Undiagnosed cellulitis

Undiagnosed cellulitis

A patient is asked to follow up for care but does not, and severe cellulitis develop

Osteoarthritis: conservative treatment options

Osteoarthritis: conservative treatment options

Osteoarthritis is one of the most common problems encountered in primary care, and conservative treatment can improve patients' quality of life.

Wrist pain after a fall: a simple fracture?

Wrist pain after a fall: a simple fracture?

After a fall on an outstretched hand, wrist injuries are common, but ligament tears should also be considered in adults.

Slipped capital femoral epiphysis
 in obese adolescents

Slipped capital femoral epiphysis
 in obese adolescents

Obese adolescents have an increased risk of slipped capital femoral epiphysis
 (SCFE).

Numbness, tingling, weakness, and coolness in a 'jammed' hand

Numbness, tingling, weakness, and coolness in a 'jammed' hand

A man tells the orthopedics clinic staff about odd sensations in his hand a week after a car accident.

A stress fracture 'tune-up'

A stress fracture 'tune-up'

No benefit with arthroscopic surgery for knee OA

No benefit with arthroscopic surgery for knee OA

Arthroscopic partial meniscectomy does not improve degenerative medial meniscus tear symptoms in patients without knee osteoarthritis.

Do surgical metals affect security or MRI scans?

Do surgical metals affect security or MRI scans?

Learn what factors distort the waves used in scanning procedures when metal is present.

A better understanding of barefoot running

A better understanding of barefoot running

Research on the relationship between footwear and injury rates is limited. A switch to a minimalist shoe or barefoot running should be done gradually.

Young man presents with findings suspicious for occult fracture

Young man presents with findings suspicious for occult fracture

A teenager complains of pain in the left wrist, yet manifests no localized swelling and exhibits symmetric bilateral range of motion.

Frozen shoulder susceptibility 
in diabetic patients

Frozen shoulder susceptibility 
in diabetic patients

Why are individuals with diabetes especially prone to developing frozen shoulder?

A trampoline accident paralyzes a young patient

A trampoline accident paralyzes a young patient

Short of banning trampoline sales, installing a protective net can help reduce the risk for devastating neck injuries.

Physical therapy adequate first Tx for osteoarthritis with meniscal tear

Physical therapy adequate first Tx for osteoarthritis with meniscal tear

Physical therapy associated with functional improvements similar to surgery for patients with meniscal tear and knee osteoarthritis.

Traumatic brain injury in youth athletes

Traumatic brain injury in youth athletes

Accurate identification, assessment and evaluation of concussions will enable clinicians to determine when it is safe for young athletes to return to competition.

Testing for closed head injury

Testing for closed head injury

What is a good screening test for evaluation of closed head injury?

No increased delirium with hydromorphone after hip surgery

No increased delirium with hydromorphone after hip surgery

Hydromorphone for postoperative pain does not appear to increase delirium in elderly patients having hip fracture surgery.

Underlying problems of scoliosis

Underlying problems of scoliosis

A girl with scoliosis returns to the clinic complaining of ankle pain.

Osteoporosis in a patient taking anti-seizure medication

Osteoporosis in a patient taking anti-seizure medication


Are dual-energy x ray absorptiometry scans safe for patients taking anti-seizure medication?

Acupuncture best for chronic low back pain and osteoarthritis management

Acupuncture best for chronic low back pain and osteoarthritis management

The National Institutes of Health noted that there is enough scientific evidence of acupuncture's efficacy to warrant its use in certain clinical situations.

Secondary malignancy following breast and uterine cancer

Could a patient's anterior thigh pain signify osteosarcoma?

A new understanding of 
osteoarthritis

A new understanding of 
osteoarthritis

Ongoing research and new developments hold promise for altering 
osteoarthritis and go beyond simply treating the symptoms.

The role of vitamin D in post-fracture symptoms

Can vitamin D deficiency play a role in post-fracture pain?

Pain management: Lessons from patients

Pain management: Lessons from patients

These women experienced debilitating pain episodes that challenged even the most knowledgeable clinicians. You can learn from their case histories.

Check for flat feet in young patients with shin splints

Ruling out pes planus can help avoid unnecessary prescriptions and referrals.

Do PPIs affect calcium absorption?

