| PART I HAND AND WRIST |
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3 | (5) |
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Volar nodule and flexion contraction of ring finger |
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8 | (7) |
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Painful thumb after intense about of hammering |
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15 | (8) |
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Nocturnal wringing of painful tingling right hand |
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23 | (12) |
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Fall resulting in wrist deformity |
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35 | (12) |
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| PART II ELBOW AND FOREARM |
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Burning pain, swelling, and trophic changes in hand, wrist, and forearm out of proportion to a 2-week-old negligible injury |
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47 | (12) |
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Reflex sympathetic dystrophy |
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Bilateral epicondylar elbow pain |
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59 | (14) |
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Tennis and golfer's elbow |
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| PART III SHOULDER |
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Persistent pinpoint tenderness over bicipital groove despite shoulder rotation and painful are during resistive supination and elevation |
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73 | (21) |
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Loss of right shoulder elevation after injury, without presence of painful arc |
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94 | (14) |
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Chronic right shoulder pain and crepitus during elevation, swimming, and carrying a briefcase |
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108 | (14) |
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Supraspinatus impingement |
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Chronic shoulder discomfort that progressed to acute unrelenting pain over 4-month period |
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122 | (6) |
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Calcific supraspinatus tendinitis |
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Acute and excruciating shoulder pain after intense bout of exercise and relieved by rest |
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128 | (6) |
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Stiff and painful shoulder |
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134 | (11) |
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Painful bump over distal clavicle |
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145 | (6) |
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Fall on point of shoulder, causing sagging of the upper extremity, loss of shoulder function, and much pain on movement |
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151 | (9) |
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Painful bump over section of proximal clavicle |
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160 | (8) |
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Diver accident with acute pain and deformity in shoulder |
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168 | (21) |
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| PART IV BRACHIAL PLEXUS, THORACIC OUTLET, AND SHOULDER GIRDLE |
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Pain, dysesthesia, and paresthesia in ulnar three digits caused by proximal lesion |
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189 | (14) |
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Large and broad-shouldered infant with monoparetic arm after breech delivery |
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203 | (18) |
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Exquisite pinpoint muscle pain and taut bands within muscle substance, and remote referral to a locale within the same myotome |
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221 | (9) |
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Chronic and generalized aches, pains, stiffness at three anatomic sites and multiple tender points as well as insomnia and headache of at least 3 months in duration |
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230 | (5) |
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Primary fibromyalgia syndrome |
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Neonate presenting with leftward head tilt and rightward facial flattening |
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235 | (10) |
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Congenital muscular torticollis |
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| PART V NERVE AND MUSCLE LESIONS |
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Acute hemiparalysis of all facial muscles after cold exposure |
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245 | (17) |
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Right ape-hand deformity and left claw hand deformity after accident in which both hands were thrust through a glass window |
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262 | (20) |
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Momentary stabbing pain in groin and ipsilateral buttock and loss of ambulation after a fall that yanks the ipsilateral extended leg into excessive abduction and flexion |
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282 | (17) |
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| PART VI FOOT |
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Pain and swelling of hallux, as well as difficulty running after forceful and excessive forefoot extension |
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299 | (9) |
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Painful pebble sensation over ball of foot that radiates into toes |
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308 | (11) |
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Medical calcaneal heel pain upon weight bearing on an intrinsic foot deformity |
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319 | (20) |
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Plantar fasciitis/Heel spur |
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Pain and triggering posterior to medial malleolus just lateral to calcaneal tendon that is exacerbated by push-off phase of gait and reproduced by flexing and extending hallux |
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339 | (20) |
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| PART VII ANKLE |
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Painful and unstable upper ankle after jump landing and excessively forceful inversion moment that causes the foot to roll inward |
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359 | (42) |
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Burning pain and paresthesia over medial side of ankle that radiates to foot and sole after excessive walking that is relieved by sitting |
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401 | (9) |
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Pain, crepitus, and snapping over the lateral malleolus after ankle injury |
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410 | (14) |
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Peroneal tendon instability |
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Slim young woman with painless, sudden foot drop after cross-legged posture |
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424 | (17) |
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Peroneal nerve entrapment |
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| PART VIII HEEL |
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Pain over posterior aspect of the ankle after brisk walking and when rising on tiptoe, with a lower extremity profile of tightness in right posterior lower extremity musculature and calcaneal deviation from subtalar joint neutral |
