Ortho Dx: Persistent Leg Pain in a Dancer

Ortho Dx: Persistent Leg Pain in a Dancer

A 16-year-old girl presents with leg pain that has persisted for 2 months. The pain is aggravated during her dance ...

Ortho Dx: Failed Hip Pinning

Ortho Dx: Failed Hip Pinning

An 82-year-old female patient presents with a nondisplaced femoral neck fracture 2 months after undergoing hip fracture repair.

Ortho Dx: Suspected Child Abuse

Ortho Dx: Suspected Child Abuse

A 6-month-old infant presents to the emergency department with left leg pain and contusions about the head and torso.

Ortho Dx: Right Ankle Pain Following Sports Injury

Ortho Dx: Right Ankle Pain Following Sports Injury

A 12-year-old girl presents with right ankle pain after a fall on wet grass.

Ortho Dx: Persistent Shoulder Pain

Ortho Dx: Persistent Shoulder Pain

A 56-year-old man presents with left shoulder pain that has persisted for several months.

Ortho Dx: Radiating Neck and Upper Extremity Pain

Ortho Dx: Radiating Neck and Upper Extremity Pain

A 46-year-old man presents with pain radiating from his neck down into his right upper extremity, numbness in his right ...

Ortho Dx: Lower Back Pain in a 16-Year-Old Male Athlete

Ortho Dx: Lower Back Pain in a 16-Year-Old Male Athlete

A 16-year-old male football player presents to his clinician with 2 months of lower back pain that worsens upon playing. ...

Ortho Dx: Open Fracture of the Hand

Ortho Dx: Open Fracture of the Hand

A 28-year-old man sustained a distal fifth metacarpal fracture of the right hand after striking a wall.

Ortho Dx: Right Hip Pain Following a Fall on Ice

Ortho Dx: Right Hip Pain Following a Fall on Ice

A 42-year-old man complains of a 2-month history of moderate right hip pain following a fall on ice.

Ortho Dx: Chronic Lower Back Pain and an Incidental Abdominal Aortic Aneurysm

Ortho Dx: Chronic Lower Back Pain and an Incidental Abdominal Aortic Aneurysm

A 78-year-old man presents with chronic lower back pain; lateral radiographs demonstrate an incidental abdominal aortic aneurysm.

Ortho Dx: Syndesmotic Injury Following Football Game

Ortho Dx: Syndesmotic Injury Following Football Game

A 23-year-old man complains of left ankle pain after falling awkwardly during a football game.

Ortho Dx: Severe Lower Back Pain in an Elderly Woman

Ortho Dx: Severe Lower Back Pain in an Elderly Woman

A 75-year-old woman complains of lower back pain after falling out of bed the previous morning, which resulted in extreme ...

Ortho Dx: A Persistent Finger Infection in a 61-Year-Old Female

Ortho Dx: A Persistent Finger Infection in a 61-Year-Old Female

A 61 year-old female presents with a persistent right finger infection. The infection started as a painful small wound at ...

Ortho Dx: Leg pain after a fall in an elderly woman

Ortho Dx: Leg pain after a fall in an elderly woman

A 91-year-old obese woman presents to the emergency department by ambulance with right leg pain after a fall at home. ...

Ortho Dx: Which medication is likely causing this bone fragility?

Ortho Dx: Which medication is likely causing this bone fragility?

A 42-year-old woman presents with a new T12 compression fracture. The fracture occurred from a standing height fall as she ...

Ortho Dx: Chronic hip pain after a soccer injury

Ortho Dx: Chronic hip pain after a soccer injury

A 33-year-old man presents with chronic right hip pain from an injury 10 months ago. He was playing soccer when ...

Ortho Dx: Knee pain after falling down the stairs

Ortho Dx: Knee pain after falling down the stairs

A 45-year-old woman presents to the emergency department with right knee pain and deformity after falling down the stairs. A ...

Ortho Dx: Toe pain in a runner

Ortho Dx: Toe pain in a runner

A 35-year-old man complains of right great toe pain for several months. He is very active and enjoys running.

Ortho Dx: Neck fracture and loss of bone mineral density

Ortho Dx: Neck fracture and loss of bone mineral density

A 27-year-old woman presents for follow-up of a nondisplaced right talar neck fracture. She was treated with a nonweight-bearing boot ...

Ortho Dx: Knee pain over the lateral patellofemoral facet joint

Ortho Dx: Knee pain over the lateral patellofemoral facet joint

A 42-year-old woman presents with a few months of right knee pain. The pain is worse when going up and ...

