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Original Question
Question 8 Your male patient is a 13-year-old middle-school basketball player who suffered a fall from the top of the collapsible bleachers (i.e., 20 feet onto hardwood surface) 1 year ago. His injuries included a Pott’s fracture of his right ankle, with bone chips at the medial malleolus and distal lateral fibula. Luckily, it was the end of the season, so he had most of the year to rest and participate in rehabilitation. You see him now, 1 year post-injury. His physical therapist has reported that he has refused his follow-up therapy, complaining that the exercises he was given to strengthen his muscles are painful and do not work. When you see him, he is limping and has significant atrophy of his gastrocnemius and soleus. He complains bitterly about the intense pain with any movement of his leg. Decide what this would indicate. Moderate to severe pain with movement in the presence of fracture healing must be decreased by injection of glucocorticoids weekly. This will allow him to participate in physical therapy manipulations. When extensive atrophy has occurred, it will not be possible to regain muscle strength and agility. Muscles do not grow additional new cells when exercised, but the cells that are there hypertrophy when sufficiently stressed, which means loaded past their capacity to flex fully. Re-imaging the healed fracture site is not necessary because it can be palpated and the bone chips both feel stable. I don’t know one attempt You answered 6 out of 7 corre
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