Maine storm totals11/25/2023 That tight gradient was a theme up and down the East Coast. "Box trucks on the BQE spinning out," McIntosh said, as the wind and snow whipped into Angeline's microphone. Kempthon McIntosh, a general contractor, described the scene he witnessed on the Brooklyn Queens Expressway, one of the city's busiest thoroughfares and known to locals as "the BQE." In New York City, AccuWeather National Reporter Jillian Angeline spoke with a man who was out on the roads during the height of the storm due to the demands of his job. Central Park, New York City's official location for weather records, picked up a total of 8.3 inches of snow from the storm - just about 50 miles west of Islip, which topped 2 feet. There was what meteorologists refer to as a very tight snowfall gradient with this particular nor'easter. He was also pronounced dead at the hospital. On Saturday night, a 53-year-old man was found unresponsive and lying on his back with a shovel beside him. The first incident occurred on Saturday afternoon and involved a 75-year-old man who collapsed while shoveling snow in Syosset, he later died at the hospital. No further details on the victim were available with police reportedly describing the man as elderly.Īdditionally on Long Island, two men died while shoveling snow in what were separate incidents, according to WABC. According to The Suffolk Times, the man fell into a swimming pool and first responders were unable to revive him. According to NOAA, 100% of New England was covered in snow in the wake of the storm.įarther east on Long Island, in the hamlet of Cutchogue, police said a man died while shoveling snow on Saturday. Islip, which is east of New York City on Long Island and the location of New York City's NWS office, racked up 24.7 inches throughout the entirety of the storm. The nor'easter also bombarded coastal areas south of New England, dumping particularly heavy snowfall on Islip, New York, with a daily snowfall total of 22.9 inches. 29 of 3.7 inches, a record that had stood since 1928.Įlsewhere in New England, Providence, Rhode Island, shattered a daily snowfall record after reporting 18.8 inches on Saturday. Additionally, Boston obliterated its previous daily record maximum snowfall for Jan. A report of 23.6 inches tied the highest single-day snowfall total set by the historic Blizzard of 2003. Numerous locations broke daily snowfall records on Saturday as the nor'easter slammed New England, including Boston. The National Weather Service (NWS) in Boston said measuring snowfall was proving to be difficult thanks to the high winds which were blowing the snow into towering drifts. Front-end loaders and plow trucks used by the city's public works department were out in full force to keep the roads as clear as possible. Roughly 20 miles southwest of the city in parts of Norfolk County, snowfall rates exceeded 4 inches per hour in the most robust bands of snow. As of early Sunday morning, the highest reported snowfall total was 30.9 inches in Stoughton, Massachusetts, about 20 miles southwest of Boston.īoston, where a snow emergency was in effect on Saturday, was hammered by prolific snowfall with rates of 2-4 inches per hour. The winter storm, which AccuWeather forecasters had been warning since early in the week could unleash a huge snowfall on southern New England and other coastal areas, delivered the heaviest snowfall along the coasts, with snowfall totals topping 30 inches in eastern Massachusetts. Officials have blamed at least three fatalities on conditions brought on by the storm. A ferocious nor'easter, which rapidly intensified into a bomb cyclone, slammed areas from the mid-Atlantic to Maine late Friday into Saturday with heavy snow and hurricane-force winds, resulting in a blizzard that generated whiteout conditions and dropped visibility to near zero in many areas.
0 Comments