Ortho Dx: Thumb pain and swelling after a tumbling injury

Ortho Dx: Thumb pain and swelling after a tumbling injury

A 13-year-old girl presents with left thumb pain after a tumbling injury during gymnastics. On examination, she has moderate swelling ...

Ortho Dx: Radiating right arm pain

Ortho Dx: Radiating right arm pain

A 34-year-old man presents with right-sided arm pain for 6 months, which radiates down his arm and is associated with ...

Ortho Dx: Shoulder pain radiating into the biceps

Ortho Dx: Shoulder pain radiating into the biceps

A 42-year-old woman presents with left shoulder pain radiating into the biceps for the past 2 months.

Ortho Dx: Posterior hip dislocation after an accident

Ortho Dx: Posterior hip dislocation after an accident

A 34-year-old man presents to the emergency department after a motor vehicle accident with severe left hip pain and a ...

Ortho Dx: Treatment for a greater tuberosity fracture

Ortho Dx: Treatment for a greater tuberosity fracture

A 43-year-old woman presents with left shoulder pain after a fall 2 days ago. She was ice skating and fell ...

Ortho Dx: Medication-induced tendinopathy

Ortho Dx: Medication-induced tendinopathy

A 45-year-old woman presents with a history of left heel pain for several months. She has a medical history of ...

Ortho Dx: Right lower extremity pain

Ortho Dx: Right lower extremity pain

A 25-year-old man presents to the emergency department after a fall while rock climbing. He is unable to bear weight ...

Ortho Dx: A painful ring finger

Ortho Dx: A painful ring finger

A 72-year-old man presents with pain and stiffness in his right hand. The pain is worse in his fingers, especially ...

Ortho Dx: New compression fractures in an elderly man

Ortho Dx: New compression fractures in an elderly man

A 79-year-old man presents with increasing thoracolumbar pain and difficulty straightening his back. He denies having radiating pain down the ...

Ortho Dx: Arthritis of the knee

Ortho Dx: Arthritis of the knee

A 58-year-old woman presents with left knee pain of several months’ duration. She had a left knee arthroscopic lateral meniscectomy ...

Ortho Dx: Back pain and loss of bladder control

Ortho Dx: Back pain and loss of bladder control

A 65-year-old woman presents to the emergency department with acute chronic back pain and lower extremity weakness. She has also ...

Ortho Dx: Swelling and pain in the knee

Ortho Dx: Swelling and pain in the knee

An 18-year-old male presents 1 week after sustaining a patella dislocation while playing football. He says that he fell awkwardly ...

Ortho Dx: Wrist pain and collapse of the lunate

Ortho Dx: Wrist pain and collapse of the lunate

A 21-year-old woman presents with a 2-year history of left wrist pain. She believes the pain started when she injured ...

Ortho Dx: Hip pain after a split-type fall

Ortho Dx: Hip pain after a split-type fall

A 35-year-old man presents to the office with right hip pain after a twist and split-type fall while working construction ...

Ortho Dx: Chronic foot pain and deformity

Ortho Dx: Chronic foot pain and deformity

A 61-year-old man presents to the office with chronic left foot pain. He has pain over the medial ankle, especially ...

Ortho Dx: What is the best treatment for these rib fractures?

Ortho Dx: What is the best treatment for these rib fractures?

A 29-year-old man sustains multiple left-sided rib fractures during a motor vehicle accident. You see the patient in surgical consultation ...

Ortho Dx: Back pain aggravated by cold weather

Ortho Dx: Back pain aggravated by cold weather

A 66-year-old man presents with “years” of on and off lower back pain and stiffness. His stiffness is worse in ...

Ortho Dx: Progressively worsening foot pain

Ortho Dx: Progressively worsening foot pain

Oral capsule FMT and colonoscopy delivery showed similar patient outcomes, low rate differences, and high success rates.

Ortho Dx: Severe pelvic pain after childbirth

Ortho Dx: Severe pelvic pain after childbirth

A 19-year-old woman complains of severe pain in her pelvis after vaginal delivery of her first child. One day after ...

Ortho Dx: What is the best treatment for this knee injury?

Ortho Dx: What is the best treatment for this knee injury?

A 22-year-old woman presents to the emergency department with left knee pain after a motor vehicle accident. Her left knee ...

Ortho Dx: Treatment for lower back and buttock pain

Ortho Dx: Treatment for lower back and buttock pain

A 27-year-old woman presents to the emergency department with increasing lower back and buttock pain for 3 weeks. She admits ...

