A 72-year-old patient undergoes a cementless total hip arthr...

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A 26-year-old professional ballet dancer presents with insidious onset of right midfoot pain which began 6 months ago. She has no history of ankle or foot trauma, and medical history is significant only for delayed menarche. Radiographs are shown in Figure A. What is the most likely diagnosis?

A 65-year-old right-hand-dominant man reports acute right shoulder pain and inability to lift his arm overhead after a glenohumeral dislocation while skiing 2 weeks ago. Physical exam reveals active forward elevation to 30 degrees and 3/5 external rotation strength, pain with motion, and intact lateral arm sensation. An MRI is contraindicated due to a pacemaker, and therefore an arthrogram is performed and shown in Figure A. What is the most appropriate treatment option?

A 24-year-old professional baseball outfielder reports persistent pain in the hypothenar region when batting for the past year. His CT scan is shown in Figure A. What is the recommended treatment?

A 6-year-girl continues to complain of pain for 8 months in the mid-tibia region that persists despite temporary relief with use of nonsteroidal anti-inflammatory medications. The pain is severe enough that it limits her activities of daily living, such as going to school and sleeping. She is afebrile and laboratory studies, including an ESR, C-reactive protein, and CBC are within normal limits. Radiographs and computed topography are shown in Figure A and B. Figure C shows the histology from a needle biopsy. What is the next step in management?

A 54-year-old male with a history of uncontrolled diabetes complicated by multiple foot ulcers, treated with several total contact casts presents to your clinic for follow-up. He states that since his last cast was taken off nine months ago, he has noticed that his foot has remained in an abnormal position that makes it difficult to bring the affected foot in front of the other foot without dragging his toes. This problem has persisted despite physical therapy and the use of specialized orthotics. Which of the following physical exam findings, if present, would make a gastrocnemius recession most appropriate?

A systematic review evaluated the effect of perioperative corticosteroids on postoperative pain following carpal tunnel release. A plot of study precision versus effect size shows that smaller studies tend to report more positive results and cluster asymmetrically on one side of the pooled average. Which of the following best explains this distribution pattern?