A 58-year-old female presents to the orthopedic clinic with severe neck pain and progressive weakness in her upper extremities. The patient was diagnosed with multiple myeloma six months prior. Physical examination demonstrates numbness, weakness, and positive Hoffman sign to bilateral upper extremities. She reports neck pain with movement that is improved when she’s recumbent. She walks with a wide-based gait and reports difficulty with fine motor movement. Figures 1 and 2 are cervical spine MR images. The patient elects to undergo posterior decompression and cervical fusion and inquires about the expected outcomes of her surgery. Which of the following statements is the most accurate regarding the expected outcomes of her surgery?

A 50-year-old male with a history of obesity and uncontrolled diabetes presents to the emergency department with severe neck pain and subjective fevers worsening over the last week. He also reports gait instability and difficulty using his hands to open containers and button his shirts. The physical examination is notable for diffuse weakness throughout the bilateral upper and lower extremities, 3+ patellar reflexes, and sustained clonus bilaterally. Laboratory evaluation is significant for an elevated white blood cell count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). Magnetic resonance imaging (MRI) of the cervical spine with contrast is obtained, with a representative slice shown in Figure A. What is the most appropriate next step in management?

A 62-year-old patient that underwent a right hip resurfacing...

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A 58-year-old woman presents to your clinic with a four-month history of anterior ankle pain and difficulty walking. She reports that she initially felt a "pop" in her ankle while descending stairs, but had minimal pain at the time and did not seek medical attention. Over the past several weeks, she has noticed progressive difficulty with foot clearance during the swing phase of gait and has tripped several times. On examination, you observe a palpable defect anterior to the ankle joint and 3/5 strength with resisted ankle dorsiflexion. MRI confirms a complete rupture of the tibialis anterior tendon with four centimeters of retraction. Which of the following represents the MOST appropriate management for this patient?

You are seeing a new 13-year-old patient in the clinic with ...

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A 65-year-old female presents to the clinic for an initial evaluation of activity-related right foot pain. She states that she has had insidious onset of pain over the last several years. She has not trialed any form of conservative management. The physician elects to use the orthotic demonstrated in Figure A. Which of the following x-rays in Figures B through F would this type of orthotic be most indicated?

A 42-year-old woman sustained an open grade 3B tibial shaft fracture with a severe degloving injury involving the anterior and lateral compartments 1 year ago. She underwent multiple débridements, definitive fracture treatment, and flap coverage. She now reports that she has difficulty ambulating. Examination includes a 20-degree equinovarus contracture, 2+ dorsiflexion, 2+ eversion, 5+ inversion, and 5+ plantar flexion strength. She has a supple forefoot and intact sensation throughout. Figures 48a through 48c are current weight-bearing radiographs. Attempted surgical correction should include Achilles lengthening, calcaneal osteotomy, and

A 60-year-old male sustains an injury to his lower extremity...

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A 4-year-old girl presents with left foot turning in since s...

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A concerned mother brings her 3-year-old son to your office ...

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You see a 70-year-old male in the office with complaints of ...

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A 56 year-old male underwent a tibiotalar joint fusion six m...

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Figure A is the AP radiograph of a 42-year-old male construc...

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A 55-year-old patient returns for followup 2 years after a l...

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A 16-year-old female complains of foot pain with ambulation. She previously underwent clubfoot soft tissue releases at 5 months of age. Each of the following are complications or late deformities associated with clubfoot surgery EXCEPT:

What is the preferred treatment for newly diagnosed irreducible congenital vertical talus in a toddler?