Unity of command 2 release date11/25/2023 Our app is compatible with hundreds of the best PC games and available now. Unity of Command II is the sequel to 2011s strategy title, retaining the games signature art style but with a new bespoke 3D engine. Unity of Command received positive reviews from critics and currently holds a rating of 84 based on 7 reviews on Metacritic and 83. It's the perfect way to track Unity of Command II FPS drops and stutters.ĭownload our free FPS Monitor via Overwolf to count your frame rates as you play, and test how tweaks to your settings can boost FPS and increase Unity of Command II performance. Release date (s) 2011: Developer (s) 2×2 Games: Publisher (s) Dvaput: Genre (s) Turn-based strategy: Mode (s) Single-player. How many FPS will I get on Unity of Command II?Īn FPS Monitor is the first step in understanding how the parts in your gaming PC are actually performing in real-world conditions. Unity of Command II FPS - what frame rate can you expect? We'll help you find the best deal for the right gear to run the game. Unity of Command II is the sequel to one of the most critically acclaimed strategy games of all time a game critics called 'the perfect gateway' into computer war games. Filter for Unity of Command II graphics card comparison and CPU compare. Looking for an upgrade? Try our easy to use Unity of Command II set up guides to find the best, cheapest cards. Unity of Command II will run on PC system with Windows® 10 or newer (64-bit) and upwards. Additionally, the game developers recommend somewhere around 8 GB of RAM in your system. 2×2 Games are giving Slitherine a run for their money with the number of DLCs they. About 2,5 months after the last one, Moscow 41, another DLC has been released. The minimum memory requirement for Unity of Command II is 4 GB of RAM installed in your computer. Unity of Command 2 is on a roll with its DLC releases. 75 29.99 7.49 Visit the Store Page Most popular community and official content for the past week. You will need at least 5 GB of free disk space to install Unity of Command II. Unity of Command II is the sequel to one of the most critically acclaimed strategy games of all time a game critics called 'the perfect gateway' into computer war games. However, the developers recommend a CPU greater or equal to an Intel Core i5-4400E to play the game. To play Unity of Command II you will need a minimum CPU equivalent to an Intel Core 2 Duo Q6867. Developer: 2×2 Games Publisher: 2×2 Games Genre: Simulation, Strategy Release Date: 12 Nov, 2019. But, according to the developers the recommended graphics card is an NVIDIA GeForce GTX 970. One of the key puzzle elements to Unity of Command’s strategic gameplay is achieving objectives and causing appropriate damage, while suffering as few. The cheapest graphics card you can play it on is an NVIDIA GeForce 8500 GT. Blue ember fg50069 gas barbecue11/25/2023 *Orders for Blue Ember grill model FG50069-U701 $49 and over ship free to the lower 48 states. BLUE EMBER MODEL FGF50069-U420 Blue Ember, FGF50069CRS, FGQ65079, FG50069-U409-2008 Blue Ember, FG50069-U414, FG50069-U701 Canadas Online Source for BBQ Parts, Barbecue Replacement Parts and BBQ Accessories etc. Approximately 34,000 units were distributed. This safety notice involves Blue Ember brand liquid propane (LP) or natural gas outdoor barbeques, Models FG50057 and FG50069. You'd be surprised at how many folks have the wrong owners manual.īlue Ember FG50069-U701 -Sunday, Return to Blue Ember grills main page In cooperation with CSA International, Fiesta Barbeques of Brampton, Ontario today announce that there may be an assembly problem with certain Blue Ember Gas Grills. Do not rely solely on the owners manual as these are frequently mixed up at retail stores when the grills are assembled. Verify your Blue Ember model number by checking the CSA appliance tag on your grill to make sure you have the correct model number.This is best done with them removed from the grill. You should measure your existing parts and compare them to what we show here.To get the correct Blue Ember FG50069-U701 BBQ parts You will need to know the dimensions of your existing grids to help you find the right part. For example, if your looking for a warming rack and there are none here, click the warming rack button to see all of the racks we have for Blue Ember grills. If the part you need is not shown below, try clicking the appropriate category button on the right side of the page. *Orders for Blue Ember grill model FG50069-U409 (2007) $49 and over ship free to the lower 48 states.Replacement grill parts to fit Blue Ember model: FG50069-U701On this page you'll find all of the parts that fit model Blue Ember FG50069-U701. You'd be surprised at how many folks have the wrong owners manual.