For someone with a ball and socket ankle that does sports like Hyrox regularly but experiences soreness afterwards (but not on the other normal foot), is continued sports like Hyrox likely to degrade the ball and socket foot and cause more complicating factors - like arthritis or impede the ability to do other sports and walk?

Hi everyone, Im an incoming M2 and I recently found out about the field of peripheral nerve surgery and I was wondering how frequently orthopedic surgeons get involved with it. I used to think that it was something confined to neurosurgery but found that plastic surgeons and orthopedic surgeons can get involved. I was wondering if anyone knew how big of a presence Orthopedics has in that area, and if anyone knew how common is was to focus a practice towards it. Does anyone know about this or any other information? Its always been a dream of mine so any information would be greatly appreciated. Thank you and have a great day!

it is time (this might just be a personal health situation)

We are a group of orthopedic surgeons who have been looking for a better way to digest orthopedic literature and make practice-changing evidence easier to find and interpret. The corpus of orthopedic literature is too large for anyone to properly synthesize when making clinical decisions. There has been some movement in this realm lately with advances in AI, but still nothing felt like a good one-stop hub for orthopedic surgery.

So over the past year my colleagues and I built something we felt like we needed: cortexorthopedics.com, which indexes the orthopedic literature, ranks papers on study design and methodological quality, and publishes evidence reports on surgical topics, each one structured and fully cited to PMIDs with direct quotes from the evidence within each citation.

- You can ask clinical/technical questions directly on the home page and get an answer instantly with direct citations from the literature. There are also sections for:

- Landmark Ortho Trials (foundational papers with structured interpretation)

- Recent Ortho Literature (a daily feed of newly published ortho literature, with interpretation and key findings)

- Evidence Report generator if you want to do a deep dive on a specific topic or question. And the evidence reports are rigorously and repeatedly verified against the primarily literature to make sure all the claims are supported and valid.

We are very interested to get feedback from anyone who tries it out. We've built out a paid tier for those who want access to the more rigorous evidence reports, but the main features are free for all users.

I'm looking for some honest advice because I'm having a hard time getting out of my own head.

I'm applying orthopaedic surgery this cycle and just got my Step 2 score back: 247.

I know that's not a bad score in general, but for ortho it feels like I underperformed significantly. My practice exams were consistently much higher (NBMEs in the mid/high 250s and even one in the 270s), so getting a 247 was honestly crushing.

Here's the rest of my application:

School

• US MD school
• Strong home department with faculty support

Clinical

• Honors/High Pass throughout third year
• Strong feedback on my home ortho Sub-I

Research

• 16 research items (4 first-author publications, 5 other publications, 7 presentations, abstracts, etc.)
• Ongoing projects that should continue to mature

Leadership

• Gold Humanism Honor Society
• Multiple leadership positions focused on mentorship and community outreach (AWS, RJOS, etc)

Letters

• Strong home letters
• Chair letter
• Well-known faculty writing on my behalf

Away rotations

1. NYU (obviously this is now next to impossible, but it's too late to change now)
2. Ochsner
3. Loyola
4. UT Chattanooga

I leave for NYU ln a couple of days, and now I feel like I have this huge cloud hanging over me.

The biggest thing I'm struggling with is whether a 247 gets you screened out at places like NYU, HSS, Columbia, Rush, etc. I know nobody on Reddit can know a specific program's filters, but I'm curious what people have actually seen.

Some questions:

• Is a 247 still competitive enough if the rest of the application is strong?
• Do programs with hard Step cutoffs automatically filter someone like me out?
• If you were a resident or faculty member, would a 247 make you significantly less interested in an applicant with otherwise strong research and letters?
• How much can an away rotation realistically move the needle?
• Is there anything I should do differently over the next few months?

I'm trying to separate reality from anxiety. Logically, I know a 247 isn't a "bad" score, but after spending months expecting to be around 255-260, it's hard not to feel like I sabotaged my chances.

I'd especially appreciate hearing from:

• Current orthopaedic residents
• Faculty involved in resident selection
• Anyone who matched recently with a similar score
• Anyone who had a lower-than-expected Step 2 but still ended up matching at a strong program

Please be honest. I'd rather hear the truth than false reassurance. If my application realistically changes from "academic ortho" to "cast a wider net," I'd rather know now so I can adjust my strategy before ERAS is submitted.

