Here are postop images and a clinical video of yesterday's case by Dr. Stephen Incavo (@StephenJIncavo) and Houston Methodist Orthopedics & Sports Medicine (@HMethodistMD). HIP PAIN AND LIMP IN 78F PROCEDURE: GLUTEUS MEDIUS/MINIMUS REPAIR + GLUTEUS MAXIMUS TRANSFER Here is the link to the clinical presentation and the pre-op imaging: Click here to view an intraoperative video showing the steps of the gluteus medius repair: Do you agree with the treatment? Why or why not? Leave a comment and keep the great conversation going! #orthotwitter Vote on this case for CME:

Can you answer our FREE Question of the Day? A 32-year-old male presents two weeks after a tackle-related injury while playing recreational flag football. He states he has felt pain in this thumb since, particularly with performing pinching maneuvers and grasping objects. On physical examination, there is a palpable nodule along the ulnar aspect of the thumb. An MRI demonstrates that his thumb ulnar collateral ligament is torn from its distal insertion and retracted proximally (Figure 1). Which of the following structures is preventing the ulnar collateral ligament from reducing back to its native insertion? 1. Anterior oblique ligament 2. Adductor aponeurosis 3. Volar plate 4. Flexor pollicis longus tendon 5. Lumbrical musculature QID: 219368 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

If you choose Open Gluteus Medius Repair, what would be your fixation strategy?

Welcome to Season 2 of the Orthobullets Podcast Today's Podiums episode will focus on the talk given by Dr. Thomas Best, and is titled "Arthritis Institute Focus On Modulation of Arthritis." Listen to the entire talk on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts or by clicking the link below! #OrthoPodcast #MedPodcast #OrthoSurgery #SportsMedicine #SpineSurgery #JointReplacement #TraumaSurgery #BoneHealth #OrthopedicCare #OrthoCommunity #OrthoEducation #MedicalPodcast

How would you treat this patient?

Can you answer our FREE Question of the Day? A 45-year-old male presents for a second opinion regarding an enlarging mass over the right lateral leg with decreased strength in the right foot. Physical exam reveals decreased dorsiflexion strength compared to his contralateral side. Plain films of his knee are shown in Figure A. Outside medical records including biopsy confirm the diagnosis of giant cell tumor. You counsel the patient that: 1. Observation is appropriate as this pathology has a low rate of metastasis 2. En bloc resection of tumor with repair of lateral collateral ligament and biceps femoris tendon to the lateral tibia has the lowest recurrence rate and overall very low rate of knee instability 3. En bloc resection of tumor with structural allograft of fibula with attached lateral collateral ligament and biceps femoris tendon is needed for stability 4. Curettage, thermal or chemical cautery of the walls, with bone grafting is the appropriate treatment and will preserve knee stability with equivalent recurrence to en bloc resection 5. Therapeutic dosing of Denosumab followed by maintenance dosing has an acceptably low recurrence rate when compared to surgical resection QID: 219294 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

Here is a clip from our latest episode of CoinFlips & Controversies, “Monteggia Nonunion in 45M” featuring expert faculty from the 2025 Residents Surgeon Summit (taking place Feb. 28, 2025 in Miami, Florida.) Watch Drs. Orbay & Plucknette discuss “Back to the Source - Using Old Images to Figure Out Why the Fracture Didn't Heal”. Click here to learn more about RSS & @SkeletalTweets and watch their full webinar on Orthobullets: #orthotwitter

Can you answer our FREE Question of the Day? You are called to the pediatric emergency department to evaluate a 10-month-old male for right thigh swelling who was brought to the emergency department by his parents due to concern for an upper respiratory tract infection. He has a past medical history significant for Down syndrome. His parents deny any history of trauma. He has a temperature of 99.1 degrees Fahrenheit. On physical exam, his right thigh is swollen, warm to touch, and tender to palpation. Serum labs show a WBC of 10.0 k/uL, an ESR of 14 mm/hr, and a CRP of 0.8 mg/dL. Figure A shows a portable radiograph of his right femur obtained today. What is the best next step? 1. Early spica casting 2. Arthrocentesis 3. Magnetic resonance imaging 4. Open reduction internal fixation with submuscular bridge plating 5. Immediate notification of child protective services QID: 218799 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

Welcome to Season 2 of the Orthobullets Podcast Today's Podiums episode will focus on the talk given by Dr. Ali Araghi, and is titled "Spine Surgery Preoperative Optimization and Impact on Outcomes." Listen to the entire talk on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts or by clicking the link below! #OrthoPodcast #MedPodcast #OrthoSurgery #SportsMedicine #SpineSurgery #JointReplacement #TraumaSurgery #BoneHealth #OrthopedicCare #OrthoCommunity #OrthoEducation #MedicalPodcast

New expert video by William Welch, MD of @PennMedicine at the 2024 Castellvi Spine Symposium. Click to watch the full video on Orthobullets: #orthotwitter #surgicaldilemmas @FOREonline

Can you answer our FREE Question of the Day? A 10-year-old female presents to her pediatrician for an annual physical exam. The medical assistant records her vitals and notes that her height is 5'2", her weight is 223 pounds, and her blood pressure on two separate measurements exceeds 168/92. Her lab results show a Hemoglobin A1c of 5.3% and a fasting triglyceride level of 133 mg/dL. The child's mother notes that she is concerned about the way that her legs have started to look, noting that her child has started to "waddle" more as she walks. Radiographs of the more symptomatic extremity obtained in the office are shown in Figures A and B. Which of the following is the most likely diagnosis? 1. Adolescent Blount disease 2. Congenital hypothyroidism 3. Metabolic Syndrome 4. Primary varus gonarthrosis 5. Vitamin D deficiency QID: 218720 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

If you choose Total hip arthroplasty (THA), what bearing articulation would you use?

New expert video by @ericgrigsbymd of @Neurovations at the 2023 Selby Spine Conference. Click to watch the full video on Orthobullets: #orthotwitter #spinalpain #spinesurgery @FOREonline

Welcome to Season 2 of the Orthobullets Podcast Today's Podiums episode will focus on the talk given by Dr. Tom Minas, and is titled "New Techniques in HTO for Medial DJD." Listen to the entire talk on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts or by clicking the link below! #OrthoPodcast #MedPodcast #OrthoSurgery #SportsMedicine #SpineSurgery #JointReplacement #TraumaSurgery #BoneHealth #OrthopedicCare #OrthoCommunity #OrthoEducation #MedicalPodcast

If you choose Single-procedure Proximal Femoral Implant (PFI) Extraction and THA, what approach would you use?