īlue Ember grill FG50069-U409 (2007) - Sunday, Return to Blue Ember grills main page Shop for more BBQ tool sets available online at Walmart. Verify your Blue Ember model number by checking the CSA appliance tag on your grill to make sure you have the correct model number. Blue Ember FG50069-U709 grill parts & BBQ accessories, including burners, flame tamers, and ignition components. Buy Replacement Kit for Blue Ember FG50045, FGD50067, FGF50057, FGF50069, FGQ65079-102, FG50069-U701 & Fiesta & Gas Models from Walmart Canada. To get the correct Blue Ember FG50069-U409 (2007) BBQ parts For example, if your looking for a burner and there are none here, click the burner button to see all the burners we have for Blue Ember grills. Replacement grill parts for Blue Ember model: FG50069-U409 (2007)This page shows all of the parts we know fit model Blue Ember FG50069-U409 (2007). Photoshop butterfly overlay11/25/2023 A portrait of your loved ones with playful butterfly overlay elements will give a special summer look.Ĭreate cool creative projects with our butterfly digital overlay!Ĭompatible with any software that allows you to work with layers (Photoshop, Photoshop Elements, Paint Shop Pro, PicMonkey’s Photo Editor, etc. This is a bright new topic and you will be the author of creative work with our butterflies clipart.īutterflies are very difficult to photograph – you need to spend a lot of time on this.īut you do not need to waste time on this because all these butterflies are in our cool product! It’s look very natural and realistic. Expand your opportunities and repertoire of works with our butterflies overlay.īutterflies are magnificent and very beautiful creatures with colorful wings. Our photo overlay is compatible with all graphic editors. With our product you will embark on a colorful adventure filled with magnificent butterflies PNG, they will help to complement your photos with life and combine with wildlife.Ĭreate your creative graphic designs. All images have a resolution of 300 DPI Enjoy and have fun! With Love, 2SUNS! Size zip archive 780 MB Butterfly Overlay, Butterflies Photoshop overlay, Photo Overlay with butterfly clipart, Spring&Summer digital backdrop, Photoshop actions. How to Add Butterfly Overlays in Photoshop Bellevue Avenue 3.56K subscribers Subscribe 132 Share 13K views 6 years ago Bellevue Avenue Overlays Tutorials Applying butterflies in Photoshop. – 96 Butterfly PNG overlays for photoshop. 96 Butterflies photoshop overlay: Butterfly overlay, png overlays & photo overlay Includes 9 different overlays Transparent PNG files Butterflies, Wings. Butterfly Overlay Photoshop (1 - 40 of 794 results) Price () Shipping All Sellers Butterfly overlay (856) 5.52 6. Battery for riding mower11/24/2023 The battery is great for the low price, It is great with excellent resistance to shocks and has a maintenance-free design. This premium quality agm battery has the characteristics of high discharge rate, long service life and deep discharge recover. Make sure this fits by entering your model number. The moskee 12volt ridinglawn mowerbattery is ideal for atvs and it is good for fast delivery. The Moskee 12 Volt Riding Lawn Mower Battery is exactly that - it's a simple battery that hits all the right notes. We know from years of feedback from readers, amazon sellers, and family and friends what most people want in a convenient and appropriate battery. In conclusion, the tone of buyers is very positive and we believe that the battery suits the purpose. Moreover, a few strongly agree that the battery has spec sheets on all of their batteries and should give you the information you need. Moreover, they say that the battery is supposed to be big enough to get the job done, but so far, not the case. Most importantly, the noco 12 voltriding lawnmower battery starts right up, comes fully charged, it works well and has a compact design.Īlmost all customers opine that the battery is also lighter, since it is a lithium battery. The highest - performing and longest - lasting battery for any motorcycle, ATV, UTV, pwc, scooter, or snowmobile. Its internal battery management system (bms) ensures safe and reliable operation without requiring any manual reset of its bms. The noco 12volt riding lawn mower battery works fine, looks nice and it is flexible. The Noco 12 Volt Riding Lawn Mower Battery is capable of outshining several other batteries featured in this list in overall features for the price point. To sum up, for most customers, it was most suitable. In addition, they say that the battery has done an excellent job of creating a rugged and durable battery with electronics that can resist the vibration and demands that they will be subjected