A 36-year-old male sustains the closed injury shown in Figur...

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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 17-year-old male presented to a local emergency room with the injury shown in Figure A. Given multiple issues with transferring the patient to an appropriate center for higher level of care, his progressively increasing pain was treated with increasing doses of opioid analgesics until he was assessed 14 hours later, at which point he was urgently taken to the operating room. On examination of his anterior compartment musculature intra-operatively, >75% was deemed non-viable and had to be debrided, resulting in a persistent post-operative foot drop. He is evaluated three months later, and exam finds no appreciable function of his tibialis anterior with preserved 5/5 strength in his superficial and deep posterior and lateral compartments. He has been going to physical therapy and has supple ankle range of motion, leading his surgeon to recommend a tendon transfer procedure to treat his functional deficit. The tendon of which of the following labeled structures in Figure B is the treating surgeon planning to re-route to the lateral cuneiform?

A pediatric patient is evaluated with bilateral lower extrem...

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A 33-year-old female sustains the injury shown in Figure A as the result of a fall off a chair, and subsequently undergoes operative stabilization of her injury. Which of the following is most correlated with positive outcomes when treating this injury?

A 33-year-old female sustains the injury shown in Figure A as the result of a fall off a chair, and subsequently undergoes operative stabilization of her injury. Which of the following is most correlated with positive outcomes when treating this injury?

Which of the following best describes the physical examination test demonstrated in Figure A?

A 17-year-old ballet dancer presents with 5 months of pain in the posterior aspect of the right lower extremity that is exacerbated with the ballet position shown in Figure A. Her symptoms returned with ballet activity following a 1 month course of full rest, nonsteroidal anti-inflammatory medication, and physical therapy. On physical examination she has no tenderness at the insertion of the achilles tendon at the calcaneus. Radiographs are shown in Figure B and a MRI is shown in Figures C-E. Which of the following options is the most appropriate next step in treatment?

A 37-year-old female sustains the injury seen in Figures A and B. At long-term follow up, degeneration of which of the following joints has been shown to have the highest rate of patient symptoms?