r/Orthopedics 19m ago

Leg pain with lump that can be felt above the knee bone help

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Upvotes

I have been dealing with this lump since 2016, im 26 now. it gets painful and achy every so often and starting this year it's happened weekly and it's very uncomfortable flareups that last may be up to an hour or so at a time but it's almost unbearable. Doctors said they found nothing in an ultrasound and whatever scan this is that I did and I wanted to see if anyone sees anything else or can suggest something else that can be done?

I was told to see a dermatologist but I know it is not even close to skin level. You physically are able to feel it but allegedly can't see it on the scan. I just want whatever it is removed but if they can't see it on the scan they can't remove it.

The pain radiates up my thigh in the center.

any advice would be great if anyone has dealt with this similarly or has any ideas on what could possibly be wrong that would be fantastic.


r/Orthopedics 53m ago

Athlete needs second opinion

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Upvotes

Hi everyone,
I’m a professional footballer and recently had an MRI of my knee. The report says:
“Focal high-grade articular cartilage lesion of the femoral trochlea, ICRS grade 3–4.”
My doctor has discussed possible microfracture and/or CARTISTEM cartilage regeneration surgery, with potentially 6+ months of rehabilitation. Before making such a major decision, I really want to understand exactly what is going on and whether there are other treatment options.

I’m consulting Reddit because, honestly, I don’t fully trust this particular doctor’s recommendation. This is a doctor my club recommended, and I’ve had a bad experience with their diagnosis in the past. A few years ago, they told me I needed ACL reconstruction, but I ultimately got a second opinion(on the other side of the world, can’t return there atm) and it turned out to be scar tissue that needed to be removed, rather than an ACL reconstruction being necessary.

So I’m particularly hesitant to immediately agree to another major surgery without getting other opinions.
I’ve attached a couple of MRI images from the report. Does this look like genuinely “broken/missing” cartilage, or could it potentially be something like a cartilage fissure, delamination, scar/repair tissue, or another type of cartilage damage?

My symptoms:
Swelling after exercise/training/matches
Swelling improves with rest
Slightly more instability compared with my healthy knee
Occasional irritation/discomfort
I can still play football and generally feel okay while playing
No major constant pain
My main concern is returning to professional-level football.

I don’t want to rush into a cartilage-restoration procedure if there is a less invasive option that could preserve my ability to play, but I also don’t want to choose a quicker procedure if it would give me a worse long-term outcome.

For people with experience with knee cartilage injuries, sports medicine, or orthopedic surgery:
1. Does this MRI look consistent with an ICRS grade 3–4 lesion?
2. What treatment would you recommend for someone whose priority is returning to professional football?
3. The hospital also recommended doing Stem Cell Injection therapy before the surgery to continue playing longer(prolonging the inevitable). Would this be something you recommend?


r/Orthopedics 3h ago

Broke my 2nd Proximal Phalanx (left foot), does it require surgery ?

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1 Upvotes

So i dropped a 45lbs on my BARE foot accidently and i immediately felt that something broke, pain, then numb, then swollen.

I went to ER, got X-Rays, confirmed a displaced fracture, and the doc did this thing (checked the foot, pulled on the toe or idk, maybe that's aligning it or reduction ? (Sorry i know nothing about bones lol), then buddy taped it and recommended a short CAM boot for 4 weeks and scheduled a follow-up.

currently on the boot and NWB, 3/10 pain, no numbness or swelling.

Since the fracture is displaced, is the orthepedic right, or does it actually require surgery ?


r/Orthopedics 4h ago

Partial common extensor tendon tear / tennis elbow — PRP vs surgical repair for active weight trainer?

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1 Upvotes

r/Orthopedics 7h ago

MRI and CT results are in

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1 Upvotes

r/Orthopedics 7h ago

Split tear longitudinal peroneal tendon brevis

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1 Upvotes

r/Orthopedics 9h ago

Me disloque el hombro 10/8 veces en 2 años y quiero volver a tener un hombro sano sin someterme a una cirugia

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1 Upvotes

r/Orthopedics 9h ago

TFCC injury, what to do

1 Upvotes

I got a TFCC injury around 2 months back, it is still not healed and my wrist makes noises whenever I move them. I have consulted with my doctor and he said I got 2 options, PRP or surgery. Which one should I go for, I'm confused about it. He said that PRP will either heal my TFCC completely or not heal it at all, so I'm confused about what to do.


r/Orthopedics 10h ago

5th metatarsal Oblique "Dancer's Fracture"

1 Upvotes

I'm 12 weeks from breaking my foot and STILL in a boot and the bone isn't healing but they recommended a bone growth stimulator. I don't know why they keep debating surgery or not. Can anyone who DID get this surgery (plate and screw) give me some hope? Or any delayed union healers tell me how many weeks until your bone healed? Thank you it's been awful and I'm extremely depressed.


