legs? 19:34 - Is every session planned? Mentioned on the Show: Take this free quiz to get science-based answers to all of your diet questions: www.muscleforlife.show/dietquiz

On Episode 86 of Limb Lengthening LIVE - We were going to do a LLD Roundtable for patients but no one confirmed. So I just did a LL LIVE Q&A __________________ Timestamps: 0:00 - intro 1:10 - Nail malfunction 5:45 - Age limit for LL 9:00 - good surgeon for a good price 12:20 - talking normally with WB nail 17:20 - my crooked nose septum 19:00 - preparing for LL as a 20 year old 23:00 - does bone density and flexibility matter 25:30 - doing over 8 cm LON 27:50 - Hyperplasia in muscles after LL 30:00 - weight-bearing nail 34:00 - nuVasive precise max 34:50 - soft tissue shoulder injury 36:00 - preop procedure 38:00 - The C4LLECTIVE overview 43:25 - can you use crutches with WB nail 46:00 - 6 cm on Femurs and walking in 6 mo 49:00 - obesity and chances of embolism 56:40 - Quadrilateral lengthening 58:30 - PSA for leg length discrepancy 1:02:00 - Outro __________________

It's January 13, 2023. BoxerBlu and Bram are back with news for kids a different way.  They focus on people who have surgery on their legs to be taller, a new video game called Trombone Champ, Bikers Against Child Abuse, bank robberies going down in popularity, and Virgin Australia offering $145,000 to people who choose the middle seat. 

It's just you and me today and I'm excited to answer questions and chat like we're sitting with a cup of coffee... or tea... or wine.  Today's big questions include:  1. If you have been told you have long femurs... what does that mean? Should you stop squatting? Do you need to squat differently? Yes and maybe no.  Listen in! 2. How do you properly carb load for a half marathon? Is it even necessary and is eating a big bowl of pasta the night before good enough?  I'll also talk about breaking free of sugar cravings and my favorite least talked about kitchen gadgets I can't live without. Ready to try Athletic Greens? Go to https://athleticgreens.com and use code FWW for the best deal. Complete the 14 Day FREE Ignite Reset Challenge! 14 days of day by day training and beginner workouts. Why not give it a go? You'd be silly not to. https://fitwomensweekly.com/lp/fww-live/ignite-reset www.instagram.com/KindalBoyleFitness  www.FitWomensWeekly.com  Kindal@fitwomensweekly.com 

If you had the chance, would you want to be pain-free for the rest of your life? Which place on the planet would you never want to live, and why? What show would you like if you had to be trapped in a TV show for a month? And who would you be if you were a character? We can select a single color that our eyes can see before we are born. What color would you like to choose? Every day, 12 new things arrive in your house, all of which begin with a letter you choose. Which letter would you pick?

In this episode we sit down with Sarah Penner for the second half of last week's episode! In the short 22 years of Sarah's life, she has overcome many physical trials as well and most recently a skiing accident in Europe. Sarah so powerfully relays her experience of how Christ and the principles of the Gospel has continued to help her battle in her journey of recovery!INSTA: @intothelight5024New content weekly!!Did you notice the new fancy intro?? We are so blessed to have an amazing friend and fingerstyle guitarist, Austin Johnson, who made a song for us! It's called (fittingly) "Into the Light". He is an incredible human and has such a gift. Go give his YouTube channel a SUBSCRIBE!!Austin Johnson YouTube Channel:https://www.youtube.com/channel/UCIZLZEAQSRMf4Q1patrTg If this helps you in any way please SHARE, SUBSCRIBE, and LIKE!! :)We love suggestions, please email us at intothelight5024@gmail.com with anything you feel would help!WE LOVE YOU ALL!!

Hey, bud, could ya help me find my femur? Have questions for us? Contact us at @SCQPodcast on Twitter or by email at SideCharacterQuest@gmail.com. Or come chat with us on Discord! Proud member of the Scavengers Network. Support us on Patreon. Support Side Character Quest by contributing to their tip jar: https://tips.pinecast.com/jar/side-character-quest Find out more at http://sidecharacterquest.com

Andrew joins the show from his hometown of Cleveland, Ohio, where he's doing his best to keep his composure in the face of some (minor) technical issues. Meanwhile, back in Washington, sea lions are under attack in the “Rants and Raves” section of the Seattle Times. 

