Clinical cases in orthopedics
Explore a selection of clinical cases focused on discussion and shared experiences. Your comments and insights are encouraged! Use this section to share your experiences or pose questions to your peers. Please log into your free PCO account to contribute.
This clinical case describes the management of a 69-year-old man who sustained an acetabular fracture after a bicycle fall. His treatment was complicated by a massive pulmonary embolism, preventing immediate surgical intervention.
Explore the case of a 22-year-old pivoting athlete with medical history of isolated PCL reconstruction with harmstring autograft two years ago, and now presenting with pain and instability.
Discover how complex complications were successfully managed using advanced revision techniques, in this challenging case of bilateral hip arthroplasty in a 79-year-old woman.
The goal of this clinical case is to discuss the therapeutic options in case of persistent patellofemoral instability after MPFL reconstruction for recurrent patellar dislocation.
Discover the case of a 58-year-old man with a history of high tibial osteotomy, osteitis, and medial collateral ligament insufficiency, who underwent a total knee arthroplasty and experienced complications 6 months post-op.
A 51-year-old man with a history of left total hip arthroplasty in 2014 reports chronic atraumatic hip pain for five years, worsening acutely over three weeks. Despite walking unaided, he describes a "clicking" sensation and has a notable limp. X-rays reveal gas in the soft tissues around the hip.
A 48-year-old female professional rower sustained a right knee injury in a motor accident, presenting with pain, swelling, and a range of motion (ROM) limited to 0–90 degrees. Physical examination revealed a positive Lachman test.
An 80-year-old female presents with disabling bilateral knee pain and relies on two crutches for mobility. Ten days post-surgery, she reports a deficit in active extension, particularly after using her operated, "least painful" leg to rise from the toilet....
A 57-year-old man with a history of hypertension and a right hip replacement in 1993 presents with worsening right hip pain over 10 years. He uses one cane, has a 3 cm leg length discrepancy, and a soft mass in the groin. What are your diagnostic hypotheses?
The objectives of this clinical case are to discuss the normal anatomy of the patellofemoral joint and the different therapeutic options in case of an inveterate patellar dislocation.
