Orthobullets

Professional network for orthopaedic surgeons designed to improve orthopaedic education and collaboration. 😷🦴 #orthotwitter

[Orthobullets @orthobullets]

Here is a new case by Dr. Mandeep Virk @ShoulderElboDoc and NYU Langone Health @nyulangoneortho.

GLENOID OSTEOLYSIS S/P REVERSE TSA IN 74M

This case will be debated at the New York Shoulder Arthroplasty Course in New York, NY, December 11-12th, 2026.

How would you manage this #orthotwitter?

Vote on this case for CME: https://t.co/pAHbsdYfqF

[Orthobullets @orthobullets]

How would you manage this patient?

[Orthobullets @orthobullets]

Here is a new case by Dr. Mandeep Virk @ShoulderElboDoc and NYU Langone Health @nyulangoneortho.

GLENOID OSTEOLYSIS S/P REVERSE TSA IN 74M

This case will be debated at the New York Shoulder Arthroplasty Course in New York, NY, December 11-12th, 2026.

How would you manage this #orthotwitter?

Vote on this case for CME: https://t.co/pAHbsdYfqF

[Orthobullets @orthobullets]

Here is a video of a diagnostic arthroscopy.

[Orthobullets @orthobullets]

Can you answer our free question of the day?

A 46-year-old male presents to the clinic with a chief complaint of lower back pain. He has longstanding lower back pain; however, 6 months prior, he had an increase in radicular pain down bilateral lower extremities and was diagnosed with adult isthmic spondylolisthesis. He had trialed activity modification, anti-inflammatories, and a trial of transforaminal epidural steroid injections 4 months prior. He received moderate relief lasting four weeks but is now interested in surgical intervention. His lateral lumbar films are shown in Figure 1. The surgeon recommends interbody fusion with posterior fixation.

When counseling the patient regarding operative options, which is true when comparing anterior lumbar interbody fusion (ALIF) to transforaminal lumbar interbody fusion (TLIF)?

1. ALIF results in greater restoration of disc height

2. ALIF is associated with higher 1-year post-operative pain scores

3. ALIF and TLIF result in equivalent segmental lordosis

4. ALIF is associated with a higher risk of postoperative complications

5. ALIF is associated with a lower fusion rate

QID: 220513
Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation.

https://t.co/MrCkMCkG3i

#orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

[Orthobullets @orthobullets]

Here is a clip from our latest CoinFlips & Controversies Webinar Implant Discussion, titled “Humeral Shaft Fracture in 52F”.

In this CoinClip, Dr. Hatzidakis* from Western Orthopaedics discusses the evolution of proximal humerus nailing when performing definitive fixation of a humeral shaft fracture with the T2 Alpha Humerus Nailing System.

Click the link to watch the full CoinFlip & Controversies webinar on Orthobullets: https://t.co/iDCxixYYpk

*Disclosures: Dr. Hatzidakis is a paid-consultant of Stryker.

#orthotwitter

[Orthobullets @orthobullets]

Here are intraop & postop images of yesterday's case by Dr. Dr. Ezequiel Palmanovich and Meir Medical Center @Meir_Medical.

ADVANCED CHARCOT FOOT COLLAPSE & INSTABILITY IN 68M

PROCEDURE: CHARCOT FOOT RECONSTRUCTION WITH MEDIAL CLOSING-WEDGE OSTEOTOMY AND PERCUTANEOUS BEAM FIXATION

This case will be debated at the Foot & Ankle Future Forum in Sofia, Bulgaria, June 24-26, 2027.

Here is the link to the clinical presentation and the pre-op imaging: https://t.co/sNt30fAA8k

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: https://t.co/oAsQqHx8Je

[Orthobullets @orthobullets]

Can you answer our free question of the day?

A 19-year-old male undergoes open reduction and internal fixation of his left ankle fracture shown in Figure A. Due to concern for injury to the syndesmosis, fixation is performed with a suture button construct depicted in Figure B. A repeat stress examination is performed and the surgeon notes persistent talar tilt on fluoroscopy.

Which additional ligament injury is present?

1. Interosseus

2. Deltoid

3. Bifurcate

4. Calcaneofibular

5. Posterior talofibular

QID: 220428
Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation.

https://t.co/4WSuogyc9o

#orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

[Orthobullets @orthobullets]

Here is a clip from our latest episode of CoinFlips & Controversies, “Hip Dislocation with Proximal Femur Fractures in 36F” featuring expert faculty from the FOT Upper & Lower Extremity Dissection Course 2026 taking place Oct 10 - Oct 11 in Charlotte, NC.

Watch Drs. Kempton and Dickson, discuss “Fixation vs. Arthroplasty in Complex Hip Trauma.”