to. Moreover, they strongly agree that the battery is to install the noco battery with one fewer spacers on the bottom of the battery and add included rubber spacers on top of the battery to make sure it fits tight. Most buyers found that the battery is not a direct replacement for an arctic cat or polaris snowmobile without modifications or extension to cables to fit. Above all, the noco right battery is perfect for jet skis and it is inexpensive. The battery is easy to install and it is very good. The noco right battery is perfect for weight savings, lasts longer, it fits perfectly and has an advanced design. The Noco Right Battery's material feels more premium than its price would suggest. To sum up, many have used the mighty max battery 12 voltriding lawnmower battery for more than a few months without any complaints, and it shows no sign of giving up. And, a few also found that the 195 cca battery might work OK in a single cylinder engine but the v - twin requires a battery with more capability. And, they strongly agree that the battery is going on a zero - turn mower. And, it is impressive, is very impressive and it has good cranking power.Ībove all, the mighty max battery 12 volt riding lawn mower battery can be mounted in any position, resists shocks and vibration.Īlmost all customers opine that the battery is made for cranking power. It has the characteristics of high discharge rate, wide operating temperatures, long service life and deep discharge recover. The Mighty Max Battery 12 Volt Riding Lawn Mower Battery holds a charge, It offers this with outstanding performance and has an excellent design. The look and feel of these batteries are consistent with the high quality we're used to from the rest of Mighty Max Battery's lineup. Outriders trickster11/24/2023 A regular melee attack hits one target while a charged attack (done while sprinting) unleashes an AoE (area of effect) ground pound. If you want to turn enemies into dust with sheer firepower, youve come to the right place. This guide will go over every aspect of a Twisted Trickster build, ranging from skills to gear. This adds two new sub-class trees for each of the original four classes. In this video I showcase my new Trickster Temporal Blade build that does INSANE damage at all levels of Apocalypse Tiers within Outriders Worldslayer If you. Tricksters that want to experience Outriders endgame without too much grinding should consider making a Twisted Rounds build. By exploring their past, Outriders can unlock a new set of skills. You can also use the Trickster’s melee attacks that can damage and slow down enemies. The PAX Tree system is a new set of sub-class skill trees introduced with the Worldslayer expansion. As such, you’ll have to make sure that you can take the hits and dish out plenty of damage for kills to continue replenishing your health. Needless to say, you’ll be in the thick of the fray as the Trickster. The combat pattern is: Pop Twisted Rounds, teleport behind an enemy with Hunt the Prey, pop Time Rift, fire away, then repeat. Outriders class guide: The Trickster – Best skills and perks for your class points 4 This is a page for the Trickster Class in Outriders. In short, this build involves using three main skills: Outriders. Note: Stay tuned for our Outriders guides and features hub, coming soon. Here’s our Outriders guide to help you with the Trickster class’ best builds, skills, perks, and point allocations. The class has a particular healing utility in that all enemies you kill in close range (roughly five meters) will grant you some health and shielding. 4 This is a page for the Trickster Class in Outriders. The Trickster class in Outriders specializes in fast-paced, close-quarters combat and assassinations. Focus on mid-range engagements and target enemy clusters and you can clear a battlefield in moments.Slice and dice, and control the flow of spacetime as you mow down your foes. This build absolutely wrecks CT15 content and I a. It burns an enemy and if they die while affected they'll explode, killing enemies in a wide radius around them. Sorry for the delay, but I have finally had enough time to put together my Ultimate Trickster Build Guide. It will also inflict Slow on affected enemies. The damage dealt is equal to 86 of your Anomaly power. In addition to learning more about the Trickster, you can get a sense of how missions are structured in Outriders' hub-and-spoke-based world. Not only will this cause