Ortho Dx: A 67-year-old woman with activity-related thigh pain

Ortho Dx: A 67-year-old woman with activity-related thigh pain

A 67-year-old woman presents with activity-related right thigh pain. The pain increases as she gets farther into her walks, and ...

Ortho Dx: Foot pain that is worse in the morning

Ortho Dx: Foot pain that is worse in the morning

A 64-year-old man presents with right foot pain that he has had for several months. The pain is worse in ...

Ortho Dx: What is the best treatment for this shoulder pain?

Ortho Dx: What is the best treatment for this shoulder pain?

A 62-year-old woman presents with 3 months of left shoulder pain. X-rays show osteonecrosis of the humeral head with advanced ...

Ortho Dx: Neck pain after a motor vehicle accident

Ortho Dx: Neck pain after a motor vehicle accident

A 46-year-old man presents to the emergency department with severe neck pain after a motor vehicle accident. Imaging shows a ...

Ortho Dx: A woman with a hip that is popping out of place

Ortho Dx: A woman with a hip that is popping out of place

A 35-year-old woman presents with right hip pain, which she has had for several months. She stopped running recently due ...

Ortho Dx: What is the best treatment for this foot injury?

Ortho Dx: What is the best treatment for this foot injury?

A woman presents with left foot pain from a fall 2 days prior to her visit. She complains of pain ...

Ortho Dx: A shoulder injury after a mixed martial arts competition

Ortho Dx: A shoulder injury after a mixed martial arts competition

A 23-year-old woman presents to the emergency department with a left shoulder injury that occurred when she was competing in ...

Ortho Dx: Preventing postoperative infection after an open femur fracture

Ortho Dx: Preventing postoperative infection after an open femur fracture

A 48-year-old man presents to the emergency department by way of ambulance after a motorcycle accident. He was thrown off ...

Ortho Dx: Complications after total knee arthroplasty

Ortho Dx: Complications after total knee arthroplasty

An 80-year-old woman presents with 3 months of right shin pain. She had a revision total knee replacement 5 years ...

Ortho Dx: Elbow pain in the throwing athlete

Ortho Dx: Elbow pain in the throwing athlete

A 17-year-old male presents with right elbow pain for several months. He plays baseball 7 months of the year and ...

Ortho Dx: Treatment for a comminuted scaphoid fracture

Ortho Dx: Treatment for a comminuted scaphoid fracture

A 58-year-old woman presents with left wrist pain after slipping on ice and falling 3 months ago. X-rays show a ...

Ortho Dx: A case of compartment syndrome

Ortho Dx: A case of compartment syndrome

A 38-year-old man presents to the emergency department in an ambulance after sustaining a right leg injury. X-rays show a ...

Ortho Dx: Which grade of arthritis does this patient have?

Ortho Dx: Which grade of arthritis does this patient have?

A 63-year-old woman presents with left knee pain that she has had for several months. X-rays show mild joint space ...

Ortho Dx: Wrist pain after a motorcycle accident

Ortho Dx: Wrist pain after a motorcycle accident

A 24-year-old male presents with right wrist pain following a motorcycle accident 2 days ago. An X-ray taken on the ...

Ortho Dx: A chainsaw injury to the forearm

Ortho Dx: A chainsaw injury to the forearm

A 58-year-old male presents with a chainsaw injury to the left forearm. He was trimming some trees when he lost ...

Ortho Dx: Can you identify this structure?

Ortho Dx: Can you identify this structure?

Can you identify the structure in Figure 1 that the yellow arrow points to?

Ortho Dx: Pain over the lateral midfoot

Ortho Dx: Pain over the lateral midfoot

The pain is located over the lateral midfoot, and the patient has tenderness to palpation over an apparent ossicle adjacent ...

Ortho Dx: Ankle stabilization

Ortho Dx: Ankle stabilization

On examination, the patient has an increased anterior drawer test and slight talar tilt of the left ankle. Radiographs of ...

Ortho Dx: A nondisplaced fracture through a radiolucent lesion

Ortho Dx: A nondisplaced fracture through a radiolucent lesion

Examination of a patient presenting with finger pain finds tenderness to the distal phalanx without deformity. Radiographs show a nondisplaced ...

Ortho Dx: Thigh pain 2 years after hip replacement surgery

Ortho Dx: Thigh pain 2 years after hip replacement surgery

A 65-year-old postal worker who had total hip replacement surgery 2 years ago notices pain in his thigh over the ...