Andrew joins the show from his hometown of Cleveland, Ohio, where he's doing his best to keep his composure in the face of some (minor) technical issues. Meanwhile, back in Washington, sea lions are under attack in the “Rants and Raves” section of the Seattle Times. 

Andrew joins the show from his hometown of Cleveland, Ohio, where he's doing his best to keep his composure in the face of some (minor) technical issues. Meanwhile, back in Washington, sea lions are under attack in the “Rants and Raves” section of the Seattle Times. 

Andrew joins the show from his hometown of Cleveland, Ohio, where he's doing his best to keep his composure in the face of some (minor) technical issues. Meanwhile, back in Washington, sea lions are under attack in the “Rants and Raves” section of the Seattle Times. 

Trailer Round-Up: Jurassic World Dominion, The Adam Project, Firestarter- Russell Crowe cast in Kraven The Hunter -  Movie Pass is...back?? -  The Rough Cut's "Just The Title" ft. Marty Donovan 

Show Notes:  Join hosts Brit & Britt, two business owners putting anything and everything on blast in this weekly show about anything under the sun, from biz to butt lifts…nothing is off limits! Fate made their paths cross, but their raw & genuine personalities bonded them. Hop on board B's, they're about to take you for a wild ride!!Broadcast Live from The National Automobile Museum: AutoMuseum.org Resource Links: HavenAndFlux.com BLFTreno.com FenixMedia.us ***License to use music contained in this program was issued by ASCAP (License #: 400009234) and BMI (License #: 60993608) for use by Fenix Media, Sparks, NV.

Show Notes:  Join hosts Brit & Britt, two business owners putting anything and everything on blast in this weekly show about anything under the sun, from biz to butt lifts…nothing is off limits! Fate made their paths cross, but their raw & genuine personalities bonded them. Hop on board B's, they're about to take you for a wild ride!!Broadcast Live from The National Automobile Museum: AutoMuseum.org Resource Links: HavenAndFlux.com BLFTreno.com FenixMedia.us ***License to use music contained in this program was issued by ASCAP (License #: 400009234) and BMI (License #: 60993608) for use by Fenix Media, Sparks, NV.

'Moses Supposes World' is back in a big way. Ricardo Benitez a.k.a. 'No Femur Kid' shares thoughts with Moses on his time at Baylor, running a marathon and what the future holds. Plug in and listen to his story and get ready for him to be back as a recurring guest.

Our hereos attempt to escape and Jeff implies Tolkien stole a scene from him

In this week's edition of the Frontstretch Podcast, Dustin Albino and Mike Neff discuss Ryan Newman returning to NASCAR after many feared the worst post-Daytona 500. Chip Ganassi Racing gave Matt Kenseth the nod for the No. 42 car, bypassing Ross Chastain. Now that NASCAR has granted Kenseth a waiver to be playoff eligible, Albino and Neff discuss what ... Read more

Meet Liz from the Be Ultra Living Ladies team. She discusses a life changing car accident that she experienced at age 15 and how she is still dealing with the injuries 21 years later. She believes her accident and injury is being used to connect with others and wants to use every opportunity she can to spread the word of God and express how her faith has got her through.

Soma Slumber are deathcore band based in Rochester, NY and they're stupid fucking heavy. Like, seriously. We sat down with Mike and Zane to talk about the band's history, unexpected influences, fights in the pit, and controversial musicians. Featured song: "Eternal Sleep"- Soma Slumber Follow Soma Slumber on: Facebook- https://tinyurl.com/vdnfqt5 Instagram- https://tinyurl.com/t7vkmyx Bandcamp- https://tinyurl.com/spemgmf Youtube- https://tinyurl.com/qvyntr5 Follow D I L U T E D on: Facebook- tinyurl.com/yba8luyg Instagram- tinyurl.com/yaceddv4 Twitter- tinyurl.com/ybarm7vl Official Website- www.dilutedband.com/

THIS WEEK!! Sock it to me! That's a reference.  Also: Dad Jokes, A new species of fly is commandeered for use in the U.S. Government, and finally, a quickie about No Knee Nelly with Four Foot Femurs.  Tongue twisters, surveillance, and lousy jokes abound!  

