Challenge of the Week / Pediatrics / 11.19.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 10.22.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Foot & Ankle / 10.15.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Knee / 09.24.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

doctor with patient looking at his spine

Challenge of the Week / Spine / 08.06.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Pediatrics / 07.23.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Foot & Ankle / 07.02.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Knee / 06.25.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

man sitting at desk holding hip

Challenge of the Week / Hip / 06.17.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Trauma / 06.11.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Doctor with volleyball player

Challenge of the Week / Sports / 06.04.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

doctor with patient looking at his spine

Challenge of the Week / Spine / 05.21.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Pediatrics / 05.07.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Basic Science / 04.30.21

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?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 4.23.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Foot & Ankle / 04.16.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Knee / 04.09.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

man sitting at desk holding hip

Challenge of the Week / Hip / 04.01.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Trauma / 03.26.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Doctor with volleyball player

Challenge of the Week / Sports / 03.19.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

doctor with patient looking at his spine

Challenge of the Week / Spine / 03.12.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Shoulder & Elbow / 03.05.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Pediatrics / 02.26.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Knee / 02.19.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 2.12.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Foot & Ankle / 02.05.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Basic Science / 01.29.21

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 / Trauma / 01.22.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Doctor with volleyball player

Challenge of the Week / Sports / 01.15.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Shoulder & Elbow / 12.18.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Pediatrics / 12.10.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Knee / 12.4.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

man sitting at desk holding hip

Challenge of the Week / Hip / 11.27.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 11.20.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Foot & Ankle / 11.13.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Trauma / 10.23.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

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 / 08.06.20

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

doctor with patient looking at his spine

Challenge of the Week / Spine / 07.31.20

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Shoulder & Elbow / 07.24.20

A 42-year-old male patient was playing soccer when he fell and tried to catch himself with his elbows bent. He felt a pop in his right elbow and has bruising and swelling of the posterior upper arm. He had difficulty pushing himself up and off of the ground. Which of the following is the most likely injury?

Challenge of the Week / Knee / 07.10.20

2. When performing total knee arthroplasty on a patient with genu valgum, knowledge of the anatomy of the peroneal nerve is essential. In the thigh, the peroneal division of the sciatic nerve is located:

man sitting at desk holding hip

Challenge of the Week / Hip / 07.03.20

The addition of vitamin E to polyethylene has shown promise in total hip arthroplasty. Which of the following is the main purpose of adding vitamin E to polyethylene?

Doctor with volleyball player

Challenge of the Week / Sports / 06.12.20

An 18-year-old male patient who is a lacrosse player suffers a first-time shoulder dislocation early in his freshman college season and elects to undergo nonoperative treatment. He asks about the most effective protocol for rehabilitation and return to play. Which of the following is recommended?

Challenge of the Week / Trauma / 06.05.20

A 45-year-old male patient sustained a midshaft clavicle fracture 2 years ago and now presents with persistent pain and mobility at the fracture site with no history of recent trauma. Which of the following complications does this patient most likely manifest?

Doctor with volleyball player

Challenge of the Week / Sports / 05.22.20

An 18-year-old female patient who is a cross-country runner presents with hip pain. She reports that she occasionally misses menstrual cycles. She denies any disordered eating habits and states that she does not worry about her weight. She has a body mass index of 18 kg/m. She is currently in the middle of her cross-country season but has had increasing groin pain that is present even when walking. Which of the following is the most likely diagnosis?A 54-year-old male patient presents to the emergency department with non-radiating thoracic back pain. He has an intact motor, sensory, and reflex examination of the bilateral upper and lower extremities. The patient has a history of hepatitis C, a 30-pack per year history of smoking cigarettes, and chronic cough for the last 3 months. His white blood-cell count, erythrocyte sedimentation rate, and C-reactive protein level are slightly elevated. Which of the following best describes the appropriate imaging modality and findings to diagnose spinal discitis/osteomyelitis?

doctor with patient looking at his spine

Challenge of the Week / Spine / 05.15.20

A 54-year-old male patient presents to the emergency department with non-radiating thoracic back pain. He has an intact motor, sensory, and reflex examination of the bilateral upper and lower extremities. The patient has a history of hepatitis C, a 30-pack per year history of smoking cigarettes, and chronic cough for the last 3 months. His white blood-cell count, erythrocyte sedimentation rate, and C-reactive protein level are slightly elevated. Which of the following best describes the appropriate imaging modality and findings to diagnose spinal discitis/osteomyelitis?

Challenge of the Week / Shoulder / 05.08.20

A 14-year-old male patient presents with right shoulder pain after being tackled at football practice. Images show a midshaft clavicle fracture with 1 cm of shortening and 80% displacement. The injury is closed and the patient has no change in his neurovascular examination. Which of the following would be definitive treatment for this patient’s injury?

Challenge of the Week / Knee / 05.01.20

When compared with posterior-stabilized total knee arthroplasty, which of the following is an advantage of cruciate-retaining total knee arthroplasty?

man sitting at desk holding hip

Challenge of the Week / Hip / 04.24.20

When performing a hip hemiarthroplasty to treat a displaced subcapital femoral neck fracture in an elderly patient, the use of a cemented stem:

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 04.17.20

A 45-year-old male patient presents with a painless 5-mm dark stripe under his fingernail that he noticed about 6 months ago. He denies trauma to the area and states that recently, the stripe has started to grow proximally just past the cuticle. Radiographs are unremarkable. Which of the following is the next step in management?

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 / Trauma / 02.28.20

A 29-year-old female patient reports perineal hypoesthesia and dysesthesia on the operative side immediately following hip arthroscopy for treatment of a labral tear and femoroacetabular impingement. Which of the following operative techniques might have decreased the risk of this complication?

Doctor with volleyball player

Challenge of the Week / Sports / 02.21.20

A 29-year-old female patient reports perineal hypoesthesia and dysesthesia on the operative side immediately following hip arthroscopy for treatment of a labral tear and femoroacetabular impingement. Which of the following operative techniques might have decreased the risk of this complication?

Challenge of the Week / Knee / 01.24.20

A 48-year-old female patient with lateral left knee pain and valgus malalignment has standing hip-knee-ankle radiographs that reveal an anatomic tibiofemoral angle of 9° of valgus. The deformity is correctable, and the patient has not undergone any prior surgical procedures. This patient may benefit from which of the following interventions?

Challenge of the Week / Trauma / 01.03.20

A 65-year-old female patient presents with persistent right groin pain 6 months after open reduction and internal fixation of a right pertrochanteric femur fracture. Imaging shows a cephalomedullary nail fixation with instability. She has no history of delayed wound healing. Evaluation for an infection is negative. Which of the following is the best option for revision for this patient?

Doctor with volleyball player

Challenge of the Week / Sports Medicine / 12.20.19

A 19-year-old male patient who is a football running back presents with 5 days of pelvic pain related to cutting and pivoting during play. The pain radiates to his perineum and adductors. Symptoms are moderate and only bother him with high-level running and cutting activities in football. Which of the following is the best next step in management?

doctor with patient looking at his spine

Challenge of the Week / Spine / 12.13.19

A 5-year-old male presents for walking abnormalities. His parents observe that he is walking on his toes and his calves have become larger over the past 6 months. His serum creatine phosphokinase (CPK) level is 100 times the normal value. DNA testing confirms Duchenne muscular dystrophy (DMD). Further workup reveals hyperlordosis and scoliosis with a curve measuring 20°. Which of the following categories of medications is effective for preventing scoliosis curve progression?

Challenge of the Week / Pediatrics / 12.06.19

An otherwise healthy 8-year-old male sustains a complete C7 spinal cord injury after a fracture. Which of the following is the most likely sequela following this injury?

Challenge of the Week / Knee / 11.22.19

When compared with bupivicaine HCl for pain management following total knee arthroplasty, peri-articular injection of liposomal bupivicaine offers which of the following?

man sitting at desk holding hip

Challenge of the Week / Hip / 11.15.19

Which of the following accurately describes the treatment of a periprosthetic femoral fracture distal to a well-fixed femoral implant (Vancouver type C)?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 11.08.19

A 12-year-old female patient has triggering of her long finger that has persisted despite nonoperative measures. The patient and her parents are ready to proceed with operative intervention. In addition to release of the A1 pulley, which of the following operative interventions will most likely be necessary?

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?

Challenge of the Week / Basic Science / 10.25.19

A 12-month-old child is referred for short stature. The child has a history of frequent respiratory tract infections. Examination reveals a short neck, coarse facies, and claw hands. Radiographs indicate flaring of the ribs and medial clavicle, anterior vertebral wedging, and odontoid hypoplasia. Which of the following is most likely to limit this child’s mobility?

Challenge of the Week / Trauma / 10.18.19

A 35-year-old male patient who is right-hand dominant and works as an accountant is seen in the emergency department with closed radial and ulnar shaft fractures. He has insulin-dependent diabetes-mellitus and his current HbA1c is 5.8%. The radial fracture is comminuted and has 5 mm of displacement, but is not shortened. The ulnar shaft fracture has no comminution. The elbow and wrist joints are reduced and well-aligned. Which of the following would be the appropriate definitive management for this patient’s fractures?

doctor with patient looking at his spine

Challenge of the Week / Spine / 10.04.19

A 28-year-old female patient has a unilateral cervical facet dislocation following a skiing accident. She has ipsilateral 4/5 weakness of wrist extension and mild numbness and tingling in her thumb. She has no other injuries and is alert, awake, and cooperative. Which of the following is the best treatment strategy?

Challenge of the Week / Shoulder / 09.27.19

A 21-year-old male patient who is a football player had recurrent shoulder dislocations during the football season and now presents seeking treatment for his shoulder instability. A computed tomography scan with 3-dimensional reconstruction demonstrates > 40% glenoid bone loss. Which of the following would be an ideal treatment option for this patient?

Challenge of the Week / Knee / 09.13.19

A 56-year-old female patient presents complaining of bilateral knee pain along with bilateral hand pain. She reports greater pain and stiffness in the morning. Her radiographs show symmetrical joint space narrowing with periarticular erosions with diffuse osteopenia. Which of the following should be included in operative planning?

man sitting at desk holding hip

Challenge of the Week / Hip / 09.06.19

The majority of the blood supply to the femoral head comes from the medial and lateral circumflex vessels. These vessels directly branch off of which of the following?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 08.30.19

A 20-year-old female patient sustains a dorsal injury to her long finger that results in a complete loss of her nail bed. The patient is involved in the performing arts and states she needs to have a new nail grow. Which of the following is the best option to provide her with new nail plate growth?

Challenge of the Week / Foot & Ankle / 08.23.19

A 30-year-old female patient with psoriasis presents with pain in the toes. Which of the following are the radiographic findings that are most consistent with psoriatic arthritis?

Challenge of the Week / Pediatrics / 07.19.19

A 3-year-old female patient presents with knee pain after falling from a swing set. The emergency department radiologist diagnosed the patient with a “toddler’s fracture” and radiographs reveal a nondisplaced…

Challenge of the Week / Knee / 07.12.19

A 63-year-old female patient undergoes uncomplicated total knee arthroplasty (TKA). Postoperatively, she clears all physical therapy parameters for discharge but is concerned about being discharged to home because she lives alone. Which of the following will this patient have if she is discharged to a skilled nursing facility?

man sitting at desk holding hip

Challenge of the Week / Hip / 07.5.19

Which of the following stem options is most likely to demonstrate stress shielding with long-term follow-up after total hip arthroplasty?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 06.28.19

A 37-year-old male patient who is a construction worker presents after suffering a thumb injury during a fall 1 week ago. He has pain and bruising on the ulnar side of the thumb metacarpophalangeal (MCP) joint. There is greater than 40° of valgus laxity, both in extension and 30° of MCP joint flexion. There is no appreciable endpoint during stress testing. Plain radiographs show no fracture. Which of the following is the most appropriate next step in management?

Challenge of the week / Foot & Ankle / 06.14.19

A 42-year-old patient with a long second toe presents with forefoot pain. Radiographs demonstrate no bony changes or dislocation at the metatarsophalangeal (MTP) joints. Which of the following physical examination findings supports the diagnosis of plantar plate injury?

Challenge of the Week / Basic Science / 06.7.19

A 42-year-old patient with a long second toe presents with forefoot pain. Radiographs demonstrate no bony changes or dislocation at the metatarsophalangeal (MTP) joints. Which of the following physical examination findings supports the diagnosis of plantar plate injury?

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…
doctor with patient looking at his spine

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…
man sitting at desk holding hip

Challenge of the Week / Hip / 09.10.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Trauma / 08.20.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Doctor with volleyball player

Challenge of the Week / Sports / 08.13.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Shoulder & Elbow / 07.30.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Basic Science / 07.16.21

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?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 07.09.2021

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Doctor with volleyball player

Challenge of the Week / Sports / 10.16.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

doctor with patient looking at his spine

Challenge of the Week / Spine / 10.09.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Shoulder & Elbow / 10.02.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Pediatrics / 09.25.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

Challenge of the Week / Knee / 09.18.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

man sitting at desk holding hip

Challenge of the Week / Hip / 09.11.2020

Which of the following radiographic measurements from a lateral full-length standing radiograph correlates most closely with patient-reported outcome measures after operative correction of a thoracolumbar deformity?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 08.27.20

A patient with Ollier disease undergoes reconstruction of numerous phalangeal and metacarpal deformities via corticotomy and enchondroma excision. Following the procedure, he heals well with an improvement in function. Which of the following accurately describes the need for further imaging or monitoring for this patient?

man sitting at desk holding hip

Challenge of the Week / Hip / 01.17.20

An 82-year-old female patient presents with a 3-month history of severe right groin pain. She has a medical history that is noteworthy for diabetes mellitus, hypertension, and stroke. She describes pain in the buttocks with ambulation, with radiation to the anterior aspect of the thigh and leg. She is able to ambulate, although with a mild limp. Her hip examination is normal, apart from iliopsoas weakness. Radiographs show mild osteoarthritis of the right hip. Which of the following is the appropriate next step?

woman with wrist or hand pain

Challenge of the Week / Hand & Wrist / 01.10.20

A 65-year-old female patient presents with persistent right groin pain 6 months after open reduction and internal fixation of a right pertrochanteric femur fracture. Imaging shows a cephalomedullary nail fixation with instability. She has no history of delayed wound healing. Evaluation for an infection is negative. Which of the following is the best option for revision for this patient?

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