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441 | (30) |
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Popping sensation above heel followed by intense, immediate pain, loss of ambulation, and slight bulge over left calf |
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471 | (22) |
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| PART IX KNEE AND SHIN |
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Lateral or medial exertional shin pain in hyperpronated feet during running activity |
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493 | (18) |
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Tall adolescent male with anterior knee pain after basketball activities |
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511 | (10) |
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Pain and tenderness at inferior patellar pole and ligament after descent from repetitive jumping activities |
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521 | (17) |
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Painful, red, warm, gross prepatellar swelling in the absence of direct trauma with pain at either extreme of terminal knee motion |
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538 | (16) |
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Retropatellar pain, crepitus, mild swelling, slight quadriceps atrophy, facet tenderness, and stiffness after sitting, and an occasional sensation of giving way |
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554 | (27) |
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Anterior knee instability, pain, swelling, and pseudolocking after injury |
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581 | (27) |
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Subluxating patella syndrome |
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Knee catching and locking in both flexion and extension, accompanied by joint-line tenderness, giving way, pain, swelling, and clear joint fluid during arthrocentesis |
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608 | (34) |
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Knee injury with rapid swelling and giving way when pivoting |
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642 | (47) |
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Cruciate ligament disruption |
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Severe force to the lateral knee joint, or medial foot, with and without a planted foot resulting in excessive valgus angulation of knee during knee extension evaluation |
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689 | (20) |
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Medical collateral ligament sprain |
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Obese, early adolescent, with insidious onset of mechanical obstruction in knee extension that is accompanied by knee swelling, and pain that varies in location, in the absence of acute trauma or giving-way |
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709 | (12) |
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Osteochondritis dissecans |
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Posterolateral exertional knee pain immediately after knee extension phases of gait after downhill running along banked surface |
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721 | (10) |
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Painful snapping, give-way sensation, and stiffness after prolonged sitting at the right medial tibiofemoral joint line |
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731 | (12) |
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| PART X HIP, THIGH, AND KNEE |
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Painful snapping over greater trochanter while running downhill on a banked surface |
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743 | (19) |
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Iliotibial band friction syndrome |
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Progressive, aching, insidious onset of pain and morning stiffness in the large weight-bearing lower extremity joints that is exacerbated by inclement weather, causing diminished function |
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762 | (31) |
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Quadriceps contusion after a swimming pool diving injury resulting in palpable lump, restricted knee range, and progressively increasing daytime pain upon activity |
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793 | (8) |
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Anterolateral thigh paresthesia without muscle weakness |
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801 | (6) |
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Miserable malalignment syndrome in an aspiring ballerina |
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807 | (16) |
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Miserable malalignment syndrome |
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Pain over lateral aspect of hip and proximal thigh with site of maximal tenderness posterior to the greater trochanter |
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823 | (16) |
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| PART XI PELVIS |
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Unilateral pubalgia in a soccer player that is aggravated by performing an inside kick |
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839 | (17) |
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Deep buttock pain and numbness in the peroneal distribution |
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856 | (15) |
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| PART XII SPINE |
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Insidious low back pain and morning stiffness of greater than 3 months duration that improves with activity and worsens with rest in a Caucasian man below age 40 |
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871 | (13) |
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Elderly patient with low back pain and lower limb (neurogenic) claudication exacerbated by lumbar extension |
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884 | (27) |
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History of fall on buttocks during childhood and progressive lumbosacral ache, pain, and limitation of flexion in adulthood that is aggravated by jarring motions and relieved by a hot shower |
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911 | (25) |
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Degenerative disc disease |
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Acute, localized, low back pain after sudden movement that progressively worsens and accompanied by palpable tenderness without sensory, motor, or reflex deficit |
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936 | (36) |
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Back sprain and back strain |
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Spontaneous low back pain aggravated by flexion and straining, relieved by recumbency, that decreases with concurrent peripheralization of pain |
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972 | (54) |
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Lateral spinal curvature in a senescent woman with low back and leg pain during standing and walking that is relieved by recumbency |
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1026 | (17) |
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Sudden, intense, mid-level back pain in a middle-aged female while lifting a heavy object |
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1043 | (17) |
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Osteoporotic vertebral compression fracture |
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Sudden cervical hyperextension followed by progressively stiff and painful neck, loss of cervical lordosis, headache, and tingling sensation of the upper extremities |
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1060 | |
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Cervical sprain/Radiculopathy |
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