Bay Area playwright and actress Kristina May joins Woody and Madelein to discuss comedy audience size discrepancies, community college, finding a girlfriend, reconciliation, and an overlooked key to physical compatibility. Check out our Patreon for weekly bonus episodes and so much more! Rate us 5 stars in Apple Podcasts for a shout-out in a future episode! Join our discussion group to connect with cool Daddies and follow us on Twitter and Instagram. Have big laughs and great dates this week!

Femurs were wielded, and CEOs fell… After the apocalypse, a lowly office worker is alive and alone in headquarters…keeping an old way of life going in the hope that things will one day return to normal… * * * Credits: Music: Ergo Phizmiz and Kai Engel. Story: Christopher Gronlund. Episode Transcript >>  

Episode in which I implore the church to rediscover awe towards our God, walk through the anxiety-assuaging logic of “reverse birth”, and tie it all together by contemplating matching femurs. Also, it’s the shortest episode to date, so either I’m running out of things to say, or I’m unintentionally exploring the maxim “less is more.”

How can Edson Barboza survive a terrible style matchup against Justin Gaethje? What does Michelle Waterson have for Karolina Kowalkiewicz? It's a real shame Sodiq Yusuff is a Lloyd Irvin guy, because he looks really good What Anthony Pettis did well last weekend, and why he's still fundamentally the same guy Justin Willis' flat feet, and other reasons that he is not Francis Ngannou Maycee Barber's newfound grit

This week we learn that trash hamburgers are good for your health, try to grasp Battlefront II's inscrutable economy, and discuss our Horizon: Zero Dawn dad feelings. Games discussed:Horizon: Zero DawnBattle Chef BrigadeEarthboundSuper Mario OdysseyNier: AutomataFlipflop SolitairePokemon Ultra MoonStar Wars: Battlefront II Learn more about your ad choices. Visit megaphone.fm/adchoices

We couldn't record a Triforce this week, so here's a wonderful archive podcast from the Team Double Dragon Vault. Music courtesy of Epidemic Sound.

Luke and Andrew discuss why insane jealousy makes Luke want to be a lawyer and Andrew want to stare at blank walls all day. Plus, a new and improved highway sign font is being rescinded, and the internet is mad at a couple of dudes who want to make money from their web series.

Die Diagnose eines femoroazetabulären Impingements (FAI) ist eine Kombination aus klinischem Befund und typischen bildgebend erfassten Veränderungen der knöchernen Morphologie des Hüftgelenks sowie Verletzungen des Labrums und des Gelenkknorpels. Konturveränderungen des Kopf-Hals-Übergangs des Femurs treten beim Cam-Impingement auf, während das Pincer-Impingement durch knöcherne Veränderungen des Azetabulums bedingt ist. Beide Formen des FAI zeigen durch rezidivierendes Anschlagen von Schenkelhals und Azetabulum bei forcierter Flexion und Innenrotation typische Muster der Labrum- und Knorpeldestruktion, die sowohl isoliert als auch kombiniert vorkommen können. Die fortschreitende Gelenkdestruktion wird als Ursache einer frühzeitig auftretenden Koxarthrose angesehen.

Die Diagnose eines femoroazetabulären Impingements (FAI) ist eine Kombination aus klinischem Befund und typischen bildgebend erfassten Veränderungen der knöchernen Morphologie des Hüftgelenks sowie Verletzungen des Labrums und des Gelenkknorpels. Konturveränderungen des Kopf-Hals-Übergangs des Femurs treten beim Cam-Impingement auf, während das Pincer-Impingement durch knöcherne Veränderungen des Azetabulums bedingt ist. Beide Formen des FAI zeigen durch rezidivierendes Anschlagen von Schenkelhals und Azetabulum bei forcierter Flexion und Innenrotation typische Muster der Labrum- und Knorpeldestruktion, die sowohl isoliert als auch kombiniert vorkommen können. Die fortschreitende Gelenkdestruktion wird als Ursache einer frühzeitig auftretenden Koxarthrose angesehen.

