1.

Our second patient is 27-year-old bicyclist

2.

with a deep laceration and difficulty standing on tiptoe.

3.

So Patient B was riding his bicycle to class

4.

in the crowded, traffic-ridden Longwood Avenue

5.

medical area, when a car struck him from behind.

6.

He was knocked off his bike.

7.

The bike was all crunched and twisted around him.

8. And during his fall, the bent frame of the bicycle cut the back of his leg,
9. just above the heel.
10.At the scene, the cut was bleeding.
11.Passersby helped him to the side of the road,
12.because he wasn't really able to walk.
13.And then one witness called an ambulance to bring him to the AnatomyX
clinic.
14.When he arrives, the bleeding has stopped, but it's still painful.
15.And on physical examination, we notice that he does in fact have trouble
16. walking, and he cannot stand on tiptoe on both feet.

1.

Our third patient is a 35-year-old professional tennis

2.

player unable to serve the ball.

3.

She was training hard for a national tennis tournament for several
months,

4.

despite increasing pain in her right shoulder.

5.

At her coach's advice, she tried ice and over-the-counter antiinflammatory

6.

drugs, but it didn't seem to help.

7.

Courageously, she continued training and qualified for the national

tournament

8.

and reached the final match.

1.

As she was hitting her powerful serve in the second set, however, she
heard something pop in her right shoulder.

2.

She was unable to continue and had to concede the match.

3.

She still experiences pain and difficulty raising her right arm

4.

as she comes to us in the Musculoskeletal AnatomyX Clinic.

1.

Our fourth patient is 21-year-old gymnast

2.

with arm pain, wrist drop, and curled fingers.

3.
4.

Patient D was competing in a gymnastics competition.

5.

During her fast approach to the vaulting table,

6.

she slipped just as she was about to plant her hand,

7.

and she fell heavily against the vaulting table.

8.

At the scene, paramedics bandaged a bleeding wound, splinted her left

arm,

9.

and transported her to the AnatomyX Clinic.

10.

She reports severe left arm pain, and her left arm is abnormally
angulated.
11.So it seems to be bent.
12.She also is concerned that the back of her hand is numb and that her
fingers
13.are curled and she cannot extend them.
14.Our fifth patient is a 51-year-old novelist
15.with a weak thumb and tingling fingers.
16.She's been working long hours to meet a publisher's deadline for her
latest
17. novel.
18.Over the last few weeks, she experienced worsening pain in her right
wrist
19.and hand and uncomfortable tingling in her fingers.
20.The pain and tingling will sometimes awaken her at night,
21.and she's able to attain relief by straightening her wrist
22.and shaking out her hand.
23.She's kept on working.

24.She's trying to meet her deadline.

25.Recently, she's noticed increasing right thumb weakness when
26. she tries to depress the space bar on her keyboard.
27.So I think you'll agree that even though these aren't real patients,
28.the cases are very compelling.
29.These are people who've come to a point in their life
30.where something that's important to them may no longer be possible to
do
31.and are in some discomfort or outright pain.
32.So hopefully you're intrigued and interested in addressing the case,
33.and interested in figuring out what's going wrong.
34.So we'll need a plan in order to enable you to do that.
35. So what tools do you need in order to be able to figure out the cases?