Which of the following developmental milestones is expe...

16 responses

Technique Guide

Gastrocnemius Recession

Pediatrics
- Cerebral Palsy - Gait Disorders

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Pediatrics
- Cerebral Palsy - Gait Disorders

Foot Anatomy and Biomechanics

Foot & Ankle

Relevance score: 41 / Absolute Importance: 9

Recon

Relevance score: 41 / Absolute Importance: 3

A 47-year-old female, otherwise in good general condition, has intractable back pain from metastatic breast cancer isolated to her spine. She has failed progressive multi-agent chemotherapy and hormone therapy. Her exam is normal except for slight sensory dysesthesia, hyperreflexic patellar tendons, and mild gait instability which she reports has been worsening. Cervical, thoracic, and lumbar MRI show an isolated metastatic lesion involving the T9 vertebral body with moderate cord compression of the ventral spinal cord. At this stage what is the best treatment?

Pathology
- Metastatic Disease of Spine

An 11-year-old male complains of one year duration of neck pain. He denies any recent trauma. He has noticed intermittent episodes of gait imbalance and difficulty with buttoning his shirt over the past 3 months. Physical exam shows normal strength in all four extremities and hyper-reflexic patellar tendons. Neutral and flexion radiographs are shown in Figures A and B. A sagittal CT scan is shown in Figure C with a coronal reconstruction shown in Figure D. What is the most appropriate treatment?

L 2

Spine
- Atlantoaxial Instability

Long-term results after gastrocnemius-soleus intramuscular aponeurotic recession as a part of multilevel surgery in spastic diplegic cerebral palsy.

Pediatrics
- Cerebral Palsy - Foot Conditions

Thomas Dreher, JBJS 2012

A 65-year-old female who presents to your office for evaluat...

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Recon
- THA Approaches

A 65-year-old female who presents to your office for evaluat...

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Recon
- THA Approaches

Medial malleolus displacement (C102473)

Pediatrics
- Equinovalgus Foot

Slipped capital femoral epiphysis, fixation by single screw in situ: A kinematic and radiographic study.

4/21/2024

Vote for CME

Pediatrics
- Slipped Capital Femoral Epiphysis (SCFE)

Basic Science

Relevance score: 40 / Absolute Importance: 42

A 59-year-old women with known metastatic lung cancer presen...

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Pathology
- Metastatic Disease of Extremity

A 57-year-old active patient develops increasing ankle pain ...

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Foot & Ankle
- Ankle Arthrodesis

Botulinum toxin type A injections for treatment of spastic equinus in cerebral palsy: a secondary analysis of factors predictive of favorable response.

Heli Sätilä,

Heini Huhtala

Pediatrics
- Cerebral Palsy - General

Heli Sätilä, 2010

Measurement of lower extremity kinematics during level walking.

M P Kadaba,

H K Ramakrishnan,

M E Wootten

Foot & Ankle
- Gait Cycle

M P Kadaba, JORE 1990

Superior Gluteal nerve Anatomy - Origin & Course

Anatomy
- Superior Gluteal nerve

A collegiate soccer player pres...

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Foot & Ankle
- Turf Toe

A collegiate soccer player pres...

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Foot & Ankle
- Turf Toe

A 15-year-old male presents to your office with a several-mo...

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Spine
- Scheuermann's Kyphosis

A 4-year-old patient is brought to the clinic by his mother ...

Question

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Pediatrics
- Infantile Blount's Disease (tibia vara)

Figure A is the radiograph of a 31-year-old previous collegi...

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Knee & Sports
- Femoroacetabular Impingement (FAI)

A 45-year-old male presents to your office with complaints o...

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Foot & Ankle
- Achilles Tendon Rupture

A 42-year-old active male presents after slipping on a wet f...

Question

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Knee & Sports
- Hamstring Injuries

A 43-year-old man presents with left arm pain and numbness i...

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Spine
- Cervical Radiculopathy

A 57-year-old man plays 45 holes of golf per week and has foot pain during the toe-off phase of gait. He notes the foot pain started 3 months ago after walking up a hill and falling forward on some wet grass. Your exam shows skin callosities dorsally at the 2nd PIP joint and plantarly at the 2nd MT head. Radiographs show a hyperextension deformity of the 2nd proximal phalanx in relation to the metatarsal. All of the following are true about this patient's condition EXCEPT:

Foot & Ankle
- MTP Dislocations

A 36-year-old presents to the emergency department with uppe...

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Spine
- Ankylosing Spondylitis

A 50-year-old female presents with 3 years of increasing clu...

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Spine
- Cervical Myelopathy

Early Postoperative Weight-Bearing Ability after Total Hip Arthroplasty versus Bipolar Hemiarthroplasty in Elderly Patients with Femoral Neck Fracture.

Recon
- THA Revision

Chiara Grabmann, 2024

Peroneal Nerve Dysfunction due to Multiligament Knee Injury: Patient Characteristics and Comparative Outcomes After Posterior Tibial Tendon Transfer.

12 responses

Foot & Ankle
- Foot Muscle Forces & Deformities

When performing an ankle fusion, the foot should be in:

Foot & Ankle
- Ankle Arthrodesis

Relevance score: 38 / Absolute Importance: 6

Internal Tibial Torsion

Pediatrics

6/14/2021

4.4

(103)

Anterior Inferior Iliac Spine Avulsion (AIIS)

Knee & Sports

Relevance score: 38 / Absolute Importance: 20

A 72-year-old male presents to ...

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Recon
- THA Trunnionosis

A 72-year-old male presents to ...

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Recon
- THA Trunnionosis

As and myelopathy (C102132)

Spine
- Ankylosing Spondylitis

Unilateral total hip replacement patients with symptomatic leg length inequality have abnormal hip biomechanics during walking.

Junyan Li,

Anthony B McWilliams,

Recon
- THA Revision

Junyan Li, 2015

Comparable energy expenditure after arthrodesis of the hip and ankle.

Recon
- Hip Arthrodesis

R L Waters, JBJS 1988

Cervical Spondylotic Myelopathy (C1065)

Spine
- Cervical Myelopathy

Neglected DDH in adolescent (C2524)

Pediatrics
- Developmental Dysplasia of the Hip (DDH)

Prediction of outcome after rectus femoris surgery in cerebral palsy: the role of cocontraction of the rectus femoris and vastus lateralis.

Pediatrics
- Cerebral Palsy - Gait Disorders

A 32-year-old male sustains a posterior wall acetabulum fracture as the result of a high-speed motor vehicle collision. Improved patient-reported outcomes after surgical treatment are associated with which of the following variables?

Trauma
- Acetabular Fractures