Thu, 10 Dec 2009 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/10949/ https://edoc.ub.uni-muenchen.de/10949/1/skuban_tobias.pdf Skuban, Tobias ddc:610, ddc:600, Medizinische Fakult

Zielsetzung: Ziel der Arbeit ist es, die Vorhersagekraft der Knochendichtemessung am proximalen Femur durch DXA zur Bestimmung des individuellen Frakturrisikos durch die toplogische Analyse der Mineralsalzdichteverteilung der Scan-Bilder zu steigern. Die Evaluation basiert auf den sog. Minkowski-Funktionalen (MF). Die Ergebnisse des neuen Verfahrens werden mit denen der Osteodensitometrie verglichen. Material und Methode: Untersucht wurden 30 postmenopausale Patientinnen (Alter 73,9 ± 10,3 Jahre), bei denen in 15 Fällen eine Fraktur der Hüfte vorlag. Innerhalb der ersten Woche nach dem Trauma wurde eine Knochendichtemessung durch DXA durchgeführt, im Fall der Frakturpatienten an der intakten, kontralateralen Hüfte. Die DXA-Scanbilder wurden durch die MF in 2D hinsichtlich Grauwert- bzw. Kalksalzdichteverteilung topologisch analysiert. Durch Anwendung eines optimierenden integrativen Filterverfahrens wurde eine skalare Grösse MF2D aus der Spektraldarstellung der MF jedes Bilddatensatzes extrahiert und in Beziehung zum Frakturstatus gesetzt. Die Diskriminanzanalyse und die ROC-Analyse wurden zur Erfassung der prädiktiven Wertigkeit des neuen Verfahrens im Vergleich zur konventionellen Osteodensitometrie hinsichtlich korrekter Differenzierung zwischen Patientinnen mit / ohne Hüftfraktur durchgeführt. Ergebnis: Die Knochenmineraldichte [der T-Wert] für die Patienten mit Hüftfraktur betrug 0,67 ± 0,12 g/cm2 [–2,77 ± 0,9 SD], im Vergleichskollektiv 0,77 ± 0,18 g/cm2 [–2,09 ± 1,22 SD]. Die Fläche unter der ROC-Kurve für die korrekte Differenzierung zwischen Frakturpatienten und der Kontrollgruppe durch den BMD-Wert [T-Wert] war 0,72 (p = 0,04) [0,63 (p = 0,23)]. Es lag keine statistisch relevante Beziehung zwischen der Knochendichte BMD und MF2D vor (R2 = 0,045, p = 0,262). Der mittlere MF2D-Wert lag bei den Patienten mit Hüftfraktur bei 10,04 ± 17,2 gegenüber –58,7 ± 82,29 bei den Vergleichsfällen. Die Fläche unter der ROC-Kurve für die korrekte Differenzierung zwischen Frakturpatienten und der Kontrollgruppe betrug für MF2D 0,85 (p = 0,001). Bei der Diskriminanzanalyse ergab sich im Fall der alleinigen Verwendung der Knochenmineraldichte [des Parameters MF2D] eine korrekte Klassifizierung in 63% [70%] der Fälle, mit dem Kombinationsmodell aus beiden Parametern konnten 77% der Fälle korrekt klassifiziert werden. Schlussfolgerung und Ausblick: Das vorgestellte Postprocessing-Verfahren basierend auf der topologischen Analyse der Grauwertverteilung in DXA-Scans des Hüftgelenkes mit Minkowski-Funktionalen in 2D erweist sich als gut geeignet, um Patientinnen mit einer Fraktur des proximalen Femurs zu identifizieren, im untersuchten Patientenkollektiv ist es der konventionellen Knochendensitometrie überlegen. Wegen der verhältnismäßig geringen Kollektivgröße sollte eine Validierung im Rahmen einer größeren, vorzugsweise prospektiv ausgerichteten Studie erfolgen. Hier ließe sich zudem untersuchen, ob sich das neuartige Verfahren auch zur Verlaufskontrolle z.B. unter medikamentöser Therapie eignet.