a considerable amount of damage, but it will also interrupt them from using their skills. Options like Thermal Bomb are also hugely devastating if you can target a cluster of bad guys. The Temporal Blade ability is the first ability available to you as a Trickster. This is a guide for the Best Builds for the Trickster Class in Outriders. Core abilities like Heatwave or FASER Beam deal out focused damage that can devastate a lot of enemies over a decent distance but requires good positioning to get the best effect - often drawing you into the thick of it if you're careless. While it has some range in its abilities it's the Outriders best class to play in that mid-zone where you can deal a lot of damage with its fire-based skills. The Pyromancer is a good mid range assault rifle in human form and deals well with groupings of enemies. Medical scribe jobs minnesota11/24/2023 Unifeye Vision Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Strong communication skills and high level of professionalism.One year experience within direct patient care or as a scribe in a medical setting preferred.Great experience for future medical students.Schedule return appointments and/or enter recalls in Electronic Practice Management (EPM) as ordered by the provider, including referrals to outside providers.Attend trainings and stay current on requirements for Merit Based Incentive Payment System (MIPS) measures, HIPAA compliance and Protected Health Information.Set up exam rooms per provider preference, keep exam rooms stocked and cleaned between patients cleaned at end of each workday assist in maintaining public spaces for professional appearance.Obtain patient signature on consent documents for in lane procedures.Ensure chart documentation meets ICD-10 requirements. Review all chart notes and correspondence daily to ensure accuracy and completeness.Print and dispense glasses and/or contact lens prescriptions as directed.Dispense medication and/or over the counter product samples as directed.Provide patient and family counseling/education as needed.Document patient exam in EHR, scribing all elements of the patient exam including contact lens template, procedure orders, e-prescribing medications and scheduling the return to clinic. + $1,000.00 hiring bonus (12-month service commitment required).We offer a competitive starting wage including a comprehensive benefits package with: 401K, health insurance, dental insurance as well as other comprehensive benefits.This position will travel between Golden Valley and Bloomington.The Home base for this position are the new Minnesota Retina Associates clinic locations in Golden Valley and Bloomington. This position will work Monday-Friday, between the hours of 7:00am-5:00pm.You'll gain first-hand, real-life experience in the medical field by working side-by-side with healthcare providers. At Northwest Eye, we promote and encourage growth. 23 Medical Scribe Jobs in Duluth, MN Medical Scribe - Emergency Medicine - Evening ScribeAmerica Duluth, MN Part-Time Scribing is a life-changing experience. Northwest Eye offers advancement opportunities and on-the-job training. The Medical Scribe is responsible for documenting the patient exam into the patient’s electronic health record. We are excited to be hiring for this new team that will be supporting our Retina only Providers as we grow across our region. Minnesota Retina Associates is a new Twin Cities based partner practice of Northwest Eye Clinic and Minnesota Eye Consultants. Screens for mac mini11/24/2023 This 4K panel offers video and photo editors 350 nits of brightness and HDR10 support, as well as 95% DCI-P3 colour coverage, without costing a lot. The LG 32UN8800-B UltraFine Ergo is just as great for Mac minis as it is for Ultrabooks and MacBooks. It also offers some extra connections, though they're a bit recessed for our liking. The low brightness is a trade-off we can live with for total accuracy. Gimmicky perhaps, but even without it, this is simply a phenomenal screen for photographers. Our BenQ SW321C PhotoVue review should also show that colour accuracy is top-notch on testing as well, delivering an average Delta E of 0.9 out of the box.Ī clever PaperSync feature that enables you to choose from different paper types, and the display will attempt to mimic what your image would look like on that material. Of course, you've got all the vital colour spaces covered as well, touting 99% Adobe RGB, 95% P3, 100% sRGB colour gamuts, and a 16-but 3D LUT helping to maintain realistic colour gradation.