A 32-year-old man presents to the emergency department at 10...

Sorry, only PEAK Subscribers can view this question

A 25-year-old cowboy falls onto an outstretched wrist while ...

Sorry, only PEAK Subscribers can view this question

A 25-year-old male falls from a 20-foot wall onto a hyperext...

Sorry, only PEAK Subscribers can view this question

Children with lysosomal storage diseases have increased rates of which of the following disorders?

A 42-year-old construction worker sustains a crush injury to...

Sorry, only PEAK Subscribers can view this question

A 55-year-old woman presents with a 6-month history of left hand pain, numbness, and tingling involving the thumb, index, and long fingers. Her symptoms wake her at night despite appropriate splinting. She endorses concomitant neck pain with radiation to the hand as well as forearm pain. Examination demonstrates a positive Tinel sign at the midforearm. EMG/NCS is within normal limits. Which of the following is most appropriate next step?

A 44-year-old male factory worker presents with a 7-month history of pain and paresthesias involving the palmar aspect of the left thumb, index finger, long finger, and the radial half of the ring finger. He reports that this often occurs at night when trying to go to sleep. He has a history of anemia and obstructive sleep apnea. Percussion over the volar wrist crease produces electric sensation distally in the hand and wrist flexion with the elbow in extension produces thumb paresthesias within 18 seconds. Figure A demonstrates a radiograph of the left hand. A sensory nerve conduction velocity test shows a distal sensory latency of 5.7 ms. Which of the following is the most appropriate next step in management?

A 67-year-old woman slips on the ice while retrieving her mail and lands on her outstretched left hand. She complains of wrist pain and deformity. On physical exam she has no sensation of the volar thumb, index, and middle fingers. Radiographs are provided in Figure A. Two hours following closed reduction, the deformity is corrected, but the numbness and wrist pain is worsening. Which of the following interventions should be taken?

A 48-year-old middle school teacher presents to your clinic ...

Sorry, only PEAK Subscribers can view this question

A 55-year-old middle manager at a regional paper supply comp...

Sorry, only PEAK Subscribers can view this question

A 78-year-old female with a past medical history of diabetes...

Sorry, only PEAK Subscribers can view this question

A 20-year-old collegiate baseball pitcher presents to your clinic with a 6-month history of elbow pain in his dominant throwing arm. He describes a progressive decrease in pitch velocity and control. Which of the following is a feature of valgus extension overload (VEO) syndrome?

A 24-year-old male construction worker was finishing a roof ...

Sorry, only PEAK Subscribers can view this question

A 14-year-old boy sustained a 100% displaced distal radius S...

Sorry, only PEAK Subscribers can view this question

A 55-year-old patient presents with numbness and tingling in...

Sorry, only PEAK Subscribers can view this question

A 55-year-old patient presents with numbness and tingling in...

Sorry, only PEAK Subscribers can view this question

A 36-year-old male jiu-jitsu practitioner presents to your c...

Sorry, only PEAK Subscribers can view this question

A 34-year-old male presents to the emergency department for ...

Sorry, only PEAK Subscribers can view this question

A 24-year-old stagehand fell 12 feet off of a ladder while p...

Sorry, only PEAK Subscribers can view this question

A 65-year-old man complains of numbness and tingling in the ...

Sorry, only PEAK Subscribers can view this question

A 56-year-old woman sustains the closed injury depicted in F...

Sorry, only PEAK Subscribers can view this question

A 33-year-old male presents to your clinic with the concern ...

Sorry, only PEAK Subscribers can view this question

A 22-year-old woman underwent closed reduction and percutane...

Sorry, only PEAK Subscribers can view this question

A 35-year-old female presents to the clinic seeking a second opinion regarding her right-hand function after undergoing right cubital tunnel in situ release nine months prior. Since that time, she has been unable to extend her small, ring, and long fingers. Recent electrodiagnostic testing shows no motor or sensory deficits in the peripheral nerves of the right upper extremity. The patient is anxious and refuses any exam that involves direct manipulation of the small, ring, or long fingers secondary to pain. Which physical exam finding would most assist in the evaluation and diagnosis of this patient’s condition?

A 58-year-old man underwent distal radius ORIF with a volar locking plate yesterday. Preoperatively, he reported some mild sensory disturbances in the volar thumb and index finger, but had 2-point discrimination of 6mm in each finger. Now, he complains of worsening hand pain and sensory disturbances in his volar thumb and index finger. Two-point discrimination is now >10mm in these fingers. Radiographs show a well-fixed fracture in good alignment. What is the most appropriate treatment at this time?

A 44-year-old man presents with ulnar-sided right wrist pain and mild constant tingling in the fourth and fifth digits after injuring his wrist while playing golf. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Which of the following should initially be obtained in this patient to aide in the diagnosis?

A 45-year-old male presents with a vague, dull ache in the p...

Sorry, only PEAK Subscribers can view this question

A 63-year-old female presents with left wrist pain and deformity after falling from a stepping stool. Injury radiographs are depicted in Figure A and clinical appearance in Figure B. Examination reveals a small open wound on the volar surface and normal sensation in all digits. Which of the following are considerations for this open injury?

A 55-year-old male laborer comes in with a chief complaint of clumsiness with his right hand for the past 3 months including difficulty using a hammer while at work. He has had no injury to the right upper extremity. On physical examination, he has persistent small finger abduction/extension with finger extension and active adduction. An EMG is performed and demonstrates ulnar nerve conduction velocities of 31 m/sec (normal >52m/sec). The patient symptoms are most accurately described as:

A 26-year-old male construction worker presents with a six-m...

Sorry, only PEAK Subscribers can view this question