Im Zeitraum von Januar 1987 bis Dezember 1992 wurden in der Orthopädischen Klinik und Poliklinik der Ludwig-Maximilians-Universität München, Klinikum Großhadern, 181 Hüftprothesenwechseloperationen durchgeführt. Nachuntersucht werden konnten 107 Patienten, die anderen Patienten waren verstorben, unbekannt verzogen, nicht bereit oder nicht in der Lage sich untersuchen zu lassen. In 55 Fällen (51,4 %) wurde ein kompletter Prothesenwechsel vollzogen, in 38 Fällen (35,5 %) wurde nur die Pfanne gewechselt und in 14 Fällen (13,1 %) nur der Schaft. Von den 107 Patienten konnten im Rahmen der Studie 61 Patienten von uns klinisch nachuntersucht werden und von 46 Patienten konnten subjektive Daten mittels eines dem behandelnden Orthopäden zugesandten Fragebogens oder einer Telephonbefragung erhoben werden. Der Zeitraum zwischen der Wechseloperation und der Nachuntersuchung bzw. die Prothesenstandzeit begrenzenden Ereignis (follow up) betrug im Durchschnitt 88,7 Monate bei einer Spanne zwischen 36 Monaten und 168 Monaten. Das Durchschnittsalter der 67 weiblichen und 40 männlichen Patienten betrug zum Operationszeitraum 63,5 Jahre, wobei die jüngste Patientin 36 Jahre, die älteste 87 Jahre alt waren. Es zeigten sich bis auf die bei Revisionen zu erwartenden Knochenlagerkomplikationen kaum intraoperative Probleme. An intraoperativen Komplikationen traten in 25 Fällen Fissuren des Femurs oder Trochanterabrisse auf. Die Hauptkomplikation, die postoperative Luxationshäufigkeit, betrug 16,8 %. Bis auf eine konnten die Luxationen unblutig reponiert werden. Die Nervenschädigungen lagen mit 3,7 % über der in der Literatur beschriebenen 1 %, aber bis auf 1 Fall (0,9 %) waren sie nur von temporärer Dauer und erholten sich komplett. Der MEAN-HARRIS-HIP-SCORE kann bei Revisionsoperationen aufgrund der überwiegend schlechteren Ausgangsbedingungen nicht mit den von Primärimplantationen verglichen werden. Er erfordert eine eigene Interpretation, solange es keinen speziellen „Revisionsbewertungsscore“ gibt. In dem MHHS ergaben sich in 13,1 % der Fälle „sehr gute“, in 28 % „gute“, in 15,9 % „zufriedenstellende“ Ergebnisse. 43 % der Fälle mussten als „ungenügend“ klassifiziert werden, obwohl alle Patienten rechnerisch eine höhere Punktzahl und auch in den meisten Fällen ein individuell besseres Ergebnis als präoperativ erreichten. Zur Auswertung der Op-Zufriedenheit erfolgt noch die Beurteilung in einem subjektiv ausgerichteten Score (Score nach Merle d’Aubigne und Postel). Hier zeigte sich ein „very good“ in 72,9 % und ein „good“ in 7,5 % der Fälle und gibt somit die Zufriedenheit der Patienten mit dem Revisionsergebnis subjektiv wieder. Unsere Ergebnisse zeigen, dass die Lockerungsrate von der Qualität des acetabulären und femoralen Knochenlagers abhängt. Zunehmende Knochenlagerdefekte verschlechtern die Ausgangssituation der Revision und somit auch die Ergebnisse der Reoperation. Bei unseren Patienten mit einem höhergradigen acetabulären Knochensubstanzverlust zeigte sich im Beobachtungszeitraum von 60 Monaten in 20 % der Fälle eine Lockerung im Vergleich zu 11,5-13,5 % bei einem mäßigen bis schweren Knochenverlust. Hinsichtlich des femoralen Knochenlagerdefektes zeigte sich eine 83,3 – 100%ige 5-Jahres-Überlebenszeit bei Wahl des richtigen Schaftverankerungsprofiles trotz vorhandener Knochendefekte. Insgesamt lag die erneute Revisionsrate im vorliegenden Patientengut bei 22,4 % nach 60 Monaten und damit im mittleren Bereich im Vergleich zur Literatur. Unterschieden nach Art der Implantationsverfahren, zementfrei oder zementiert, lag die Lockerungsrate aber jeweils im mittleren Bereich. Dieses gibt zu bedenken, dass die Schraubpfanne „München“ bei Patienten mit hochgradigem Acetabulumdefekt einer genauen Implantationsprüfung zu unterziehen ist. Aufgrund unserer Ergebnisse ist in diesem Fall die „Slooff-Technik“ vorzuziehen, welche eine 5-Jahres-ÜLR von 100 % aufwies. Bei der radiologischen Beurteilung der Prothesen bzw. des Prothesenlagers haben sich die Standardaufnehmen (Beckenübersicht und Hüfte streng axial) bewährt, die eine weitgehend überlagerungsfreie Darstellung der Pfanne ermöglichen. Ein schmaler Sklerosesaum von bis zu 2 mm um den Implantatschaft war bei 63 % der Patienten zu sehen, um die Implantatpfanne bei 79 % der Patienten, wobei nur bei 3 Patienten die Indikation zur Revision bestand. Die Mehrzahl der zementfreien Pfannen wiesen eine Saumbildung lediglich am Pfannenboden (DeLee-Zone 2) auf, die zementierten Pfannen in den Randbereichen. Die Säume im Schaftbereich verteilen sich unregelmäßig um den Schaft. Die Überlebenszeitanalyse der Implantate bzw. der Implantattechniken nach der Kaplan-Meier-Methode konnte aufgrund der zu geringen Patientenzahl und Lockerungen nur deskriptiv interpretiert werden und zeigte eine 5-Jahres-ÜLR bei den zementfreien Pfannen von 88 %, bei den zementierten Pfannen von 73,7 % und mittels der Slooff-Technik von 100 %. Bei den zementfreien Schäften zeigte sich eine 5-Jahres-ÜLR von 90 % und bei den zementierten Schäften von 95,6 %, welche aber im Verlauf der nächsten Jahre, im Vergleich zu den zementfreien Schäften, dann stark rückläufig war. Einen signifikanten Einfluss auf die Prothesenstandzeit (60 Monate) hat nur die Verankerungstechnik der Pfanne. Das Patientenalter, das Geschlecht, die betroffene Seite, die vorausgegangenen Wechseloperationen, die Verankerungstechnik des Schaftes und der Knochensubstanzverlust haben im Chi-qudrat-Test oder Fisher´s-Exact-Test keinen signifikanten Einfluss auf die Prothesenstandzeit. Eine mögliche Ursache für diese Ergebnisse sehen wir in der niedrigen Fallzahl der Untergruppen. Als Ergebnis der klinischen und radiologischen Nachuntersuchung in dieser Studie treffen wir die Aussage, dass die Auswahl des Revisionsimplantates und die Implantationstechnik die entscheidenden Komponenten für eine erfolgreiche Wechseloperation darstellen.

