Case Files Orthopaedic Surgery 1st Edition

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 CONTENTS

Contributors / vii
Acknowledgments / xvii
Introduction / xix

Section I
How to Approach Clinical Problems ........................................................................ 1
Part 1. Approach to the Orthopaedic Patient .......................................................... 2
Part 2. Approach to Clinical Problem Solving ......................................................... 9
Part 3. Approach to Reading .................................................................................. 14

Section II
Clinical Cases .......................................................................................................... 21
Forty-Five Case Scenarios....................................................................................... 23

Section III
Listing of Cases..................................................................................................... 415
Listing by Case Number ....................................................................................... 417
Listing by Case Topic (Alphabetical) .................................................................... 418

Index / 421
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 CONTRIBUTORS

Thomas J. Barrett, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Open Tibia Fracture

Asheesh Bedi, MD
Assistant Professor and Orthopaedic Surgeon
Sports Medicine and Shoulder Surgery
Department of Orthopaedic Surgery
University of Michigan Health System
Ann Arbor, Michigan
Patellar Tendon Rupture
Lateral Epicondylitis (Tennis Elbow)

Marschall B. Berkes, MD
Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery
Hospital for Special Surgery
New York, New York
Proximal Humerus Fracture
Meniscal Tears

David S. Brown, MD, PhD

Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Shoulder Arthroplasty

Michael B. Cross, MD
Orthopaedic Surgeon
Hospital for Special Surgery
Adult Reconstruction and Joint Replacement Division
New York, New York
Hip Osteoarthritis

Matthew E. Cunningham, MD, PhD

Assistant Professor, Orthopaedic Surgery
Weill Cornell Medical College
Cornell University
Assistant Attending, Orthopaedic Surgery
Hospital for Special Surgery
New York, New York
Adolescent Idiopathic Scoliosis
vii
viii CONTRIBUTORS

Cory M. Czajka, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Septic Knee

Joshua S. Dines, MD
Orthopaedic Surgeon
Sports Medicine and Shoulder Service
Hospital for Special Surgery
New York, New York
Assistant Professor of Orthopaedic Surgery
Weill Cornell Medical College
New York, New York
Proximal Humerus Fracture
Meniscal Tears
Ulnar Collateral Ligament Injury of the Elbow

David Y. Ding, MD
Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery
New York University Hospital for Joint Diseases
New York, New York
Distal Radius (Colles) Fracture

John A. DiPreta, MD
Associate Clinical Professor
Division of Orthopaedic Surgery
Albany Medical College
Capital Region Orthopaedic Group
Albany, New York
Achilles Tendon Rupture
Lisfranc Injury

Christopher C. Dodson, MD
Assistant Professor of Orthopaedic Surgery
Thomas Jefferson Medical College
Attending Surgeon
Rothman Institute
Philadelphia, Pennsylvania
Cubital Tunnel Syndrome

Paul-Michel F. Dossous, MD, MPH

Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Osteomyelitis
 CONTRIBUTORS ix

Matthew A. Dow, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Developmental Dysplasia of the Hip

Scott J. Ellis, MD
Assistant Attending, Orthopaedic Surgery
Department of Foot and Ankle Surgery
Hospital for Special Surgery
New York, New York
Adult Acquired Flatfoot Deformity

Elizabeth R. Sibilsky Enselman, Med, ATC

Clinical Research Coordinator
Department of Orthopaedic Surgery
The University of Michigan
Ann Arbor, Michigan
Patellar Tendon Rupture
Lateral Epicondylitis

Michael Faloon, MD, MS

John Cobb Spine and Scoliosis Fellow
Hospital of Special Surgery
Senior Clinical Associate, Orthopaedic Surgery
Weill Cornell Medical College
New York, New York
Adolescent Idiopathic Scoliosis

Michael A. Flaherty, MD
Fellow, Orthopaedic Sports Medicine
University of Massachusetts Medical Center
Worcester, Massachusetts
Rotator Cuff Repair

Michael P. Gaspar, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Carpal Tunnel Syndrome

Andrew Gerdeman, MD
Clinical Professor, Orthopaedics
Division of Orthopaedic Surgery
Albany Medical Center
Capital Region Orthopaedic Group
Albany, New York
Anterior Cruciate Ligament Reconstruction
x CONTRIBUTORS

