Challenge of the Week / Sports / 05.24.19

A 17-year-old male patient presents with leg pain that occurs whenever he attempts physical activity. The pain increases during the activity, and subsides once he stops. He reports that when running he has pain and numbness that radiates into his foot. On examination, he has no pain on palpation. Radiographs are within normal limits. Which … Continue reading Challenge of the Week / Sports / 05.24.19

Challenge of the Week / Spine / 05.17.19

A 48-year-old male patient who is a cigarette smoker undergoes a C2-C4 fusion with C3 corpectomy for treatment of metastatic lung cancer. The approach to the cervical spine is difficult with the tissue planes being more adherent than in non-smoking patients. Throughout the case, the anesthesia team has maintained a low endotracheal tube cuff pressure … Continue reading Challenge of the Week / Spine / 05.17.19

Challenge of the Week / Pediatrics/ 05.03.19

A 4-week-old female patient presents with head tilt to the right side and chin tilt to the left. A non-tender rubbery mass is noted with in the right sternocleidomastoid muscle. Her neck can be brought to neutral position and her neurological exam is normal. She is a full-term product of an unremarkable pregnancy and delivery. Which of the following is the next step in treatment for this patient?