Thursday, May 21, 2009


(Photos: L-Sarah Kolpiimmersed in her work. R-Sarah shows off her new stethoscope.)

Decorated multisportswoman--the 2006 World Duathlon Champion, no less!--who is now an orthopaedic resident at HCMC, Sarah Kolpin, had this to say about Joe's fracture after reading THE DE-PROLIFICATION OF JOE KANDIKO and inspecting the accompanying X-ray. It appears that the story's author's suggestion that the problem was a Jones Fracture was incorrect.

"From the posted x-rays, Joe Kandiko's fracture appears to be an avulsion fracture of the base of the fifth metatarsal. ('Avulsion' meaning 'pulling off' of a piece of bone due to the force of a muscle/tendon).  While usually treated without an operation, surgery with fixation of the fracture with a screw is the indicated treatment if there is more than 3 mm of displacement (separation of the pieces) - OR - if the fracture isn't otherwise healing on its own.  The pieces tend to become pulled apart because the peroneus brevis tendon attaches to the base of the fifth metatarsal (The peroneus brevis muscle helps turn your foot out and down.)  
On the other hand, a 'Jones' fracture is a fracture of the junction of the fifth metatasal base with the shaft.  If such a fracture was present, it would be located about 1.5-2 cm closer to the toes from where Joe's current fracture actually is.  Jones Fractures are notorious for being prone to non-healing because of relatively poor blood supply to that particular region of the bone." 

What say you, Joe? 
On May 23, Joe Kandiko responded via email:

"You have received some excellent medical advice.

Still gimpy limpy.

Hope to make season debute at Buffalo with goal time "finish the same day I 



Thanks Sarah and Joe. We stand corrected.