ĭuring testing, we found that it delivers a bit more coverage than advertised, giving us a colourimeter reading of 100% Adobe RGB. Its 32-inch 4K screen lets you really get in and see every pixel if you need to, or simply provides a nice big and detailed canvas to view overall. The BenQ SW321C PhotoVue is one of the best displays for photographers, and it's designed to be that way as one of the manufacturer's photography monitors. This monitor strikes a balance, offering excellent features for video pros, without entering the seriously high pricing of a Hollywood video monitor, making it a great choice as the best monitor for Mac mini for video editing. There's Thunderbolt 3 connectivity on board, which is ideal if you'll have RAIDs full of raw high-res footage. Naturally, that means great DCI-P3 colour support (95% in this case), but 99.5% Adobe RGB and 100% sRGB coverage make it great for other work too. Its 4K resolution is also ideal, so you can really watch something at full quality here. 1,000 nits of peak brightness puts this monitor up there with great TVs In fact, the use of Mini-LED means its localised dimming is actually more precise than a lot of TVs can manage for fantastic contrast, with hundreds of individual zones. This is the best value professional screen we've tested for creative and non-creative professionals alikeįor those who want to work with HDR video, the trouble with most monitors is the lack of brightness – you can't see what things would look like on a mid-range or better TV. Meanwhile, things like Picture-in-Picture, Picture-by-Picture, and a 90-degree pivot capability for portrait mode are best for productivity.Īll in all, we found the big 32-inch 4K display to deliver stacks of detail and great image quality. One of them even delivers 85W power delivery for charging MacBooks and other laptops as well. Among them are not just one but two Thunderbolt 3 ports for daisy-chaining multiple monitors. Our BenQ PD322OU review also reveals a handful of nifty features for other Mac mini users who aren't in the creative world as well. Those, alongside a variety of colour modes that include Animation, Rec.709, Adobe RGB, and CAD/CAM, pretty much have graphic designers and content creators covered. Our test results also revealed that it covers 98% of the DCI-P3 colour space. It boasts plenty of impressive features out of the box, from its high colour accuracy out of the box to its impressive 100% Rec.709, 100% sRGB, and 95% P3 colour gamuts. That includes swiping with two fingers to scroll, pinching in with three fingers to copy, swiping left with three fingers to undo and more.The BenQ DesignVue PD3220U is great for creative professionals and coders alike. In addition to these Mac controls, you can also use a number of swipe gestures to control certain things on the second monitor (you won't be able to use the touchscreen as usual though). Menu bar: Show or hide menu bar when in full-screen.Once your screen is shared over to your iPad, a set of controls will appear on the left side of your iPad, which are sidebar controls you'll commonly see on your Mac. Screenshot by Nelson Aguilar/CNET Using the sidebar controls, gestures and Touch Bar on your iPad Hover over the full-screen button to send that window to your iPad. Aion private server share11/24/2023 Membership account: party exp å, exp å, drop x12, gathering å, craft å, quest exp å, quest kinah å, pve ap å, pvp ap x10, pvp ap lost x3. Regular account: party exp x5, exp x5, drop x10, gathering x5, craft x5, quest exp x5, quest kinah x5, pve ap x5, pvp ap x5, pvp ap lost x3 We also have custom and fun events: All events info HERE NO WIPE ! your character will never be deleted, this is the final server.Īion client version 2.5.0.x full support, exping and level up is possible, instances, player vs player (pvp), title rewards, rifts and rift announcements, spawn protection, ascension and class change, legion system with many advanced features, legion warehouse, godstone socketing and effects, stigma system, retail like spawn and drops and respawn time, true monsters aggro and AI movement, monsters and npc skills, hundreds of quests and missions, crafting system 100% working including all work order quests, spirit and homing summon skills, fly teleport, statues, new map, Pets, Credit System, Vote Reward, Player command //givemissingskills //gmlist //dye //movie, No ascension quest needed to change your class, Windstream, Fortress & Artifacts and much more! All features working HERE Trouvez vos serveurs prèfèrès selon leur indice de votes, la version, le type et lemplacement sur notre top des jeux. If you already have the 2.5.0.x client, just download our Aion-Empire loader from HERE or HERE and unzip those files into your Aion/bin32/ folder and made double click at the Aion-Empire.bat file.