Here are intraop & postop images of yesterday's case by Drs. Aws Hammad and Christopher Bush with Corewell Health. ARM AND LEG PAIN IN 77M WITH MULTIPLE MYELOMA PROCEDURE 1: ORIF OF RIGHT PERIPROSTHETIC HUMERUS FRACTURE PROCEDURE 2: PROPHYLACTIC INTRAMEDULLARY NAILING OF LEFT FEMUR, PROPHYLACTIC INTRAMEDULLARY NAILING OF LEFT HUMERUS Here is the link to the clinical presentation and the pre-op imaging: nitter.siddz.com/orthobullets/status/21… 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: orthobullets.tiny.us/yckv9en…

Can you answer our free question of the day? A 58-year-old woman is treated with a lateral locked plate after sustaining an intra-articular distal femur fracture. Unfortunately, she presents to the clinic with pain, progressive deformity, and radiographs as shown in Figure A. She is taken for revision of fixation without bone grafting and achieves union at six months postoperatively, as shown in Figure B. Which property of the initial treatment construct most likely led to her nonunion? 1. High strength 2. High stiffness 3. Long working length 4. Poor vascularity 5. Plate thickness QID: 220574 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/3WrtBIt #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

Here is a clip from our latest episode of CoinFlips & Controversies, “Reverse Shoulder Arthroplasty Recurrent Instability in 63M” featuring expert faculty from the 2026 New York Shoulder Arthroplasty Conference taking place Dec 11-12th in New York, NY. Watch Drs. Virk (@ShoulderElboDoc) and Fu, discuss “CT-Based Planning for Revision Shoulder Arthroplasty.” Click here to learn more about NYSAC and watch their full webinar on Orthobullets: orthobullets.tiny.us/1027202… #orthotwitter

Can you answer our free question of the day? A 28-year-old female patient undergoes an arthrodesis procedure for the pathology shown in Figure A after failed nonoperative management. During the surgery, the surgeon attempts to correct the deformity. During postoperative examination, the patient is noted to have a motor deficit. Which of the structures shown in Figure B was likely injured with the reduction attempt? 1. A 2. B 3. C 4. D 5. E QID: 220540 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/4skAdEx #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

Here is a clip from our latest episode of CoinFlips & Controversies, “Reverse Shoulder Arthroplasty Recurrent Instability in 63M” featuring expert faculty from the 2026 New York Shoulder Arthroplasty Conference taking place Dec 11-12th in New York, NY. Watch Drs. Virk (@ShoulderElboDoc) and Brolin, discuss “EMG Evaluation for Recurrent Shoulder Instability.” Click here to learn more about NYSAC and watch their full webinar on Orthobullets: orthobullets.tiny.us/1026202… #orthotwitter

Can you answer our free question of the day? A 5-year-old male is transferred to the emergency department overnight following the injury shown in Figures A and B after falling off a trampoline earlier this evening. Upon initial presentation, the injury is closed. He notes mild paresthesias, and his radial pulse is palpable with a warm and well perfused hand. He is splinted in a position of comfort overnight in anticipation of surgical fixation in the morning. Of the following overnight scenarios, which would prompt emergent surgical intervention in this child? 1. Well perfused hand with mild improvement in strength of radial pulse 2. Persistent paresthesias in the radial nerve distribution with grossly intact sensation 3. Increased anxiety and need for narcotic overnight 4. Difficulty performing an "A-OK" sign on exam 5. Moderate pain with flexion/extension of fingers QID: 220532 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/4BG2xWn #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

Can you answer our free question of the day? A 39-year-old male presents with recurrent knee pain and swelling after his third surgery for removal of the lesions shown in Figures A and B. He now has significant bony erosions of the femur and pain with walking and squatting at his day job as a plumber. If he is started on Pexidartinib by his medical oncologist for adjunct treatment, which of the following side effects should the patient be warned about, and what is the causative mechanism of action? 1. Alopecia caused by activation of colony-stimulating factor 1 (CSF-1) receptor 2. Cardiac toxicity and congestive heart failure caused by cytostatic anthracycline activity 3. Edema around the eyelids caused by inhibition of tyrosine kinase receptor (RTK) activation 4. Hair depigmentation caused by inactivation of colony-stimulating factor 1 (CSF-1) receptor 5. Ulcerations of the mouth caused by inhibition of interleukin-1 (IL-1) receptor activation QID: 220561 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/4zPeVS4 #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