Daniel W. Green, MD, FACS

Associate Professor, Orthopaedic Surgery
Weill Cornell Medical College
Associate Attending, Orthopaedic Surgeon
Hospital for Special Surgery
New York, New York
Pediatric Both Bone Forearm Fracture

Matthew H. Griffith, MD
Department of Orthopaedic Surgery
Reston Hospital Center
Reston, Virginia
Trigger Finger

Christopher C. Harrod, MD
Spine Fellow
Department of Orthopaedic Surgery and Neurosurgery
Thomas Jefferson University Hospital
Rothman Institute
Philadelphia, Pennsylvania
Lumbar Burst Fracture

Vishal Hegde
Class of 2013
Weill Cornell Medical College
New York, New York
Osteoporosis

Khalid Hesham, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Rickets

Joel A. Horning, MD
Fellow, Orthopaedic Sports Medicine
University of Texas Health Science Center at San Antonio
San Antonio, Texas
Anterior Cruciate Ligament Reconstruction

Shazaan Hushmendy, BS
Class of 2013
Albany Medical College
Albany, New York
Supracondylar Fracture
Cauda Equina Syndrome
 CONTRIBUTORS xi

Kristofer J. Jones, MD
Chief Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery
Hospital for Special Surgery
New York, New York
Ulnar Collateral Ligament Injury of the Elbow

Lana Kang, MD
Assistant Professor
Weill Cornell Medical College and
New York Presbyterian Hospital
New York, New York
Attending Surgeon
Hospital for Special Surgery
New York, New York
Consultant, Orthopaedic Surgeon
James J. Peters Veterans Affairs Medical Center
Bronx, New York
Dupuytren Disease

Christopher K. Kepler, MD, MBA

Fellow, Spine Surgery
Thomas Jefferson University
Philadelphia, Pennsylvania
Lumbar Burst Fracture

Hanna N. Ladenhauf, MD
Resident, Pediatric and Adolescent Surgery
Department of Pediatric and Adolescent Surgery
Paracelsus Medical University Hospital
Salzburg, Austria
Pediatric Both Bone Forearm Fracture

Joseph M. Lane, MD
Professor, Orthopaedic Surgery
Weill Cornell Medical College
Chief, Metabolic Bone Disease Service
Hospital for Special Surgery
New York, New York
Osteoporosis

James P. Lawrence, MD, MBA, FAAOS

Assistant Professor, Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Orthopaedic Spine Surgeon
Capital Region Spine
Albany, New York
Cervical Radiculopathy
Cauda Equina Syndrome
xii CONTRIBUTORS

Xiaowei A. Li
Class of 2014
Weill Cornell Medical Center
Cornell University
New York, New York
Hip Osteoarthritis

Dean Lorich, MD
Associate Professor, Orthopaedic Surgery
Weill Cornell Medical Center
Chief, Orthopaedics
New York-Presbyterian Hospital
Associate Director, Orthopaedic Trauma Service
Hospital for Special Surgery
New York, New York
Proximal Humerus Fracture

Jason A. Luciano, MD, MBA

Resident, General Surgery
Department of Surgery
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania
Acute Compartment Syndrome

Patrick G. Marinello, MD
Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery
Cleveland Clinic Foundation
Cleveland, Ohio
Achilles Tendon Rupture

Owen McGonigle, MD
Resident, Orthopaedic Surgery
Department of Orthopaedics
Tufts Medical Center
Boston, Massachusetts
Intertrochanteric Hip Fracture

Andrew S. Morse, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Carpal Tunnel Syndrome

Michael T. Mulligan, MD
Assistant Professor, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Carpal Tunnel Syndrome
 CONTRIBUTORS xiii

Denis Nam, MD
Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery
Hospital for Special Surgery
New York, New York
Periprosthetic Hip Fracture

Dean Papaliodis, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Clavicle Fracture
Achilles Tendon Rupture

Anish G. R. Potty, MD, MRCS

Fellow, Orthopaedic Surgery
Hospital for Special Surgery
New York, New York
Osteoporosis