Īs an alternative download, Aion-Empire provide you the full pre-installed Aion-Empire 2.5.0.4 game, just unzip it and play!: Aion Online best private servers Promote Now Promote your server Aion Online top servers list Versions Types Countries 1 Details AionZone 5. Rejoignez la liste des 100 meilleurs serveurs privès de jeux Aion Online et publiez des annonces avec nous. Download our loader from HERE or HERE, unzip those files into your Aion/bin32/ folder and made double click at the Aion-Empire.bat file. Create an game account at our website HERE, this account is different than forum account. Update the game fully through the NCSoft launcher and then close the NCSoft launcher. Install either the US or European version, (Russian, Chinese, Korean are currently not supported). This may take some time as it is a large download (10GB). If you don't already have the game, please use the NCSoft launcher to download and install the game. If you play on LAN, set the if you try to run the server for WAN useYou should follow these steps to connect to our new server: Check the ipconfig.xml in the gameserverconfig folder. Nós estamos em constante desenvolvimento e evolução. The goal of our project is to increase the popularity of the Aion game in Europe. O Aion Brasil é um servidor privado inaugurado em 25 de maio de 2021. For a full-fledged game in Aion, you must use the service. The server has limited functions and capabilities, and in fact is not intended to be played on it. Aion Empire is one of the first Aion private servers available on the net! We have multi-language support (en, sp and more!) a friendly community is waiting for you. This server is a test version of the Aion game. Tib fib fracture physical therapy11/24/2023 (See area 2 on the x-ray image) There may also be a fracture present at the inner knob of the ankle (the medial malleolus of the tibia), (see area 3 on the x-ray image), and/or the back of the tibia (the innermost / big leg bone) at the ankle joint (also called the posterior malleolus). (See area 1 on the x-ray image) Besides the fibular fracture and syndesmosis tear, one might also see that the talus (the bone in the ankle socket that moves up and down) is shifted towards the outside of the ankle. The fibular fracture may be found 1-2cm (0.5-1 inch) above the ankle joint level, or anywhere higher, including all of the way up to just below the knee. Typically, when the fibular (bone on the outside of the ankle) fracture occurs above the ankle joint level, there is an associated syndesmosis injury. Since ligaments (and the syndesmosis) cannot be directly visualized on radiographs (plain x-ray films), it is fortunate that we can reliably predict when there has been a syndesmosis injury in conjunction with the fracture(s). Thus, in an ankle fracture with an unstable syndesmosis, surgery is typically recommended. Because of a disrupted, unstable syndesmosis, the tibia and fibula are not held together properly, which makes for a very unstable ankle joint that is prone to chronic disability and arthritis – if not repaired. In some fractures, the ligament structures (called the syndesmosis) that hold together the two leg bones (the tibia and the fibula) that form the ankle socket are torn. Perhaps the most important “classification” of ankle fracture to both the doctor and the patient is whether the fracture will need surgical correction or not. Ankle fractures can be classified by the mechanism that caused that fracture, or the number of locations that have fractured, or by the location of the fracture of the fibula (the bone on the outside of the ankle) relative to the ankle joint line. There are many varieties of ankle fracture that can occur. Tips and Instructions from the Cast Room.Ankle Fracture with Unstable Syndesmosis.Patients with Sensation or Circulation Loss in the Feet.Midfoot Impingement Syndrome and Degenerative Joint Disease of the Midfoot.Excess Body Weight and Foot and Ankle Problems. AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |