Musculoskeletal Key

Osteoporosis Joan M. Von Feldt A 65-year-old woman is concerned that she is becoming short. She believes that she has lost about 2 or 3 inches in height. She feels…

Septic Arthritis of the Hip David A. Spiegel B. David Horn A 3-year-old boy presents with a 1-day history of pain in the left proximal thigh, refusal to bear weight…

Slipped Capital Femoral Epiphysis David A. Spiegel B. David Horn A 13-year-old boy presents with a 6-month history of progressively worsening pain in the left knee and thigh that has…

Perthes Disease B. David Horn David A. Spiegel A 6-year-old boy presents with an intermittent left-sided limp associated with occasional pain in the left knee. CLINICAL PRESENTATION Perthes disease may…

Flatfoot David A. Spiegel B. David Horn A healthy 6-year-old girl presents with mild, activity related discomfort in the medial hind part of the foot. CLINICAL PRESENTATION Flatfoot, or pes…

Bowed Legs B. David Horn David A. Spiegel A 3-year-old boy presents with bilateral bowed legs, which have been present since 1 year of age. The family reports that the…

Intoeing David A. Spiegel B. David Horn A 5-year-old girl presents with a chief complaint of her feet pointing inward when she walks and runs. Her parents are concerned that…

Skin/Soft Tissue Injury/Infection River M. Elliott Jonas L. Matzon David R. Steinberg A 32-year-old right-hand dominant woman presents with a laceration of the left small finger after accidentally cutting herself…

Finger Dislocation Pramod B. Voleti Stephan G. Pill David R. Steinberg A 22-year-old right-hand-dominant male presents with right small finger pain after “jamming” his finger while playing basketball. He reports…

Dupuytren Contracture Nicholas T. Haddock Stephan G. Pill David R. Steinberg A 60-year-old diabetic male presents with gradual onset of stiffness and inability to straighten his right small and ring…