By accessing this photo library, you agree to the Media Club South Africa photo library terms and conditions of use.Click on a thumbnail for a low-resolution image, or right-click on the link below it to download a high-resolution copy of the image.PEOPLE: 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 Cape Town, Western Capeprovince: Jason Rosenstein,a musician in the SouthAfrican band Sons of Trout,looks out at a storm overClifton beach. Photo: Jeffrey Barbee, MediaClubSouthAfrica.com » Download high-res image Cape Town, Western Capeprovince: A woman enjoysa cup of coffee at a cafe inthe city centre. Photo: Rodger Bosch, MediaClubSouthAfrica.com » Download high-res image Cape Town, Western Capeprovince: Tourists at theV&A Waterfront. Photo: Rodger Bosch, MediaClubSouthAfrica.com » Download high-res image Cape Town, Western Cape province: Crowds throng the hallways of the Cape Town International ConventionCentre during the 2008Cape Town InternationalJazz Festival. Photo: Rodger Bosch, MediaClubSouthAfrica.com » Download high-res image Cape Town, Western Capeprovince: Cameraman onthe set of a German advertproduction, inside theengine room of a ship in theharbour. Cape Town attractsmany international filmproductions. Photo: Rodger Bosch, MediaClubSouthAfrica.com » Download high-res image Durban, KwaZulu-Natalprovince: a rickshaw driver. Photo: Graeme Williams, MediaClubSouthAfrica.com » Download high-res image Durban, KwaZulu-Natalprovince: Early morningexercise along thebeachfront. Photo: Graeme Williams, MediaClubSouthAfrica.com » Download high-res image Durban, KwaZulu-Natalprovince: Businessman insidethe Durban InternationalConvention Centre. Photo: Hannelie Coetzee, MediaClubSouthAfrica.com » Download high-res image Paarl, Western Capeprovince: Dantjie Jagman,one of the collective offarm labourers who ownNew Beginnings Wine Farm,near Paarl. The workerswere given a portion, andbought another portion,of the Nelson’s Creek farmon which they worked. Photo: Rodger Bosch, MediaClubSouthAfrica.com » Download high-res image PEOPLE: 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15Having trouble downloading high-resolution images? Queries about the image library?Email Janine Erasmus at email@example.com.
DefinitionAnkle replacement is surgery to replace the damaged bone and cartilage in the ankle joint. Artificial joint parts (prosthetics) are used to replace your own bones. There are different types of ankle replacement surgeries. Alternative NamesAnkle arthroplasty – total; Total ankle arthroplasty; Endoprosthetic ankle replacement; Ankle surgeryDescriptionAnkle replacement surgery is most often done while you are under general anesthesia. This means you will be asleep and would not feel the pain.You may have spinal anesthesia. You can be awake but will not feel anything below your waist. If you have spinal anesthesia, you will also be given medicine to help you relax during the operation.Your surgeon will make a surgical cut in the front of your ankle to expose the ankle joint. Your surgeon will then gently push the tendons, nerves, and blood vessels to the side. After this:Your surgeon will remove the damaged bone and cartilage.Your surgeon will replace the damaged part of:The lower end of your shin bone (tibia)The top of your foot bone (talus) that the leg bones rest onThe metal parts of the new artificial joint are then attached to the cut bony surfaces. A special glue/bone cement may be used to hold them in place.A piece of plastic is then inserted between the two metal parts.The surgeon will put the tendons back into place and close the wound with sutures (stitches). You may need to wear a splint, cast, or brace for a while to keep the ankle from moving.advertisementWhy the Procedure Is PerformedThis surgery may be done if the ankle joint is badly damaged. Your symptoms may be pain and loss of movement of the ankle. Some causes of damage are:Arthritis caused by ankle surgery in the pastBone fractureInfectionOsteoarthritisRheumatoid arthritisYou may not be able to have a total ankle replacement if you have had ankle joint infections in the past.RisksRisks for any anesthesia are:Allergic reactions to medicinesBreathing problemsRisks for any surgery are:BleedingBlood clotInfectionRisks for ankle replacement surgery are:Ankle weakness, stiffness, or instabilityLoosening of the artificial joint over timeSkin not healing after surgeryNerve damageBlood vessel damageBone break during surgeryDislocation of the artificial jointAllergic reaction to the artificial joint (common)Before the ProcedureAlways tell your doctor or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.During the 2 weeks before your surgery:You may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), and other drugs.Ask your doctor which drugs you should still take on the day of your surgery.If you have diabetes, heart disease, or other medical conditions, your surgeon will ask you to see your doctor who treats you for these conditions.Tell your doctor if you have been drinking a lot of alcohol, more than one or two drinks a day.If you smoke, try to stop. Ask your doctor or nurse for help. Smoking can slow down wound and bone healing.Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.You may want to visit the physical therapist to learn some exercises to do before surgery. The physical therapist can also teach you how to correctly use crutches.On the day of your surgery:You will usually be asked not to drink or eat anything for 6 to 12 hours before the procedure.Take the drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureAfter surgery, you will most likely need to stay in the hospital for at least one night. You may have received a nerve block that controls pain for the first 12 – 24 hours after surgery.Your ankle will be in a cast or a splint after surgery. A small tube that helps drain blood from the ankle joint may be left in your ankle for 1 or 2 days. To keep swelling down, keep your foot raised higher than your heart while you are sleeping or resting.Your doctor may recommend physical therapy to teach you exercises that will help you move more easily.Outlook (Prognosis)A successful ankle replacement will likely:Decrease or get rid of your painAllow you to move your ankle up and downUsually, total ankle replacements last 10 or more years. How long yours lasts will depend on your activity level, overall health, and the amount of damage to your ankle joint before surgery.advertisementReferencesMurphy AG. Total ankle arthroplasty. In: Canale ST, Beaty JH, eds. Campbells Operative Orthopaedics. 12th ed. Philadelphia, Pa: Mosby Elsevier; 2012:chap 10. Hansen ST Jr. Post-traumatic reconstruction of the foot and ankle. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, Krettek C, eds. Skeletal Trauma. 4th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 62.Review Date:1/17/2013Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.
KANSAS CITY, MO — It’s the Kansas City Royals – and Mike Moustakas – against the Baltimore Orioles – and Nick Markakis – in the American League Champion Series after the Royals won game three 8-3 to sweep the Los Angeles Angels after the Orioles wrapped up their own sweep by beating the Detroit Tigers at home 2-1 in the afternoon.In Kansas City Alex Gordon hit a bases-clearing double in the first inning, Eric Hosmer and Mike Moustakas each homered and the Kansas City Royals beat the Los Angeles Angels 8-3 on Sunday night to finish a sweep of their AL Division Series.Back in the playoffs for the first time since 1985, the wild-card Royals will face the Orioles in the AL Championship Series beginning Friday night in Baltimore. Kansas City went 4-3 against the O’s this year.The Royals’ James Shields allowed homers to Mike Trout and Albert Pujols over six otherwise solid innings. C.J. Wilson failed to escape the first for Los Angeles, giving up all three runs on Gordon’s tone-setting double.The Orioles topped a runaway title in a division of behemoths, with an unexpected sweep against a trio of Cy Young winners.For Nelson Cruz, Buck Showalter and this unheralded bunch from Baltimore, the question now is: What’s next?Cruz sliced a two-run homer for his latest big postseason hit, and the Orioles held off the Detroit Tigers 2-1 Sunday to reach the AL Championship Series for the first time since 1997.Bud Norris outpitched David Price in Game 3 of the AL Division Series. The Tigers scored in the ninth inning and put the tying run on second with no outs, but Orioles closer Zach Britton escaped the jam to lift Showalter into his first LCS in 16 seasons as a big league manager.“This is fun to watch. Believe me, I’m happier than you can imagine,” Showalter said. “But most of it comes from getting to see the players get what they’ve put into it.”Baltimore opens the ALCS on Friday at home against Kansas City or at the Los Angeles Angels.“We’ve got a lot to go and we’re grinding,” outfielder Adam Jones said. “If we play as a team, we can do anything.”So often an afterthought in the rugged AL East, the Orioles won their first division title since 1997 this year, dispatching the second-place New York Yankees by 12 games — and last-place Boston by more than double that margin. That put Baltimore up against another of the game’s most star-laden rosters, and Miguel Cabrera, Justin Verlander and the Tigers couldn’t manage a single win.Cruz’s homer Sunday was his 16th in postseason play, including eight against the Tigers. He was the MVP of the 2011 ALCS for Texas in a six-game victory over Detroit.Cruz spent much of this past offseason without a team after serving a 50-game suspension last year for violating baseball’s drug agreement.