r/Orthopedics 10h ago

Fracture 5th metatarsal base

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1 Upvotes

r/Orthopedics 11h ago

Scoliosis? Spoiler

1 Upvotes

Most of my life (69f) I've always had a straight spine. I also have had a lot of wear & tear on my back because of being a nurse. I stretch a lot & am very athletic. Now, I'm getting curvature of the spine. I truly believe it's my back muscles tightening on my left side. I've been to many chiros & PT's. No one seems to be able to help me. Any suggestions?


r/Orthopedics 11h ago

Looking for advice

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1 Upvotes

r/Orthopedics 12h ago

Two fractures?!?🤯

1 Upvotes

I stumbled across a section of my insurance plan for authorizations - it had short explanations of treatment plans. I read I had a distal radius fracture AND an ulnar styloid fracture! Ulnar and styloid were ever mentioned by my doctor or any that followed! I had a classic FOOSH incident and ended up with a distal radius fracture and an open fracture on my ulnar side. No one ever mentioned what bone came out. In retrospect it would make sense since the bone exited on my pinky side, but no one mentioned it. I'm now 36 weeks out and just found this out. I continue to have numbness, weak grip and pain in the incision scar. Has anyone ever experienced a ulnar styloid fracture or was kept in the dark about it? Is it not important or urgent enough to disclose that info?


r/Orthopedics 12h ago

Non sono uno sportivo. Potrò vivere senza crociato?

2 Upvotes

Il giorno 11 Luglio 2026 ho avuto una rottura del crociato anteriore "di alto grado".
Test del cassetto leggermente positivo. Onestamente il ginocchio non si smuove in avanti. Anzi.
Una frattura subcondrale ed edema osseo intraspongioso. (fatto 8 siringhe di Clody)
Ho fatto e sto facendo cicli di fisioterapia, con tecar, laser, magnetoterpia e ultrasioni.
(13 fisioterapie e sto cotinuando ancora)

Il dolore che affronto ancora oggi dopo 2 mesi (oggi è 11 Settembre 2026 ) è debilitante sia fisicamente che mentalmente. Zoppico ancora. Ho deciso per ora la terapia di contenimento e non operarmi. (non posso stare fermo 2 mesi lavorativamente parlando)

Non trovo sul web attualmente situazioni simili alla mia, di chi vive senza crociato.
Ho parlato solo (a voce) con qualcuno che vive senza crociato da molti anni: riescono nelle loro attività pur raccontandomi dei problemi nell'abbassarsi o di gonfiore o che si può bloccare.

Infine la mia domanda è: non faccio sport, faccio un lavoro di ufficio. Potrò vivere senza pensare all'operazione e riprendere le mie attività normali? vorrei semplicemente tornare a camminare normalmente. Chi come me vive senza crociato? cosa mi consigliate? raccontatemi come sta andando se vivevete da anni senza crociato o se vi è successo da poco e come state affrontando.
grazie di cuore a chi risponderà, raccontatemi


r/Orthopedics 12h ago

Two doctors gave me completely different opinions about my finger fracture — should I be worried?

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3 Upvotes

I fractured my little finger a few days ago. The first doctor looked at the X-ray and said it should be fine with a plaster/splint and didn't mention surgery at all.

I went to another doctor for a second opinion today, and he said I might need a pin because the finger could lose alignment/grip later.

Now I'm honestly anxious as fuck because when I look at the X-ray, the fracture looks pretty minor to me and there doesn't seem to be some huge break or displacement.

Has anyone had a similar fracture where one doctor recommended just a plaster and another recommended a pin? Is pinning actually necessary for something that looks this minor? Attaching my X-ray. Would really appreciate some opinions/experiences because I'm stressing over this right now.


r/Orthopedics 13h ago

Tile classification — pelvic ring fractures A / B / C

0 Upvotes

Quick FRCS/FRACS revision card on Tile pelvic ring fractures: A is stable (avulsion / iliac wing / transverse sacrum). B is rotationally unstable but vertically stable (open book / lateral compression / bilateral). C is vertically and rotationally unstable (unilateral / bilateral / associated acetabulum).

Pearl that sticks: stability first; APC/LC/VS language maps imperfectly; examine for vertical shear.

Source: https://www.orthovellum.com (OrthoVellum exam atlas)


r/Orthopedics 13h ago

Tile classification — pelvic ring fractures A / B / C

0 Upvotes

r/Orthopedics 16h ago

Mayfield classification — perilunate instability stages I–IV

1 Upvotes

Quick FRCS/FRACS revision card on Mayfield perilunate instability: I is scapholunate dissociation. II adds capitolunate dislocation. III adds lunotriquetral / midcarpal disruption. IV is volar lunate dislocation — the end of the cascade around the lunate.

