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?

Challenge of the Week / Foot & Ankle / 04.010.20

A female patient who is a ballet dancer presents for evaluation of 3 weeks of worsening posterolateral ankle pain. On examination, forced passive inversion of the foot is more bothersome than forced passive plantar flexion of the foot. Pain is elicited with resisted eversion of the foot. Which of the following anatomic structures is the most likely source of her pain?

Challenge of the Week / Foot & Ankle / 11.01.19

A 61-year-old female with type-2 diabetes presents with midfoot arthritis and an advanced plantar rocker bottom deformity. She has a history of recurrent plantar midfoot ulcers that are currently closed. She has no signs of infection and her HbA1c is 5.5%. Her ulcers have persisted despite orthotics and shoewear modification. Which of the following is the most appropriate treatment at this time?