Orthopedic and Sports Medicine Case Studies for Advanced Practice Nurses

Karen Myrick, DNP, APRN, FNP-BC, ANP-BC, is Professor, Quinnipiac University, with a joint appointment in the School of Nursing and the Frank Netter School of Medicine. She practices clinically as a nurse practitioner in Orthopedics and Sports Medicine in Glastonbury and Farmington, CT and her research focuses on athletes and sports medicine. The recipient of multiple grants, Dr. Myrick developed a newly designed physical examination technique for determining hip labral tears, The Hip Internal Rotation with Distraction (THIRD) test. She recently received an award for Outstanding Poster at a national nurse practitioner conference for her work on Recruiting and Retaining the Best and the Brightest Nurse Practitioner Faculty. She also received an award for Outstanding Poster at a regional research alliance conference for her work on MRI Findings of Bone Marrow Edema in Female Division I Soccer Players during a Competitive Season. In addition to publishing regularly in peer-reviewed journals, Dr. Myrick has successfully composed an academic book chapter on preventing childhood obesity, and is the Senior Editor of Journal of Clinical Case Reports.

Contents

Contributors

Foreword Robert A. Arciero, MD

Preface

Acknowledgments

SECTION I: UPPER EXTREMITY CASES

1. Shoulder

Case Study 1.1: Traumatic Shoulder Dislocation

Scott A. Myrick and Karen M. Myrick

Case Study 1.2: Acute Acromioclavicular Separation

Karen M. Myrick

Case Study 1.3: Acute Rupture of the Biceps Tendon

Scott A. Myrick

Case Study 1.4: Chronic Rotator Cuff Tendinitis

Karen M. Myrick

Case Study 1.5: Chronic Osteoarthritis

Karen M. Pawelek

Case Study 1.6: Chronic Calcific Tendinitis

Karen M. Myrick

2. Elbow

Case Study 2.1: Acute Elbow Dislocation

Christine Kelly

Case Study 2.2: Acute Nursemaid’s Elbow (annular ligament displacement)

Kimberly A. Joerg

Case Study 2.3: Acute Olecranon Bursitis

Karen M. Myrick

Case Study 2.4: Chronic Lateral Epicondylitis

Scott A. Myrick

Case Study 2.5: Chronic Cubital Tunnel Syndrome

Karen M. Myrick

Case Study 2.6: Little Leaguer’s Elbow (medial epicondyle apophysitis)

Scott A. Myrick

3. Wrist

Case Study 3.1: Acute Fracture

Hardeep Singh and Craig M. Rodner

Case Study 3.2: Acute DeQuervain’s Tenosynovitis

Hardeep Singh and Craig M. Rodner

Case Study 3.3: Acute Scaphoid Fracture

Hardeep Singh and Craig M. Rodner

Case Study 3.4: Chronic Carpal Tunnel Syndrome

Hardeep Singh and Craig M. Rodner

Case Study 3.5: Ganglion Cyst

Hardeep Singh and Craig M. Rodner

Case Study 3.6: Chronic Ulnar Positive Wrist

Hardeep Singh and Craig M. Rodner

4. Hand

Case Study 4.1: Acute Mallet Finger

Hardeep Singh and Craig M. Rodner

Case Study 4.2: Acute Dislocation Interphalangeal Joint

Hardeep Singh and Craig M. Rodner

Case Study 4.3: Acute Subungual Hematoma

Hardeep Singh and Craig M. Rodner

Case Study 4.4: Chronic Trigger Finger

Hardeep Singh and Craig M. Rodner

Case Study 4.5: Chronic Dupuytren’s Contracture

Hardeep Singh and Craig M. Rodner

Case Study 4.6: Chronic Osteoarthritis

Hardeep Singh and Craig M. Rodner

SECTION II: LOWER EXTREMITY CASES

5. Hip

Case Study 5.1: Acute Hip Dislocation

Karen M. Myrick

Case Study 5.2: Acute Hip Labral Tear

Karen M. Myrick

Case Study 5.3: Acute Greater Trochanteric Bursitis

Susan H. Lynch

Case Study 5.4: Chronic Osteoarthritis

Susan D’Agostino

Case Study 5.5: Groin Muscle Strain

Scott A. Myrick and Karen M. Myrick

Case Study 5.6: Chronic Heterotopic Ossification

Karen M. Myrick

6. Knee

Case Study 6.1: Acute Anterior Cruciate Ligament Tear

Karen M. Myrick

Case Study 6.2: Acute Meniscus Tear

Karen M. Myrick

Case Study 6.3: Acute Patellar Dislocation

Karen M. Myrick

Case Study 6.4: Chronic Osteoarthritis

Karen M. Myrick

Case Study 6.5: Chronic Patellafemoral Pain

Karen M. Myrick

Case Study 6.6: Chronic Patellar Tendinitis

Karen M. Myrick

7. Ankle

Case Study 7.1: Acute Ankle Fracture

Karen M. Myrick

Case Study 7.2: Acute Achilles Tendon Rupture

Phoebe M. Heffron

Case Study 7.3: Acute Peroneal Tendon Dislocation

Karen M. Myrick

Case Study 7.4: Chronic Ankle Instability

Kevin Fitzsimmons

Case Study 7.5: Chronic Ankle Pain (talar osteochondral defect)

Scott A. Myrick

Case Study 7.6: Chronic Peroneal Tendon Dislocation/Subluxation

Phoebe M. Heffron

8. Foot

Case Study 8.1: Acute Metatarsal Fracture

Karen M. Myrick

Case Study 8.2: Acute Lisfranc Dislocation

Vinayak M. Sathe, Teja Karukonda, and Daniel Witmer

Case Study 8.3: Jones Fracture

Vinayak M. Sathe, Teja Karukonda, and Daniel Witmer

Case Study 8.4: Sever’s Disease

Phoebe M. Heffron

Case Study 8.5: Sesamoiditis

Kaitlin M. Ford

Case Study 8.6: Plantar Fasciitis

Karen M. Pawelek

SECTION III: SPINE CASES

9. Spine

Case Study 9.1: Acute Compression Fracture

Jason N. DaCruz

Case Study 9.2: Acute Disc Herniation

Jason N. DaCruz

Case Study 9.3: Spondylolysis

Jason N. DaCruz

Case Study 9.4: Chronic Sacroiliac Pain

Jason N. DaCruz

Case Study 9.5: Chronic Low Back Pain

Karen M. Myrick

Case Study 9.6: Chronic Degenerative Disc Disease

Karen M. Myrick

Index