Presentation A patient has stubbed, hyperflexed, hyperextended, hyperabducted, or dropped a weight on a toe. The patient presents with pain, swelling, ecchymosis, and decreased range of motion (ROM) or point tenderness. There may or may not be deformity or angulation.…
Presentation There is pain along an involved tendon, often poorly localized, that worsens with motion, resisted contraction, or passive stretching. A vibratory crepitus may be felt on palpation over the tendon during tendon movement. Common sites include the posterior heel,…
Presentation The patient arrives holding one arm with the opposite hand, complaining of severe pain that increases with any movement of the injured shoulder joint. The patient states that the “shoulder is out,” and is unable to move it because…
Presentation The patient (usually 14–40 years of age) fell on an outstretched hand (FOOSH) with the wrist held rigid and extended and now complains of decreased range of motion (ROM) and a deep full pain in the wrist, particularly on…
Presentation The patient has injured the upper arm, usually by sleeping with the arm over the back of a chair. The patient now presents, usually the next day, holding the affected hand and wrist with the good hand and reports…
Presentation A patient has fallen on an outstretched hand and has a normal, nonpainful shoulder, wrist, and hand; on careful examination, however, the patient has pain in the elbow joint. Swelling may be noted over the antecubital fossa, and the…
Presentation The patient will come in limping, having suffered a whiplike sting in the calf while stepping off the foot hard or attempting a lunging shot during a game of tennis or similar activity. The patient may have actually heard…
Presentation Patients seek help because of gradually increasing inferior heel pain that has progressed to the point of inhibiting their normal daily activities. This fasciitis can develop in anyone who is ambulatory but appears to be more common in athletes…
Presentation After a direct blow to the medial aspect of the patella or, more commonly, without contact and only after a sudden twisting motion to the opposite side of an outward-pointing planted foot (with a powerful contraction of the quadriceps…
Presentation In myofascial pain syndrome, the patient, who is generally 25 to 50 years of age, will be troubled by the gradual onset of localized or regional unilateral fibromuscular pain that at times can be immobilizing. There may be a…