Are there any studies that confirm effective calcium absorption when the patient is taking long-term proton pump inhibitors (PPIs) along with oral calcium?

Osteoporosis medications in patients with kidney disease


Is it safe to restart osteoporosis medications in patients with stage 5 chronic kidney disease?

A simple case of cellulitis on the third finger is a lot more

A simple case of cellulitis on the third finger is a lot more

A patient presents to the emergency department complaining of pain that originated over the distal tip of the digit.

When a patient falls, the pain 
indicates dislocation

When a patient falls, the pain 
indicates dislocation

Tenderness over the hypothenar eminence, swelling and limited flexion also suggest fracture.

Easing children's anxiety over cast removal

Cast saws can be terrifying for children. An orthopedic physician assistant shares a tip to help ease pediatric patient's fear.

Acute onset of pain and a noncompressible area in the anterior forearm

Acute onset of pain and a noncompressible area in the anterior forearm

After a high-impact fall, a middle-aged 
firefighter presents with ecchymosis and fixed flexion in the right arm and hand.

A running accident leads to the discovery of a humeral lesion

A running accident leads to the discovery of a humeral lesion

A woman fractured her upper arm in a fall while exercising. A large osteolytic growth was discovered on x-ray.

Remember to HALT SLIPS in older patients

A clinician offers a useful mnemonic device to help prevent falls in older patients.

Nutrition's effect on rheumatologic conditions

Are there any common nutritional deficiencies associated with osteoarthritis (OA), rheumatoid arthritis (RA), and gout?

Plantar fasciitis

Chronic inflammation can lead to a calcaneal spur at the base of the heel bone.

Gouty arthritis: How to make the diagnosis

Gouty arthritis: How to make the diagnosis

This painful disease greatly impacts the daily lives of those who suffer from it. Diagnosis, treatment, and lifestyle modification can ease long-term effects

Signs clearly show cardiac concern

Signs clearly show cardiac concern

Tragedy strikes when a clinician signs an athlete's release form without waiting for test results.

Blisters on the hands and fingers of a woman with discolored urine

Blisters on the hands and fingers of a woman with discolored urine

Mild hypertrichosis and hyperpigmentation of the face were also noted, and plasma porphyrins were grossly elevated.

Use fracture risk to predict osteoporosis

Use fracture risk to predict osteoporosis

Be sure to consult guidelines from the National Osteoporosis Foundation for advice on optimizing calcium and vitamin D intake and reducing fall risk.

Osteoporosis conundrum

What is the mechanism of action of teriparatide, the new parathyroid hormone (PTH) analog being used for the treatment of osteoporosis?

Painless bump on the leg for two years' duration

Painless bump on the leg for two years' duration

The boy had no history of pain, rapid growth, or trauma-associated local or systemic abnormalities.

Risks and benefits of bisphosphonate therapy

At what T-score and patient age does the benefit of bisphosphonate therapy outweigh the risk?

Treating giant cell arteritis to avoid complications

Treating giant cell arteritis to avoid complications

Seen primarily in individuals older than age 50 years, this inflammatory disorder is characterized by headache, jaw pain, and vision difficulties.

Falls in older adults: averting a disaster

Falls in older adults: averting a disaster

Falls can lead to hip fracture and head injury and can raise the risk of early death. Fortunately, this public-health problem is largely preventable.

Unexplained low-back pain in an adolescent with scoliosis

Unexplained low-back pain in an adolescent with scoliosis

Nothing offered more than temporary relief for the aching, constant pain, which was unaccompanied by other symptoms.

Teen athlete has a tragic accident

Teen athlete has a tragic accident

Was the school clinician to blame for not keeping him from playing after he suffered a head injury?

Relief from leg cramps

Since quinine is no longer safe, what alternatives are there?

Common pediatric hip diseases in primary care

Common pediatric hip diseases in primary care

Left untreated, these childhood conditions could have lasting effects. Our experts explain three of the most common hip disorders you'll see.

Concussion knocks football player out of competition

A football pro sues his team's doctor and physician assistant after repeat concussions sideline his promising career.

Less post-arthroplasty DVT with rivaroxaban than enoxaparin

Oral rivaroxaban is more effective than subcutaneous enoxaparin for reducing risk of symptomatic deep venous thrombosis (DVT) after total knee arthroplasty.

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