Category: Patient Cases

Suggestions, ideas and questions can be posted in the comments section.  If you would like feedback on one of your own interesting patient cases email them in similar format to tpmayoungphysicians@gmail.com . Please ensure all case submissions are in alignment with HIPPA as they will be reviewed prior to posting by the blog committee.  Additionally, your anonymity will be protected as well.  Imaging and clinical photos are encouraged, but not necessary.

About Young Physicians Committee

View all posts by Young Physicians Committee →

Case Review #1 Failed First MPJ Arthroplasty to Revisional Arthrodesis

Case Review #1

HPI: This is a case of a 72 year old male who presented for evaluation of a painful right first MPJ. This had been present for four years and has progressively worsened over time. He had a first MPJ implant arthroplasty performed from a different provider 4 years ago. His pain is located at the dorsal first MPJ and is described as aching in nature. His VAS is rated as a 7/10. His pain is aggravated with ROM of the first MPJ and with pressure over the dorsal first MPJ forcing him to wear shoes with a deeper and wider toe box.

PMHX: DM 2; HTN; Tuberculosis and Malaria

MEDs: Atorvastatin; Lisinopril; Metformin; Insulin; Hydrocholorothiazide

Allergies: None

SURGHX: Coronary Artery Stent; Right first mpj implant arthroplasty 4 years ago

SOHX: Lives at home with wife and is currently retired. Denies current or previous tobacco use. Does not drink alcohol.

Continue reading Case Review #1 Failed First MPJ Arthroplasty to Revisional Arthrodesis

About Young Physicians Committee

View all posts by Young Physicians Committee →