Presentation In lateral epicondylitis, the patient complains of pain in the lateral elbow that frequently radiates down the lateral aspect of the forearm. Because the lateral epicondyle is the bony origin of wrist extensors, patients are usually involved in an…
Presentation After twisting the knee during a fall or sports injury, the patient complains of knee pain, possible swelling, and variable ability to bear weight. There may be a joint effusion or spasm of the quadriceps, forcing the patient to…
Presentation A patient rapidly develops an intensely painful monoarticular arthritis, often in the middle of the night, but sometimes a few hours following a minor trauma. The first attack of acute gouty arthritis usually occurs between the ages of 40…
Presentation The patient is concerned about a rubbery, rounded swelling most commonly emerging from the dorsal or volar aspect of the wrist or the flexor tendon sheath of the hand. It may have appeared abruptly, been present for years, or…
Presentation The patient injures the fingertip by falling backward and striking it on the floor or hitting it in some other way, causing sudden and forceful hyperextension at the distal interphalangeal (DIP) joint against resistance. Alternatively, this injury can befall…
Presentation The patient seeks help after a crushing injury to the fingertip, such as closing it in a car door. The fingertip will be swollen and painful, with ecchymosis. There may or may not be a subungual hematoma, open nail…
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Presentation The patient will have jammed a finger, causing a hyperextension injury that forces the middle phalanx dorsally and proximally out of articulation with the distal end of the proximal phalanx. A swollen, painful deformity of the proximal interphalangeal (PIP)…
Presentation A patient arrives with a tender fingertip injury with a noticeable deformity. There is a history of a sudden resisted flexion of the distal interphalangeal (DIP) joint, such as when the fingertip is struck by a ball or jammed…
Presentation The patient experiences an insidious onset of difficulty with tasks such as opening jars because of pain localized to the dorsoradial aspect of the wrist that is exacerbated with thumb and wrist motion, and which may also be present…