Steven Rayappa, MD, MS

Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Femoral Neck Fracture

Timothy T. Roberts, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
The Approach to the Orthopaedic Patient
Femoral Neck Fracture
Tibial Plateau Fracture
Ankle Fracture
Supracondylar Humerus Fracture
Osteomyelitis
Slipped Capital Femoral Epiphysis
Cervical Radiculopathy
Cauda Equina Syndrome
Lumbar Burst Fracture
Total Knee Arthroplasty
Rickets
xiv CONTRIBUTORS

Andrew J. Rosenbaum, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Posterior Hip Dislocation
Open Tibia Fracture
Pediatric Both Bone Forearm Fracture
Developmental Dysplasia of the Hip
Rotator Cuff Injury
Anterior Cruciate Ligament Reconstruction
Lisfranc Injury
Osteosarcoma

Michael T. Rozell, MD
Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery
SUNY Upstate Medical University
Syracuse, New York
Lisfranc Injury

Anas Saleh, MD
Metabolic Bone Disease Unit
Hospital for Special Surgery
New York, New York
Osteoporosis

John Saunders, MD
Resident, Orthopaedic Surgery
Albany Medical Center
Albany, New York
Ankle Fracture

Mark A. Schrumpf, MD
Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery
Hospital for Special Surgery
New York, New York
Ulnar Collateral Ligament Injury of the Elbow

Nirav J. Shah, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Total Knee Arthroplasty
 CONTRIBUTORS xv

Gillian L. S. Soles, MD
University of California
Davis Medical Center
Sacramento, California
Calcaneus Fracture

Samuel A. Taylor, MD
Resident, Orthopaedic Surgery
Hospital for Special Surgery
New York, New York
Proximal Humerus Fracture
Meniscal Tears

Justin Tsai, MD
Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery and
Rehabilitation Medicine
SUNY Downstate Medical Center
Brooklyn, New York
Anterior Shoulder Dislocation

Michael Van Hal, MD

Resident, Orthopaedic Surgery
Department of Orthopaedic Surgery
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania
Cervical Radiculopathy

Zachary S. Wallace, MD
Resident, Internal Medicine
Department of Medicine
Massachusetts General Hospital
Boston, Massachusetts
Gout
Rheumatoid Arthritis

Brad J. Yoo, MD
Assistant Professor, Orthopaedic Trauma Service
Department of Orthopaedics
University of California
David Medical Center
Sacramento, California
Calcaneus Fracture

George Zanaros, MD
Orthopaedic Surgeon
Division of Orthopaedic Surgery
Albany Medical Center
Capital Region Orthopaedic Group
Albany, New York
Clavicle Fracture
xvi CONTRIBUTORS

Joseph P. Zimmerman, MD
Resident, Orthopaedic Surgery
Division of Orthopaedic Surgery
Albany Medical Center
Albany, New York
Child Abuse
 ACKNOWLEDGMENTS

The clerkship curriculum that evolved into the ideas for this series was inspired by
two talented and forthright students, Philbert Yao and Chuck Rosipal, who have
since graduated from medical school. It has been a tremendous joy to work with
the excellent orthopaedic surgery residents and faculty members at Albany Medical
Center and Hospital for Special Surgery. They have been some of the most diligent,
astute, and wonderfully responsive group with whom I have collaborated. I am greatly
indebted to my editor, Catherine Johnson, whose exuberance, experience, and vision
helped to shape this series. I appreciate McGraw-Hill’s believing in the concept of
teaching through clinical cases, and I would like to especially acknowledge John
Williams, the director of editing. I am also thankful to Tania Andrabi for her excel-
lent production expertise.
Without my dear colleagues Drs. Konrad Harms, Priti Schachel, and Gizelle
Brooks-Carter, this book could not have been written. At Methodist Hospital,
I appreciate Dr. Marc Boom, Dr. Judy Paukert, and Dr. Alan Kaplan. I also appreci-
ate Debby Chambers, an excellent administrator, who is extremely supportive to the
mission of education. Most of all, I appreciate my ever-loving wife Terri and my four
wonderful children, Andy, Michael, Allison, and Christina, for their patience and
understanding.
Eugene C. Toy, MD

xvii
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