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Old 05-04-2013, 09:43 PM   #1
Rex Nemo OP
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Wheelie for...Well, That Wasn't for Safety.

I was out at Metcalf OHV Park with my DR350, toodling around and enjoying myself. My sweetie on her DRZ250 was playing in the beginner area, getting familiar with the bike and the dirt again after her broken ankle in December.

I was a little bored but didn't want to abandon her, so I worked my way through the drills in Doc Wong's adventure riding class--small tight circles and figure 8s, stop-n-go, stand-and-balance, sliding the rear tire when braking, sliding the front tire when braking...and lifting the front end and doing small wheelies.

I am a relative newcomer to wheelies, and the DR350 is underpowered, so I took several gradual attempts at clutching it up in 1st gear to get the wheel off the ground. About the 3rd time I popped a slightly larger wheelie, I felt the rear tire slide a bit in the soft dirt. Novice reaction: I turned the front wheel slightly with my sudden increase in tension on the bars, and chopped the throttle. The result was predictable: the bike came down onto the canted front wheel and flopped over onto its left side. Normally not a huge deal, but as I hit the ground I felt the footpeg strike the left foot like the Hammer of Thor; an unforgettable impact that reverbrated through my entire body, and makes me shiver to think of.

I rolled away and limped over to a picnic table, removed my helmet and used it to prop up the foot. My sweetie got help loading the bikes, gently put me in the truck, and drove me to the hospital.

Verdict: I'd shattered the foot. Xrays showed Lisfranc dislocation; all the metatarsals broken, 2 and three crossed under one another, 5th metatarsal comminuted (turned into gravel), and second and 5th toes dislocated. My Gaerne MX boots basically barely held in the mess of bones; the 1st metatarsal was tenting up the skin on the instep.

Whoa. On top of that the foot swelled horribly and I showed symptoms of Compartment Syndrome, so they performed emergency surgery, wired the bones back together, and cut three long incisions to relieve pressure. 5 days later I'm still in the hospital, rather stunned. Looking like at least 8 weeks off my feet; I promptly lost my primary job as a moto mechanic in SF.

Anyone else had this type of injury? How was your prognosis, physical therapy, and recovery?

I want to live to hike, ride, jump, and do wheelies (more skillfully) again!

I will post x-rays when I get them; meanwhile here are are couple of external photos of the foot with the Lisfranc displacement injury

Day 2, incisions with gauze packing still in place
http://rexnemo.smugmug.com/Other/Bro...IMG_2684-M.jpg
With gauze packing removed
http://rexnemo.smugmug.com/Other/Bro...IMG_2688-M.jpg

Unwrapping, Day 3: the external tops of the wires from the CRPF (Closed Reduction Percutaneous Fixation, or K-Wires) stabilization, capped in yellow, are clearly visiblehttp://rexnemo.smugmug.com/Other/Broken-Foot/i-PSmQZxf/0/M/IMG_2702-M.jpg
View from inside surface of foot, Day 3
http://rexnemo.smugmug.com/Other/Bro...IMG_2703-M.jpg
Day 4, Gauze removed in preparation for re-packing
http://rexnemo.smugmug.com/Other/Bro...IMG_2705-M.jpg
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pilot screwed with this post 06-01-2014 at 05:58 AM Reason: remove image tags
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Old 05-05-2013, 01:22 AM   #2
Vanishing Point
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I've been meaning to learn how to wheelie. After seeing that I think I'll just stick to leaning in corners.
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Old 05-05-2013, 03:20 AM   #3
joef
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wtf looks like it hurt like hell, speedy recovery
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Old 05-05-2013, 05:53 AM   #4
Mr_Snips
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Exactly what boots were you wearing?
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Old 05-05-2013, 06:39 AM   #5
Truckin_Thumper
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Quote:
Originally Posted by Mr_Snips View Post
Exactly what boots were you wearing?
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Old 05-05-2013, 08:21 AM   #6
hardwaregrrl
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Wow! Holy SHite.... Man so sorry that happened to you. Glad you're alright. But, what asshole let you go because you messed up your foot. Not cool....really sorry about the job. I certainly wouldn't want a shop like that working on my bike....loyalty is gold. Heal up quick.
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Old 05-05-2013, 08:26 AM   #7
psmcd
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Anyone else had this type of injury? How was your prognosis, physical therapy, and recovery?

I want to live to hike, ride, jump, and do wheelies (more skillfully) again!


Really sorry about your injury and job Rex.

In my early 20's I wrapped my foot around the peg by hitting a rock crossing a wash. Didn't even go down till I stopped/dropped. Bent steel shank in boot. Foot felt like bag of bones so wrangled bike and bump started down steep hill and rode back to hare scrambles pit. Was afraid to remove boot cause it seemed best splint so got ride home to remove and discover damage. One toe punched out bottom of foot, cast severe ankle sprain and a few cracked bones between. Several severe injuries including huge puncture and metatarsal break to that foot/ankle since and I'm still hiking/biking at 61. (slight benefit of ortho surgeon for pop)

Lower extremity injuries can be super serious due to limited circulation and hydrostatic pressure. Swelling is your enemy and compartment syndrome is the worst. Proper icing and frequent elevation are essential. Long sitting in chairs and cars very counterproductive so be creative and don't let friends or others derail the elevate to heart level program. Until the compartment and swelling abate you need to let the foot dictate your behavior as much as possible.

The great thing about professional physical therapy is they'll have a better idea of your limits and help you work to and through them. But there's way more you have to do on your own. The trick is to do as much as possible without re-injury,followed with ice and elevation for as many weeks (months) as necessary. Stoic is no antidote for swelling.