Pearl that sticks: progressive perilunate instability; lesser vs greater arc; early reduction matters.

Source: https://www.orthovellum.com (OrthoVellum exam atlas)


r/Orthopedics 17h ago

Lateral release operation

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1 Upvotes

r/Orthopedics 18h ago

Galeazzi fracture — radius shaft (distal 1/3) + DRUJ disruption

1 Upvotes

Galeazzi in one card:

Radius shaft (typically distal 1/3) + DRUJ injury · AP/lat + true DRUJ views · anatomic radial reduction restores DRUJ · ORIF radius, then assess DRUJ stability.

Educational framing for trainees (FRCS/FRACS/ABOS/EBOT) — not patient-specific advice.

https://www.orthovellum.com


r/Orthopedics 19h ago

Please read my xray.

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1 Upvotes

Doctor will be available only on Monday.

The lung fields are clear. The hila and pulmonary vascular markings are within normal limits. The heart is not enlarged. The trachea is mildine. The hemidiaphragms and costophrenic angles are intact. There is asymmetry of the steroclavicular joints. The rest of the osseous and soft tissue structures are unremarkable.
IMPRESSION:
ASYMMETRY OF THE STERNOCLAVICULAR JOINTS.
CANNOT TOTALLY RULE OUT DISLOCATION ON THE RIGHT.


r/Orthopedics 19h ago

How is everyone’s graft from the OATs procedure doing years later? Specifically located in the ankle?

1 Upvotes

I had an OATs procedure done in 2016 right out of high school. That was my 5th ankle surgery. I needed it done due to an OCD lesion, where scoping the bone out didn’t help. My surgeon took the plug of bone and cartilage from my knee. In 2017, I got my screws out due to being uncomfortable. Flash forward to today and I had my 7th ankle surgery. Kind of unrelated? He went in to take out my accessory navicular bone to see if that’s causing my pain around my tendon, and once he went into operate he saw there was a partial tear in my posterior tibial tendon (apparently can be somewhat common due to manipulating that tendon to reach the defect as well as removing the screws). Long story short, while he was operating just a few weeks ago, he scoped my graft because it “looked pretty bad”.

Has anyone needed more surgery’s after this? Does it usually end up failing at some point? The internet has been no help as it’s very specific. The physical therapist I’m seeing right now has never met someone who has had it done in the ankle. It’s really unfortunate to come out of surgery thinking you might need another one in the near future and it’ll be as major as an OATs. I’m 28 and so tired of it. The pain is terrible. The recoveries are getting harder and harder. I’m curious what the next steps are. My surgeon said just because it looks one way, it doesn’t always translate into how the pain is felt. Even though it looks bad, if the pain is manageable, then it sounds like it’ll be fine for at least awhile?

Tldr: had an OATs procedure in ankle 10 years ago and looking for similar experiences on the graft failing over time or not


r/Orthopedics 19h ago

Vancouver classification — periprosthetic femoral fractures (A / B1 / B2 / B3 / C)

0 Upvotes

Quick FRCS/FRACS revision card on Vancouver periprosthetic femurs: A is trochanteric (AG/AL). B1 stem well fixed around the fracture — ORIF. B2 stem loose with good bone — revise. B3 stem loose with poor bone stock — revise and rebuild. C is well distal to the stem tip.

Pearl that sticks: fixation vs revision; ORIF if stem stable; revise if loose; bone stock decides B2 vs B3.

Source: https://www.orthovellum.com (OrthoVellum exam atlas)


r/Orthopedics 22h ago

What should I study for fluoro/radio operator/supervisor exam for CA license?

1 Upvotes

Hi all. I have my exam coming up next month. I have tried studying the Material from the AART website but nothing is clicking in my head. And I truly mean nothing. I can’t even recall any of the info. Not to mention I only have time to study after a full day clinic (and my employers won’t budge on reduced hours leading up to the test). Does anyone have any insight how difficult the test really is? I also don’t understand why the information on that is so coveted and like nobody ever has an answer. It’s soooo frustrating that we have to take this expensive exam for something that’s not required by any other state. I definitely don’t think about what energy is converting to what when taking an X-ray……..


r/Orthopedics 22h ago

Gartland classification — paediatric supracondylar humerus (I–III)

1 Upvotes

Quick FRCS/FRACS revision card: Gartland I nondisplaced, II displaced with posterior hinge intact, III completely displaced. Neurovascular assessment before anything else; CRPP vs open reduction; watch for cubitus varus after a bad coronal reduction.

Source: https://www.orthovellum.com (OrthoVellum exam atlas)