My Orthopaedic Surgeon

Freiberg's Disease Case Presentation: HISTORY: 15 + 4 year old female with left foot pain near the fourth toe for one year. She had no antecedent trauma. She described her pain as a constant, dull ache which had been getting progressively worse. PHYSICAL EXAM: She complained of exquisite tenderness with flexion and extension of her left fourth toe. She had tenderness to palpation over the dorsum of the fourth metatarsal phalangeal joint. She was unable to toe walk without inverting her foot to releive pressure from the fourth metatarsal head.

Idiopathic Chondrolysis

Osteochondritis Dissecans of the Capitellum, A. I. duPont Inst. This Patient is a 14 year old right hand dominant male who complains of right elbow pain, swelling, and decreased ROM which has occurred intermittently over the past year. He also describes clicking and "catching" of the elbow. He claims that the pain has been getting progressively worse and that it is worst after throwing when he plays dodgeball.