Fractures

An adolescent hockey player suffers a rare injury in an uncommon location

August 01, 2011

Various radiographic views found no injury, but limited range of motion and pain persisted.
 

Atypical femoral stress fracture in a woman on alendronate therapy

February 07, 2011

Both the patient's bone mineral density and fracture risk assessment were improving when she noted intensifying pain in her left thigh.
 

Pain in a 2-year-old girl who 
refuses to bear weight

January 25, 2011

After a toddler catches her leg behind her while going down a slide, she presents with her mother to the clinic with pain and refusal to bear weight.
 

What's new in fracture prevention: 
New osteoporosis drug improves 
patient adherence

, Reamer Bushardt, PharmD, PA-C December 20, 2010

Denosumab is the latest monoclonal antibody used to help prevent fractures and provides a number of new benefits.
 

Hip resurfacing: A fresh look at an alternative to total joint arthroplasty

, Jackie H. Coleman, CST September 02, 2010

Improved devices make the procedure a viable option for a select group of patients with hip arthritis.
 
 

Acute evaluation and management of the anterior shoulder dislocation

, August 02, 2010

PAs, especially those in emergency or urgent care settings, should be familiar with several techniques.
 

Bowing of the right lower leg in an infant

, Richard Davidson, MD February 16, 2010

The baby's tibia exhibited a lytic lesion and medial cortical disruption, and the fibula showed mild cortical thickening.
 

Classic adolescent injury mimics a twisted ankle

, William Min, MD, MS, MBA January 19, 2010

An ankle injury in a skeletally immature boy turns out to be much more serious than initial radiographs suggest to the casual observer.
 

Bilateral shoulder pain developing after a hypoglycemic seizure

Captain Christopher L. Furbee, PA-C, MPAS; Colonel David A. Brown, MD December 07, 2009

Posterior shoulder dislocations are hard to diagnose because of their rarity. Your ability to interpret the appropriate radiographs is key.
 

Foot pain for 5 years, and an abnormal radiograph

Captain Amelia Duran-Stanton PA-C, PhD, MPAS November 17, 2009

Learn to recognize the clinical manifestations and radiographic appearance of a condition you may never have heard of.
 

Identifying and managing physeal injuries in the upper extremity

Jason R. Smith, PA-C; Scott H. Kozin, MD September 21, 2009

Understanding bone growth in young patients and knowing what to look for on imaging are key to managing upper-extremity injuries.
 

A common ankle injury with a not-so-common twist

Joseph M. Ehrhard, MPAS, PA-C, ATC July 29, 2009

A basketball player completes his jump shot by landing on another player's foot. A squeeze test positive for pain and inability to bear weight on the affected leg suggest more than an ankle injury.
 

Knee pain and an abnormal radiograph in a skier

Brian Downie, ATC, PA-C, MS February 20, 2009

The patient is a 20-year-old male who fell while downhill skiing. After returning home, he presented to our orthopedic clinic with continued complaints of lateral knee pain, swelling, and a sense of weakness.
 

Increasing pain after a child's knee injury

October 01, 2006

An 11-year-old boy was referred to our orthopedic practice after injuring his left knee at football practice. The patient explained that he was hit from behind and fell on his flexed knees.
 

The management of clavicle fractures

, Herbert O. Bote, MD; Kevin G. Mitts, MD September 01, 2006

The clavicle is one of the most commonly injured bones in the body. Fractures of the middle third of the clavicle account for approximately 80% of all clavicle fractures, with 15% of fractures occurring in the lateral third and 5% in the medial end. The traditional treatment of fractures of the clavicle rarely involves surgical intervention; most are treated with immobilization with a sling or figure-of-eight strap for comfort.
 

A percutaneous pinning misadventure

Michael Paul Riddle, MS, PA-C, CRT January 01, 2006

Drilling close to percutaneous pins in a patient's radius bone has unexpected consequences.
 

A 4-week history of worsening hip pain

June 01, 2005

The patient is a 15-year-old overweight white male with a 4-week history of left hip pain. He described the pain as a dull ache in the front and side of his left hip. The pain had gradually worsened over the 4 weeks and was exacerbated by weight bearing. Climbing stairs was particularly painful. At times, the pain radiated to the left knee.
 

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