Thu, 20 Jan 2005 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/3227/ https://edoc.ub.uni-muenchen.de/3227/1/Naegele_Erich.pdf Naegele, Erich ddc:610, ddc:600, M

Zur weiteren Aufklärung von funktionellen Anpassungsmechanismen menschlicher Röhrenknochen an Biegebelastungen wurden aus 60 rechten Femora (35 männlich, 25 weiblich) in einem Altersbereich von 17 bis 92 Jahren in 5 definierten Schnitthöhen jeweils 2 mm dicke Transversalschnitte entnommen und von diesen röntgenologisch Dichteprofile ermittelt. Nach Digitalisierung der Aufnahmen wurde eine morphometrische Analyse der Querschnitte durchgeführt. Eine statistische Auswertung des Datenmaterials führte zu folgenden Ergebnissen: Die Richtungen der Biegeanpassung der Femurdiaphysen variieren mit der Diaphysenhöhe und sie drehen mit steigendem Alter tendenziell von sagittal nach mediolateral. Die Anpassung der Femora an die Richtung der größten Biegebelastung ist beim weiblichen Geschlecht schärfer als beim männlichen. Beim weiblichen Geschlecht nehmen die Flächen der Femurquerschnitte und der Markhöhlen im Alter zu, während die durchschnittliche Kortikalisdicke abnimmt. Die Kalksalzverteilung über die Querschnitte erfolgt nicht zufällig, sie trägt zur funktionellen Anpassung bei. In einer Faktorenanalyse wurden 6 Faktoren ermittelt, die die funktionelle Anpassung von Femurdiaphysen an Biegebelastungen beschreiben.