Ortho Dx: A humerus fracture after a bike accident

Ortho Dx: A humerus fracture after a bike accident

A 19-year-old woman is thrown over the handlebars of her bicycle during an accident and lands on her elbow. Radiographs ...

Ortho Dx: Would you remove this fingernail?

Ortho Dx: Would you remove this fingernail?

After getting her finger caught between a board and a cement block, a 50-year-old woman presents with a subungual hematoma ...

Ortho Dx: Increased forefoot pain when metatarsal heads squeezed

Ortho Dx: Increased forefoot pain when metatarsal heads squeezed

A 56-year-old woman presents with a several-month history of forefoot pain. Examination finds that the pain increases when squeezing the ...

Ortho Dx: A calcified mass in the back of the knee

Ortho Dx: A calcified mass in the back of the knee

Lateral radiograph of an 82-year-old man with knee pain reveals a calcified mass in the back of the knee. Magnetic ...

Ortho Dx: Pediatric plastic deformation

Ortho Dx: Pediatric plastic deformation

A child riding on a scooter falls forward and lands on his outstretched hand. Radiographs show a distal one-third radius ...

Ortho Dx: A fibula fracture with ankle swelling

Ortho Dx: A fibula fracture with ankle swelling

A 29-year-old man has ankle and leg pain after slipping on ice. Radiographs of the tibia and fibula show an ...

Ortho Dx: Which graft would you choose to reconstruct this ACL?

Ortho Dx: Which graft would you choose to reconstruct this ACL?

A 17-year-old male injures his knee during a lacrosse game. Magnetic resonance imaging shows a complete anterior cruciate ligament (ACL) ...

Ortho Dx: Does this patient's pain originate at the neck?

Ortho Dx: Does this patient's pain originate at the neck?

A 48-year-old woman with severe shoulder and neck pain demonstrates mildly positive shoulder impingement signs and a negative Spurling test ...

Ortho Dx: Choose the best surgical option for these two patients

Ortho Dx: Choose the best surgical option for these two patients

A 70-year-old man and a 74-year-old man with shoulder pain have failed conservative treatment with intra-articular steroid injections, rest, and ...

Ortho Dx: Which finding indicates cervical myelopathy?

Ortho Dx: Which finding indicates cervical myelopathy?

Anteroposterior and lateral cervical spine radiographs of an 85-year-old man with severe upper extremity pain show multilevel degenerative changes.

Ortho Dx: The treatment dilemma with partial rotator cuff tears

Ortho Dx: The treatment dilemma with partial rotator cuff tears

Shoulder arthroscopy of a 49-year-old woman with a 4-month history of shoulder pain reveals a partial tear through 60% of ...

Ortho Dx: A girl with knee pain when she jumps and runs

Ortho Dx: A girl with knee pain when she jumps and runs

A 12-year-old girl recently started playing basketball and presents with knee pain that seems to increase with jumping and running. ...

Ortho Dx: A young cheerleader falls on her arm

Ortho Dx: A young cheerleader falls on her arm

After falling on her outstretched arm from 4 feet in the air, an 11-year-old cheerleader is experiencing pain and difficulty ...

Ortho Dx: Progressive flexion deformity of the finger

Ortho Dx: Progressive flexion deformity of the finger

A 52-year-old man diagnosed with Dupuytren contracture a year ago presents with increasing contracture to his ring finger.

Ortho Dx: Avascular necrosis of the hip

Ortho Dx: Avascular necrosis of the hip

After physical therapy and trigger-point injections, a 27-year-old woman continues to have lower back and left hip pain. Left hip ...

Ortho Dx: A rare foot injury

Ortho Dx: A rare foot injury

After tripping while running, a 32-year-old man presents with severe foot pain and deformity; 3-dimensional computed tomography shows incongruence of ...

Ortho Dx: Is this a patella alta or a patella baja?

Ortho Dx: Is this a patella alta or a patella baja?

A 31-year-old woman trips on the stairs, and her knee strikes a railing. She has been unable to bear weight ...

Ortho Dx: A teenager falls off his friend's shoulders

Ortho Dx: A teenager falls off his friend's shoulders

A 16-year-old male injures his shoulder falling off the shoulders of a friend. He has had shoulder pain since the ...

Ortho Dx: Chronic lower back pain after traumatic fall

Ortho Dx: Chronic lower back pain after traumatic fall

After recovering well from a T12 compression fracture that resulted from a fall 5 years ago, a 42-year-old man’s back ...

Ortho Dx: Can you see the radiographic finding that indicates the diagnosis?