Here is a clip from our latest CoinFlips & Controversies Webinar Implant Discussion, titled “Bunion Deformity in 53F”. In this CoinClip, Dr. Foote* from MercyOne Waterloo Podiatry Care and Dr. Campbell* from Atlantic Orthopaedic Specialists discuss improving lapidus correction with AI powered software and patient-matched guides when performing definitive fixation of a bunion deformity with the VIRTUGUIDE™ System. Click the link to watch the full CoinFlip & Controversies webinar on Orthobullets: orthobullets.tiny.us/1024202… *Disclosures: Dr. Foote and Dr. Campbell are key opinion leaders of DePuy Synthes. #orthotwitter

Can you answer our free question of the day? A 28-year-old female was involved in a bike crash and sustained an open talar neck fracture as demonstrated in Figure A. She was taken for debridement and reduction within 24 hours of injury. Due to hemodynamic instability from abdominal trauma, definitive open reduction and internal fixation were not performed until one week later via a lateral approach. At her three-month follow-up, sclerosis and articular collapse are noted on radiographic evaluation. Which of the following factors placed this patient at increased risk of developing this complication? 1. Delayed definitive fixation 2. Presence of other traumatic injuries 3. Lateral approach 4. Open fracture 5. Time to initial reduction QID: 220558 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/489KOJ2 #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

Here’s a clip from our latest episode of CoinFlips & Controversies, “Acute Hip Pain 1 Month s/p Conversion THA in Diabetic 76M.” Watch Drs. @KevinParkMD and Neff discuss “Using Hip Aspiration to Guide Surgical Planning.” Click here to learn more and watch their full webinar on Orthobullets: orthobullets.tiny.us/1023202… #orthotwitter

Can you answer our free question of the day? A 60-year-old female presents to your office with chronic, dull left wrist pain. She has failed bracing and NSAIDs to this point and denies any previous wrist trauma or surgery. On exam, wrist flexion/extension is 40/80 degrees and pronation/supination is 70/70 degrees. Radiographs and an MRI are obtained and shown in Figures A and B. What is the primary contributor to this patient's wrist pain? 1. Kienböck's disease 2. Preiser's disease 3. Acute scapholunate ligament injury 4. Basilar thumb arthritis 5. Avascular necrosis of the trapezium QID: 220553 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/4z5aXF1 #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor

Here is a clip from our latest episode of CoinFlips & Controversies, “Reverse Shoulder Arthroplasty Recurrent Instability in 63M” featuring expert faculty from the 2026 New York Shoulder Arthroplasty Conference taking place Dec 11-12th in New York, NY. Watch Drs. @ShoulderElboDoc and Zukerman, discuss “Managing Recurrent Instability After Reverse Shoulder Arthroplasty.” Click here to learn more about NYSAC and watch their full webinar on Orthobullets: orthobullets.tiny.us/1022202… #orthotwitter

Here is a clip from our latest CoinFlips & Controversies Webinar Implant Discussion, titled “Tibial Plateau Fx with Meniscal Tear and Concern for Acute Compartment Syndrome in 45F”. In this CoinClip, Dr. Dehghan* from the @CORE_Institute discusses staying ahead of acute compartment syndrome when performing definitive fixation of a tibial plateau fracture with meniscal tear with the MY01 Continuous Perfusion Sensing Technology Platform. Click the link to watch the full CoinFlip & Controversies webinar on Orthobullets: orthobullets.tiny.us/1022202… *Disclosures: Dr. Dehghan is a key opinion leader of MY01. #orthotwitter