You might be a candidate for one of those little knee scooters for the first while here. Good luck, fast healing and return to full mobility.
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Old 05-05-2013, 09:14 AM   #8
Rex Nemo OP
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Quote:
Originally Posted by Mr_Snips View Post
Exactly what boots were you wearing?
Gaerne GX-1s.



I had hoped for a little more protection from them, but I can see why the injury occurred anyway--the footpeg struck the boot just behind the toe section, in the soft flexible area over the first metatarsal. It's a tough place to armor.

The Bohn compression suit I was wearing protected well against the site of secondary impact--I got a bruise and a slight laceration on the left elbow, but it was quite minor.

Thanks for the detail and encouragement, pmscd. I'm thoroughly committed to whatever rest/PT I need to do to regain function down the line. Your injury sounds very extreme, and I'm glad to hear you recovered and kept on enjoying the ride. One of my first instincts was to pull off my helmet and elevate the broken foot on it, and my girlfriend wisely insisted that I keep the foot elevated on the ride to the hospital, despite my groans of protest; the emergency room staff said that alone improved my outcome. And I'm looking forward to the knee scooter!

And I found another thread involving a similar injury (Lisfranc displacement): http://advrider.com/forums/showthrea...light=lisfranc

Mighty interesting that Lisfranc displacements first became known as an injury to Napoleanic-era cavalrymen--falling off a horse and getting the midfoot caught in the stirrup also broke and dislocated the foot in a similar way to modern dirtbikers and football players. Of course I'm a heck of a lot less likely to get this sucker amputated!
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Old 05-05-2013, 09:41 AM   #9
davidji
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Ouch. When I first saw the photos I thought you got impaled by a peg. Too many holes tho. Heal up!

Don't know if it's the right part of the Bay Area for you, but SOL in Oakland has excellent PTs. They also have locations in Santa Cruz and Walnut Creek.
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Old 05-05-2013, 11:09 AM   #10
psmcd
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boots

I had hoped for a little more protection from them, but I can see why the injury occurred anyway--the footpeg struck the boot just behind the toe section, in the soft flexible area over the first metatarsal. It's a tough place to armor.

Yea, armor can be an abused concept, we remain mortal. Along with that boomerang bent shank - the steel toe of those ancient boots I mentioned was caved in.

And I found another thread involving a similar injury (Lisfranc displacement): http://advrider.com/forums/showthrea...light=lisfranc

Mighty interesting that Lisfranc displacements first became known as an injury to Napoleanic-era cavalrymen--falling off a horse and getting the midfoot caught in the stirrup also broke and dislocated the foot in a similar way to modern dirtbikers and football players.

For your bed-ridden, recuperation enjoyment, I once suffered a horse related displacement. First by the tree branch under which my horse chose to bolt and join his buddies. Fortunately I was a mere 5yrs old making my legs too short to reach the stirrups and render me vulnerable to that horrific Lisfranc scenario. But the displacement was incomplete as my pop had thoughtfully knotted the reins such a small boy might drop. The branch induced get-off entailed my foot hooking through the reins for the subsequent Lisfranc-like drag scene. Horses of course lunge/run faster to escape such commotion. I was saved from being trampled in the ensuing sprint by the rock that hooked the back of my head. I was launched free and unconscious, in possession of my first concussion and a growing wariness of horses.
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Old 05-05-2013, 11:31 AM   #11
psmcd
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one more thing

I gotta get out in the garden but I saw reference to your sweetie's fracture elsewhere. This material is old and I don't know who'd be doing what now but Becker was definitely on to something:
http://www.amazon.com/Body-Electric-.../dp/0688069711

plus this:
http://articles.mercola.com/sites/ar...paign=20130505
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Old 05-05-2013, 12:21 PM   #12
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Footsy

Have patience this will take a while. I did this much less severe with three piggies as a result of a school wrestling accident. For the Equipment Nazis out there no I wasn't wearing WWF-approved wrestling shoes...(Geesh! it's like you guys own Harleys of something). My opponent didn't like that he was headed rapidly out of bounds and promptly sat on my foot. Years later it still hurts if I walk all day. It will drop at the end of the day to the point of almost tripping which lets me know I should stop. Hope you heal up, don't get discouraged and keep it up!(to prevent swelling). Medical opportunities are much better today than yesteryear. Try a Trials bike when the time comes to get your props back, they build skills and balance at a slower speed, less weight and lower COG.
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Old 05-05-2013, 07:46 PM   #13
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That's NASTY!

I smashed my big toe on a rail road tie when I was about 17, and of all the broken bones and smashed Knee's, broken spine, etc, that toe gives me the most pain.

You must have missed the part where you let the bike go and jump off when a wheelie goes bad...

And yes, your boss/job sucks.
Very bad karma on them.
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Old 05-05-2013, 09:47 PM   #14
Cale_Kat
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And the Ugly Foot Pic Award goes to...

I honestly don't know why anyone does wheelies.

Sorry about the lye, hope you heal quickly and ride again soon. Good of you to stay with you girlfriend, your heart, at least, is in the right place.

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Old 05-06-2013, 01:24 PM   #15
atgatt
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Quote:
Originally Posted by Rex Nemo View Post
Gaerne GX-1s.


Ouch! That looks like it hurt! Hope you are getting some good drugs!

Those boots look pretty good to me so I don't think you could have done much more to protect yourself. Hope you get back on your feet as soon as possible! Good luck.
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