Challenge of the Week / Foot & Ankle / 08.21.20

You have been following a 35-year-old female patient who is a recreational runner for peroneal tendinopathy in the setting of an overt cavovarus foot. She has undergone extensive nonoperative management including immobilization, physical therapy, and custom orthotics. Her pain and limitations persist, and she is ready to proceed with surgery. Your operative plan should address which of the following?

Challenge of the Week / Basic Science / 08.14.20

A 12-year-old male patient with a poorly controlled seizure disorder has been on high-dose anticonvulsants for 7 years. The patient sustains a low-energy fracture, and his primary care provider orders a dual x-ray absorptiometry (DXA) scan, which indicates a bone mineral density (BMD) measurement of 1.4 standard deviations below normal. Which of the following makes the interpretation of these results challenging?