“He knows things were self-inflicted,” Showalter said. “He really wanted to re-establish himself, and we thought that we could provide a real good opportunity for him, and the sky might be the limit.”Norris pitched two-hit ball for 6 1-3 innings, and Andrew Miller got five straight outs to keep the shutout going.Victor Martinez and J.D. Martinez opened the ninth with back-to-back doubles off Britton. Bryan Holaday struck out after a failed bunt attempt, and Showalter made the unconventional decision to put the winning run on base by intentionally walking Nick Castellanos.That meant the bottom of Detroit’s lineup would have to come through. The Tigers sent up Hernan Perez — who had five at-bats in the regular season — to pinch hit, and he bounced a 96 mph fastball into a 5-4-3 double play. It was Britton’s second save of the series.Cruz led the majors with 40 homers this season, and the Orioles topped baseball with 211. It was his two-run homer in the first inning of the opener that set the series’ tone, and he came through again in the sixth inning against Price. Cruz’s drive cleared the wall in right, about 2 feet to the left of the foul pole.Not bad for a guy the Orioles signed in late February. Cruz turned down a $14.1 million qualifying offer that would have kept him with Texas — but he ended up having to settle for an $8 million, one-year contract with Baltimore that included $750,000 in roster bonuses.Cruz’s powerful bat enabled the Orioles to withstand season-ending injuries to Manny Machado and Matt Wieters, as well as Chris Davis’ 25-game suspension for an amphetamine violation.“If you tell me before the series we’re going to sweep, I don’t believe it,” Cruz said.Detroit won its fourth straight AL Central this year. But after reaching at least the ALCS the last three seasons, Detroit couldn’t make it there this year. The Tigers remain without a World Series title since 1984 — a drought one year shorter than Baltimore’s.“It’s disappointing. You feel like you let the fans down and you feel like you let the organization down,” said Brad Ausmus, who replaced Jim Leyland as Detroit’s manager after last season.Detroit acquired Price at this year’s trade deadline, adding another impressive arm to an already-formidable rotation. Max Scherzer, Price and Verlander are the AL’s last three Cy Young Award winners, and the Tigers started them all in this series. Verlander and Cabrera have combined for the last three MVP awards.No use against a Baltimore team that had already surprised most of baseball with a 96-win regular season.“We got beat. There’s all there is to say,” Scherzer said. “We got outplayed in the series in every facet.”After dropping the first two games of the ALDS in Baltimore — the second thanks to an eighth-inning collapse by the bullpen — the Tigers returned home to a fairly subdued crowd at Comerica Park.In the third, Don Kelly was on second with one out when Torii Hunter hit a grounder to the left side. Kelly was caught between second and third and tried to slide headfirst back to second. Second baseman Jonathan Schoop initially dropped the throw from shortstop J.J. Hardy, then quickly picked up the ball and tagged Kelly.An umpire supervisor said through Major League Baseball spokeswoman Phyllis Merhige that Schoop was still in the act of fielding the ball, so it was not obstruction.“It was probably more incidentally than anything else, going after the ball,” Ausmus said. “I don’t know that anything could be done in that situation.”TRAINER’S ROOMDetroit OF Rajai Davis was out of the starting lineup with a pelvic strain. He lined out as a pinch- hitter in the seventh. Tigers C Alex Avila left in the sixth after taking a foul ball off the mask.UP NEXTBaltimore reached the ALCS in 1996 and 1997, losing to the Yankees and Cleveland. The Orioles went 3-4 against Kansas City this seasonTweetPinShare0 Shares
Congratulations to the winners of their respective divisions in the 2012 New South Wales Touch Association (NSWTA) Vawdon Cup finals. Men’s Open Penrith Panthers 7 defeated Parramatta Eels 6 (drop-off)Women’s Open Eastern Suburbs Roosters 7 defeated Wollongong Devils 5Mixed Open Eastern Suburbs Roosters 6 defeated Wests Magpies 4Men’s Division OneHornsby Lions 6 defeated Wollongong Devils 1Women’s Division OneCentral Coast Dolphins 5 defeated Northern Suburbs Bears 4Men’s Division TwoEastern Suburbs Roosters 8 defeated Wests Magpies 6Women’s Division TwoLiverpool Lightning 2 defeated Hills Hornets 2Men’s Division ThreeRyde Eastwood Hawks 8 defeated Penrith Panthers 4Men’s Masters (played on the 19th October)Balmain Tigers 9 defeated Penrith Panthers 0Men’s Seniors (played on the 19th October)Wests Magpies 6 defeated Canterbury Bulldogs 5Related LinksVawdon Cup Results