Thanks everyone.

Morton nöroma, ayak parmaklarına giden bir sinirin etrafındaki dokunun kalınlaşması sonucu meydana gelen iyi huylu sinir tümörleridir. Morton nöroma, ayaklarda sıkça görülen bir rahatsızlık olup, tedavi edilmediğinde ciddi sağlık sorunlarına yol açabilir. Özellikle ayaklarda şiddetli ağrılara yol açabilen bir durum olduğu için kişinin yaşam kalitesini de düşürebilir. Kişi ya da çevresel kaynaklı farklı nedenleri olabilen rahatsızlığın belirtileri de değişebilir. Morton nöroma genellikle karıncalanma, ağrı ya da şişlik belirtileriyle kendini gösterir.

I have been having this issue for two years while training, and it really bothers me. When I'm in child's pose, my right shoulder goes deeper/lower than my left. When I put my arms into a bent-over row position and rotate them externally (like pressing my hands against a wall with elbows bent 90°), my front delt starts burning badly. I can't bench properly or do lat raises — my shoulder gets tight, cracks, and that same burning comes back. I can't push my shoulder blades forward (protract) either. What are those parts called, the ones you push out during pulldowns? This feels off from every angle, and I doubt mobility drills alone will fix it. What do I do?"

Just curious as an ER/urgent care PA in the U.S. Thanks all.

Walking on the toes or the balls of the feet is fairly common in children who are just beginning to walk. This is known as toe walking. Most children outgrow it.

Kids who continue toe walking beyond the toddler years often do so out of habit. As long as the child is growing and developing as expected, toe walking is not likely to be a cause for concern.

Toe walking sometimes can result from certain conditions, including cerebral palsy, muscular dystrophy and autism spectrum disorder.

Symptoms

Toe walking is walking on the toes or the balls of the feet.

Causes

Generally, toe walking is a habit that develops when a child learns to walk. Rarely, toe walking is caused by an underlying condition, such as:

• A short Achilles tendon. This tendon links the lower leg muscles to the back of the heel bone. If it's too short, it can prevent the heel from touching the ground.
• Cerebral palsy. Toe walking can be a symptom. Cerebral palsy is a group of conditions that affect movement and posture. It's caused by damage that occurs to the developing brain, most often before birth.
• Muscular dystrophy. Toe walking sometimes occurs in this genetic disease in which muscle fibers are unusually prone to damage and weaken over time. This diagnosis might be more likely if your child initially walked as expected before starting to toe walk.
• Autism spectrum disorder. Toe walking has been linked to autism spectrum disorder, which affects a child's ability to communicate and interact with others.

Risk factors

Toe walking out of habit, also known as idiopathic toe walking, sometimes runs in families.

Complications

Constant toe walking can cause lasting changes to the structure of the foot and increase a child's risk of falling. It also can result in a social stigma.

Hi i’m a resident about to start 3rd year trying to figure out what to specialize in:

• i like creative procedures
• enjoy both microsurgery and large reconstructive cases
• enjoy fixing fractures
• want to have variety in practice
• enjoy treating people of all ages but especially kids
• i also want a job that will allow me to enjoy my family and other interests
• prefer not to have to do a ton of research as an attending

So far my favorite rotations have been tumor, hand, and trauma (in that order) though I think the quality of mentorship hugely impacts how I feel about each rotation. Haven’t done peds yet.

Everyone keeps saying that as a junior I have lots of time but I worry I don’t know what to prioritize / how to make this decision and that it’ll delay focused research and prepping fellowship apps. Any thoughts?

Moving to private practice and need to decide on an EMR - but if I'm going to transition (athena right now - don't love it) I want the fastest and easiest. I've seen some selling points on the AI scribes and ambient recording but wanted to know if anyone had any actual hands on experience.

Right now I'm leaning heavily toward Modmed. Office manager is pushing for emedicalpractice. Appreciate any advice.

Just wondering and couldn't find anything when I searched