Click here to learn more about @FOTNorthAmerica and watch their full webinar on Orthobullets: https://t.co/1qvDkuKr1g

#orthotwitter

[Orthobullets @orthobullets]

Can you answer our free question of the day?

A 60-year-old male presents to your office with significant pain in the base of his right thumb. He admits to falling onto his outstretched right hand yesterday while playing basketball with his grandson. Radiographs in the office demonstrate a simple dorsal right thumb carpometacarpal joint dislocation without a fracture.

Based on the image in Figure 1, which ligament is the primary stabilizer to prevent this injury from occurring?

1. Dorsal intermetacarpal ligament

2. Posterior oblique ligament

3. Dorsoradial ligament

4. Volar oblique ligament

5. Trapeziotrapezoid ligament

QID: 220421
Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation.

https://t.co/OnZC0alfti

#orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

[Orthobullets @orthobullets]

Here are the 6-week postoperative clinical images.

[Orthobullets @orthobullets]

Here are intraop & postop images of yesterday's case by Dr. Dr. Ezequiel Palmanovich and Meir Medical Center @Meir_Medical.

ADVANCED CHARCOT FOOT COLLAPSE & INSTABILITY IN 68M

PROCEDURE: CHARCOT FOOT RECONSTRUCTION WITH MEDIAL CLOSING-WEDGE OSTEOTOMY AND PERCUTANEOUS BEAM FIXATION

This case will be debated at the Foot & Ankle Future Forum in Sofia, Bulgaria, June 24-26, 2027.

Here is the link to the clinical presentation and the pre-op imaging: https://t.co/sNt30fAA8k

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: https://t.co/oAsQqHx8Je

[Orthobullets @orthobullets]

Here is a new case by Dr. Ezequiel Palmanovich and Meir Medical Center @Meir_Medical.

ADVANCED CHARCOT FOOT COLLAPSE & INSTABILITY IN 68M

This case will be discussed at the Foot & Ankle Future Forum in Sofia, Bulgaria, June 24-26, 2027.

How would you manage this #orthotwitter?

Vote on this case for CME: https://t.co/oAsQqHx8Je

[Orthobullets @orthobullets]

Here are the intraoperative fluoroscopic images.

[Orthobullets @orthobullets]

Here is a clip from our latest episode of CoinFlips & Controversies, “Hip Dislocation with Proximal Femur Fractures in 36F” featuring expert faculty from the FOT Upper & Lower Extremity Dissection Course 2026 taking place Oct 10 - Oct 11 in Charlotte, NC.

Watch Drs. Kempton and Dickson, discuss “Timing Definitive Fixation in Complex Hip Trauma.”

Click here to learn more about @FOTNorthAmerica and watch their full webinar on Orthobullets: https://t.co/7uvwNkVrqp

#orthotwitter

[Orthobullets @orthobullets]

Can you answer our free question of the day?

A 47-year-old recreational tennis player presents for evaluation of subacute ulnar-sided left wrist pain. A posteroanterior radiograph obtained in the clinic is demonstrated in Figure A. A wrist MRI is subsequently obtained, which reveals an absence of intra-articular pathology; however, thickening and high intrasubstance signal within the extensor carpi ulnaris (ECU) tendon on T2-weighted images is noted.

Based on these findings, which of the following maneuvers on physical exam would most likely be positive?

1. Patient actively abducts wrist in ulnar deviation, with the examiner passively flexing the thumb into the palm

2. Patient grasps their thumb within their hand and clenches it with the other fingers, followed by passive ulnar abduction of the wrist by the examiner

3. Patient’s elbow is flexed to 90º with the forearm fully supinated, the fingers are fully extended, and the patient is asked to maintain thumb and middle finger abduction against resistance

4. Patient’s wrist is moved from ulnar to radial deviation, with direct pressure over the volar scaphoid

5. Patient holds full elbow extension and forearm pronation, with attempted wrist extension against resistance

QID: 220419
Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation.

https://t.co/kaXQ7JNAA5

#orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

[Orthobullets @orthobullets]

If you choose operative management, would you try to salvage the limb?

[Orthobullets @orthobullets]

Here is a new case by Dr. Ezequiel Palmanovich and Meir Medical Center @Meir_Medical.

ADVANCED CHARCOT FOOT COLLAPSE & INSTABILITY IN 68M

This case will be discussed at the Foot & Ankle Future Forum in Sofia, Bulgaria, June 24-26, 2027.

How would you manage this #orthotwitter?

Vote on this case for CME: https://t.co/oAsQqHx8Je

[Orthobullets @orthobullets]

Here are the 2023 CT 3D reconstruction images.