Following last weekend’s training camp in Queensland, Australian Women’s Open player, Marikki Watego tells us about how the camp went, what the team got up to and how the team is feeling in the lead up to the 2013 Trans Tasman Series.It was the last but definitely one of the most important events on what has been a jam-packed year for Touch Footy; the Open Women’s training camp. In preparation for the Super Trans Tasman Series in 2013, any chance for the team to get together, train and bond as a team, I think is a vital component to walking away with the series in two months’ time. Following my debut in the Trans Tasman series in Mudgee, it was evident that the Kiwis gave us a run for our money and ambushed us with a new hybrid Kiwi-Aussie style of Touch and all credit to them for a competitive series. However, I think in 2013 the Kiwis will face a more finely-oiled machine that is the Australian Open Women’s team. The camp last weekend was only a routine service for this machine to ensure it will be ready for game day come February 2013. The camp kicked off on Saturday 15th in Brisbane with both the Open Women’s and Under 20’s Women’s training at Ballymore. In typical Queensland fashion the weather was as hot as it gets. Most of us lathered up on the sunscreen, some of us not knowing that finger painting it on your face won’t be terribly useful hey Emilee Cherry? But then again, at least Chez wasn’t sporting a ‘Louise Winchester’ singlet tan by the end of the weekend. After a quick welcome by Belly and introduction to Marto our new manager, we went for warm up. Marto’s warm up was awesome because this kept Oz in check from trying to make us run a cross country before stretches. Karley Banks then took us for some drills, she often suggested watching Dylan Thompson for a few pointers. Sooo Dyl, looks like Touch vids of you will be copping some YouTube hits. The day went pretty quick after that, thanks to a super organised coaching staff who catered to our every need, whether that be a cold sweat towel on the neck, icy cold water in our water bottles and even lunch ready on demand. Our last task for the day was a game against the very skillful Under 20’s Women. The heat, and the fact that there were a lot of sore bodies (from a massive year of Touch) on both teams made the game very tough. They tested every facet of our game and I think it was a great demonstration of mind over matter from our team to play as if none of the external factors had any influence on the task at hand. It was definitely a tiring day but the fun was yet to come. The two day camp was to continue on the Sunshine Coast at Belly’s house which I would like to name ‘Bell Manor’. After a little trek up the coast we finally arrived on the coast and were guided through ‘Bell Manor’ like an episode of MTV Cribs. 14 women and one man in a mansion was a great recipe for team bonding (nothing suss)! The rest of the afternoon was very cruisy but team bonding was at its finest by the end of the night. El capitano Squeeze and the experienced Pete Rogerson were very instrumental in establishing this great time of bonding with some great moments caught on camera. Mrs Hennessey may need to see a professional hairdresser to rectify a little mishap to her lovely locks of hair over the weekend. Sunday was as hot as the day before but ‘Bell Manor’ had some more surprises up its sleeve consisting of kayaking in a bull shark infested canal which was always fun. After the stint of kayaking it was back to business and time to train. We headed off to Belly’s school and trained until midday where the camp concluded. Over all it was a great camp to catch up with the girls, re-run through our game plan and confirm that we were all on the same page. With Belly being happy at where we are at, I think that it’s safe to say we are well on the way to being in peak condition for February 2013. Lastly I would like to say thanks to the TFA High Performance team, Cathy and Wayne for your efforts. A big thank you to Belly and Belly’s family for evacuating the family home to allow for us to stay and also Hayley Rogerson for accommodating some of the girls. Thanks to the guys and girls who came out to give us a run on the Sunny Coast as well. And lastly to Marto, Karley and Belly for such a well organised camp! Related LinksCamp Diary – Marikki Watego