Orthopedics

Right leg pain after a fall in a patient with a prosthesis

, May 23, 2012

A 28-year-old female with a history of juvenile rheumatoid arthritis and knee and hip arthroplasty experiences pain after accidentally twisting her right leg.
 

The diagnosis and pharmacologic management of low back pain

, Susan Kuntz, PhD March 01, 2012

Low back pain takes a physical, financial, and emotional toll on the patient and imposes 
socioeconomic costs as well. A clear understanding of causes and treatments is essential.
 

Increasing hip pain in an elderly woman

February 22, 2012

Incapacitating pain and decreased range of motion sideline a previously healthy, active, and independent elderly patient.
 

An acute elbow injury after 
a fall at the playground

February 16, 2012

A common childhood accident can lead to a limb-threatening injury that requires prompt assessment and treatment followed by regular monitoring.
 

Lingering knee pain in a young football player

December 23, 2011

The earliest symptoms were mild swelling and minor instability first diagnosed as knee strain, but continuing pain demanded consultation with a pediatric orthopedist.
 

A Day in the Life: Kaatje van der Gaarden, PA-C

December 13, 2011

A PA specializing in rehabilitation medicine finds reward in caring for patients with debilitating injuries.
 

A rare cause of hip pain characterized by an inability to walk or bear weight

September 26, 2011

With no history of trauma, a middle-age man experiences severe pain in his left hip and 
buttock. After common conditions are excluded, an unusual diagnosis is finally made.
 

Surgical treatment for osteochondral injuries of the articular knee surface

September 05, 2011

Techniques involving the transfer of osteochondral cylinders and implanting of cartilage cells in areas of damaged cartilage can reduce patients' pain and return them to an active lifestyle.
 

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.
 

Acute peroneal tendon tear: Extreme pain indicative of more than a sprain

April 11, 2011

The patient's injury was diagnosed as an ankle sprain, but worsening pain and MRI findings indicated a more serious diagnosis.
 

SLAP lesions: How to recognize and treat this debilitating shoulder injury

March 14, 2011

Many orthopedic clinicians have sharpened their focus on this condition, concentrating on how to best recognize this injury to the glenoid labrum in athletes and nonathletes alike.
 

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.
 

Isolated compartment syndrome of the extensor carpi ulnaris muscle

February 01, 2011

After a cast is placed for a metacarpal fracture of the right forearm, a man presents with extreme pain in the dorsal aspect of the arm.
 

Tendinopathy resulting from the use of fluoroquinolones: Managing risks

December 01, 2010

Although well-tolerated by most patients, fluoroquinolones can produce this serious 
condition.
 

A cracking sensation is the onset of severe ankle pain

September 21, 2010

Persistent ankle pain leads to a stress fracture diagnosis, but the patient's history suggests that something else is going on.
 

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.
 

Imaging and biopsy hold the key to knee pain diagnosis

July 27, 2010

The patient's complaints suggested injury to the meniscus, but radiography, MRI, and biopsy revealed a different cause.
 
 

How to approach the physical examination of a shoulder injury

March 02, 2010

Key factors from the history help with establishing a differential diagnosis and selecting proper tests for assessing a shoulder injury.
 

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.
 

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.
 

Surgical treatments for patients with an infected total knee arthroplasty

Joseph Kotelnicki, PA-C; Kevin Mitts, MD November 23, 2009

Two-stage revision arthroplasty is the usual treatment for an infected knee replacement, but less invasive procedures may also work.
 

An alternative perspective on how to treat Achilles' tendon injuries

November 20, 2009

How to diagnose and manage an acute Achilles tendon rupture
 

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.
 

Managing the adverse effects of bisphosphonate therapy on the jaw

, November 03, 2009

Despite its undisputed benefits, bisphosphonate therapy can lead to jaw osteonecrosis, a devastating oral condition.
 

A 17-year-old male with leg weakness and low back pain

October 28, 2009

These cysts, named for their radiographic appearance and common in younger patients, comprise approximately 1% of bone tumors.
 

Persisting shin tenderness and erythema

David M. Alden-St. Pierre, MS, PA-C October 20, 2009

This patient experienced shin pain after a long walk. The next day, an ankle sprain was diagnosed. The clue was in his medical history of thyroid cancer.
 

Rotator cuff disease; Hyperparathyroidism

, September 29, 2009

Rotator cuff disease and hyperparathyroidism are described, including signs and symptoms, clinical assessment, diagnosis, and treatment.
 

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