Ortho Dx Archives - Page 20 of 21 - Clinical Advisor

Ortho Dx

Ortho Dx: Slow-growing, painful mass on the finger

A patient, aged 68 years, presented with a slow-growing, painful mass on her left middle finger. The mass had been present for one year. The patient reported significant pain to the touch but no pain at rest. The patient’s past medical history included Raynaud’s disease and vasculitis. On exam, a solid, immobile mass was found…

Ortho Dx: Radiolucent lesion on the proximal tibia

A patient, aged 16 years, presented to the office with anterior medical knee pain after being hit during a hockey game. The patient denied any prior knee pain before this injury. On exam of the knee, a subtle laxity with valgus stress consistent with a medial ligament (MLC) sprain was found. The rest of the…

Ortho Dx: Thigh pain after fall

A patient, aged 2 years, presented to the emergency department (ED) after falling off his bed at home. The patient was unable to bear weight and his parent’s stated he was pointing and holding his left thigh. On exam, the patient was in obvious discomfort. This case has been brought to you in partnership with…

Ortho Dx: Popping sensation in the ankle

A patient, aged 20 years, presented with ankle pain four months after an open reduction and internal fixation of a left bimalleolar ankle fracture with distal tibiofibular syndesmotic screw fixation. The patient reported she was walking down stairs earlier in the day and tripped on ice. She felt a “popping sensation” in the left ankle.…

Ortho Dx: Dramatic, worsening hip pain

A patient, aged 45 years, presented with hip pain in her left side for 6 months. The pain dramatically worsened over the last month and she started walking with a cane. She denied any injury or precipitating event. The pain appeared to be in the groin and lateral side of the leg. Treatment with rest…

Ortho Dx: Low back, pelvic pain following childbirth

A patient, aged 45 years, presented to the office with a 5 year history of lower back and pelvic pain. The pain started a few months after childbirth. The pain increased and the patient reported feeling muscle weakness in the groin while walking. She denied any numbness or tingling in the lower extremities. On exam,…

Next hm-slideshow in Clinical Quiz