Ortho Dx: Can you see the radiographic finding that indicates the diagnosis?

After a rollover car accident, a 29-year-old man cannot move his shoulder. Imaging scans show a posterior shoulder dislocation.

Ortho Dx: Snapping hip

Ortho Dx: Snapping hip

A 23-year-old man is diagnosed with snapping hip. Radiographs are negative for abnormalities.

Ortho Dx: Growth disturbances following growth plate fracture

Ortho Dx: Growth disturbances following growth plate fracture

Computed tomography of a 13-year-old boy who injured his knee jumping off of a wall shows a minimally displaced Salter-Harris ...

Ortho Dx: A pediatric distal radius fracture

Ortho Dx: A pediatric distal radius fracture

An 8-year-old boy presents with wrist pain following a soccer injury. Radiographs show a distal radius fracture.

Ortho Dx: A double posterior cruciate ligament sign

Ortho Dx: A double posterior cruciate ligament sign

After a soccer injury, a 31-year-old man presents with knee pain and cannot fully extend his knee. Magnetic resonance imaging ...

Ortho Dx: A man with years of ankle pain

Ortho Dx: A man with years of ankle pain

After intermittent pain in the ankle for 3 to 4 years, a 42-year-old man presents with a 6-week history of ...

Ortho Dx: How would you treat this clavicle fracture?

Ortho Dx: How would you treat this clavicle fracture?

A 19-year-old man sustains a clavicle fracture after falling off his dirt bike. The skin over the clavicle is intact ...

Ortho Dx: What are the grade and type of this spondylolisthesis?

Ortho Dx: What are the grade and type of this spondylolisthesis?

Imaging of this 55-year-old woman with lower back pain finds facet arthropathy, disk space narrowing, and both foraminal and central ...

Ortho Dx: A bump on the back of the heel

Ortho Dx: A bump on the back of the heel

A 67-year-old woman presents with a tender bump that has been on her heel for 1 year. Oral anti-inflammatory drugs, ...

Ortho Dx: How would you treat this ankle fracture dislocation?

Ortho Dx: How would you treat this ankle fracture dislocation?

A 51-year-old man presents to the emergency department with left ankle pain and deformity after tripping while hiking. Radiographs show ...

Ortho Dx: A rare source of shoulder pain

Ortho Dx: A rare source of shoulder pain

An incidental finding on radiographs taken of this 40-year-old man shows a rare source for his shoulder pain.

Ortho Dx: Femur fracture before walking age

Ortho Dx: Femur fracture before walking age

Skeletal survey of a 4-month-old girl identifies a spiral fracture of the left femur. The father reports that he lost ...

Ortho Dx: Thumb pain with repeated lifting

Ortho Dx: Thumb pain with repeated lifting

A 57-year-old woman who recently began caring for her 1-year-old granddaughter presents with thumb pain.

Ortho Dx: A child is injured after a fall from a tree

Ortho Dx: A child is injured after a fall from a tree

Trauma radiographs of the elbow of a 3-year-old boy who fell from a tree show supracondylar distal humerus fracture with ...

Ortho Dx: Pelvic bone fracture after a fall

Ortho Dx: Pelvic bone fracture after a fall

A 79-year-old woman presents with hip pain after a fall. Anteroposterior radiograph of the pelvis reveals left-sided superior and inferior ...

Ortho Dx: Incapacitating back pain after a car accident

Ortho Dx: Incapacitating back pain after a car accident

A 49-year-old woman returns to the emergency department for a second time with incapacitating mid-back pain 1 week after sustaining ...

Ortho Dx: Leg pain after a soccer kick

Ortho Dx: Leg pain after a soccer kick

A 20-year-old woman presents with 2 weeks of leg pain and swelling after a soccer injury. She has a mass ...

Ortho Dx: Painful calcium deposits on the forearm

Ortho Dx: Painful calcium deposits on the forearm

A 66-year-old woman with a history of scleroderma presents with cutaneous calcium deposits on the forearm with ulceration and sinus ...

Ortho Dx: MCL tear in a teen lacrosse player

Ortho Dx: MCL tear in a teen lacrosse player

A 16-year-old lacrosse player is diagnosed with a medial collateral ligament (MCL) tear 1 week after he was struck on ...

Ortho Dx: Knee pain and joint effusion years after TKA

Ortho Dx: Knee pain and joint effusion years after TKA

A 57-year-old man presents with knee pain and joint effusion 6 years after a total knee replacement. He denies injury ...

Sign Up for Free e-newsletters