A 16-year-old competitive female swimmer has a 1-year h...

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A 16-year-old competitive female swimmer has a 1-year h...

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A 33-year-old motorcyclist is involved in a motor vehicle ac...

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A 60-year-old man is evaluated in the ICU after a rollover m...

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A 6-year-old boy with spina bifida presents to your clinic with a progressive foot deformity. He can walk independently and ankle dorsiflexion and toe extension demonstrate full strength. He has a bulky, hypertrophied heel pad, but no open ulceration. Foot radiographs are displayed in Figure A. What myelomeningocele level does this patient have and what surgical procedure is indicated for the foot?

A 13-year-old baseball pitcher presents with persistent pain...

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A 47-year-old male diabetic has developed a calcaneal ulcer,...

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A 63-year-old male presents with a history of Charcot arthro...

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Which of the following portends the highest risk of a di...

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A 35-year-old, healthy female presents with paroxysmal episo...

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A freshman collegiate swimmer complains of right shoulder pain after increasing his workout duration and intensity. He denies trauma and admits to popping his shoulders in and out voluntarily since the age of 8. Exam reveals bilateral anterior shoulder apprehension and relocation, positive jerk test, and a 2cm sulcus bilaterally. O’Brien active compression tests are negative bilaterally. Radiographs are normal and MR arthrogram of his right shoulder is shown in Figures A and B. What is the best initial treatment?

A 68-year-old male presents with right knee pain of 5 weeks ...

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A 68-year-old male presents with right knee pain of 5 weeks ...

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Functional electrical stimulation is used in the rehabilitation of patients with spinal cord injuries. This rehabiliation method has the greatest functional effect on which of the following?

A 66-year-old patient with type 1 diabetes mellitus has a deep, nonhealing ulcer under the first metatarsal head and a necrotic tip of the great toe. He has been under the direction of a wound care clinic for 4 months, and has had orthotics and shoe wear changes. What objective findings are indicative of the patient’s ability to heal the wound postoperatively?

A 5-year-old male presents to your office for continued eval...

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A 54-year-old male with Protein C deficiency sustained a stroke 3 months ago with subsequent left sided weakness. The patient's skin is intact with no sign of ulcerations or callosities. His left foot is developing a varus deformity secondary to a spastic tibialis anterior. His ankle has a 5 degree plantar flexion deformity due to a gastrocnemius contracture which improves with knee flexion (positive Silverskiold test). The patient has an intrinsic minus foot with supple claw toes present. Which of the following is the most appropriate next step in management?

You are consulted on a 64-year-old male who has sustained an...

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In the retromalleolar groove, as shown in Figure A, what is the relationship of the peroneus brevis tendon to the peroneus longus tendon?

A 34-year-old man sustained a gunshot wound to the knee 18 months ago and was treated with bullet removal and a 10 day course of oral antibiotics. He now complains of 12 months duration of pain in the thigh and recent ulceration and drainage of the skin near the site of his gunshot wound. Physical exam is notable for a draining sinus tract, erythema and tenderness of the mid-thigh. He is afebrile. An MRI image of this patient is shown in Figure A. Which of the following is the most appropriate management?

A 16-year-old male lacrosse player presents after 2 confirmed dislocations requiring conscious sedation at a local emergency department 3 months apart. Physical exam shows the patient is neurovascularly intact, 5 out of 5 strength in all rotator cuff muscles, negative sulcus sign, no signs of hyperlaxity on Beighton scoring, and significant apprehension with the arm in the abducted, externally-rotated position. Axial (Figure 1), sagittal (Figure 2) MRI, and sagittal (Figure 3), 3-D reconstruction (Figure 4) CT images are included. Given patient demographics, physical exam, and findings on imaging, what is the most appropriate operative intervention?