Ortho Dx Archives - Page 37 of 38 - Clinical Advisor

Ortho Dx

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,…

Ortho Dx: Flat footed with ankle, foot pain

A patient, aged 49 years, presented to the office with left foot and ankle pain for approximately two years. The patient noted he had been flat footed for quite some time. He stated most of his pain seemed to be in the medial and lateral ankle with occasional pain in the mid-foot. On exam, the…

Ortho Dx: Foot pain for 10 years

A patient, aged 54 years, presented to the office with right foot pain for approximately 10 years. The pain had worsened and the patient was unable to participate in martial arts because of it. On physical exam, the patient had enlargement of the first metatarsophalangeal (MTP) joint, right greater than the left. The patient had…

Ortho Dx: Open fracture to the elbow

A patient, aged 53 years, presented to the emergency department with an open fracture to the distal one-third humerus. This case has been brought to you in partnership with the Journal of Orthopedics for Physician Assistants.

Ortho Dx: Deformity, pain in middle finger

A patient, aged 16 years, presented with pain and deformity of the right middle finger. He reported injuring the finger playing football two days prior. He was unable to extend the tip of his finger since the injury. On exam, a flexion deformity at the distal interphalangeal joint was found. The patient was unable to…

Ortho Dx: Sharp knee pain without injury

A patient, aged 56 years, presented with severe acute right knee pain without injury. The patient reported getting out of his car two days ago when he felt a sudden, sharp pain. He had not been able to extend or put weight on his knee since. This case has been brought to you in partnership…

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