Video: Back on The Bike After 8 Months Off Due to Injury

 How does he, as a rider, watch this without slapping the filmmaker?

 @2:55 he isn't going in slow-mo! ...Baby steps!

 Nah I love how you can see the huge smile on his face in every single shot. I loved it - slowmo worked in this case!

 loving the slo-mo squelching in the puddle bit, but i think the slo-mo can of redbull is the highlight if the vid.

 his face while riding: :O

 Im usually never a slow-mo hater, but i gotta agree it was quite excessive here.

 It's an artistic piece

 Yes, me too. I kept waiting for the story. But, it never arrives. Looks like it would have been a great story.

 I was also expecting to get some sort of back story haha! Guess we are all programed the same after seeing so many mtb edits

 Yep

 Here. Here.

 I concur

 We leave them long in order to be able to retrieve the screw from the medial side if it breaks (especially if you're gonna use a wimpy 3.5mm, we typically use 4.5mm). Also the syndesmotic screw should be removed prior to returning to weight bearing so I doubt it's still in there....but what about that posterior malleolus fracture????

 Nerd alert!

 I would leave that posterior malleolus alone - it's not gonna be a problem. We often leave small ones like that. Syndesmotic screw - either you remove it prior to loading, or not - than it breaks and that is still fine. Functional outcome is the king here. Interposition after open reduction? Doesn't look like it, that would be major screw up. About that mortise incongruity - good point. Projection looks like is a legit AP...

 Good point about the length and 3.5 failure. Have always used 4.5 or tightrope so that didn't even occur to me. Why would you use a fully threaded 3.5 there? That's like running 32mm stanchions with 9mm QR for DH riding. Not to mention having to overdrill the already compromised fibula to generate lag. I would leave the posterior malleolus... it should heal on its own.

 Soft tissue interposition - was referring to a piece of the deep deltoid getting stuck in the medial gutter. The same mechanism of injury that causes the spiral fib fx is also known to shred medial structures. Had a 4 month post-op that we had to take in again to pull a chunk of fibrous tissue out of the medial talar dome. Fibula reduction looks decent, pulled out to length. It's a guess as to why there is incongruity.

 Atleast the plate is not posterior. I got my foot caught in the dirt on a section I've ridden 100s of times and externally rotated my foot snapping my tibia and fibula. My surgeon put my fibula plate posterior and 2.5 years post op i had to have it removed. Suspicions of peroneal tendon damage were confirmed as mine was found to be shredded and had to be repaired. 6 weeks non weight bearing. Im at week 10 now and just starting impact training. I hope to be back in the saddle soon but to chicken at this point.

 Tightrope is the new gold standard for syndesmosis injuries. JOT just published a long term study showing 30% or more are malreduced when using screw fixation. 0% when using a tightrope. No second surgery to remove a broken screw and sooner weightbearing.

 Hey Doc!

Can someone look at my X-Rays, and tell me if mine looks OK? I had a broken collar bone, broken arm, broken ribs, and shattered shoulder. Accident was at the end of last summer, and Im still in Physio attempting to regain full motion in my arm. All screws stayed in.

ep1.pinkbike.org/p4pb11387691/p4pb11387691.jpg
ep1.pinkbike.org/p4pb11387737/p4pb11387737.jpg

Apparently, there was risk of the screws breaking at some point, but that never happened. And, the is risk of the ball of the shoulder/arm losing blood in the future, requiring a full shoulder replacement. Obviously, I hope that doesnt happen.

 As a fellow ortho surgeon in training, comments like this are why the public doesn't really like us.

 @halo777 WHAT THE F***. absolutely brutal.

Btw go check my injury pics.

 @simooo

OUCH! Your pics look like a similar injury at the collar bone. Not fun

Mine happened on my first day out, after a long break from downhill (a few years). Went too fast over a big drop, and missed the transition on the landing. Front wheel hit the area that was more flat, and I got catapulted over the bars. Happened very fast, and I didnt even have a clue I was in trouble, prior to the crash.

At Blue Mountain, there is rock and hard clay, so I think first impact on my arm/shoulder may have hit something hard. Then I flipped and rolled. I was wearing full body armor and a full face helmet, but still got pretty banged up. I can only imagine how bad it would have been with no body armor.

 I'm just being a turd about the posterior malleolus Rarely does it need additional fixation if it reduces nicely, as this one does. Here in the states the Tightrope is gaining ground for sure.

 @halo777 yeah man that sounds horrible. I hit pretty much solid ground too right at the landing of a teeny weeny step-up, no idea how it happened. Was having a laugh and then oops, over the bars and down i went.

Get better soon man!

 I think that SM screw would have been better suited 2 holes distal. That's probably why there's medial widening.

 That looks like a way way too fixated fibula, and for cert the biazzare ( uk / AO plate mantra) long screw to the tibia needs early removal, it will snap for sure.

 That guys is fucking stoked though

 What about option A?

 What about it.

 no injuries are the same.

 Agreed. But that doesn't excuse a lame ad disguised as a poorly made riding video.

 www.thebeerstore.ca/beers/red-bull

 Same thing*

 Unite

 ha 56 seconds that was me today @identiti124