**Figure 1:** Ultrasound of the bilateral Achilles tendon with notable findings of surrounding anechoic fluid collection (white arrow) and decreased tendon diameter of the affected side.

Ortho Pearls - Ankle Pain After Jumping

November 5, 2023

The Case:

A 32-year-old man with no past medical history presented to the ED with left posterior ankle pain after playing basketball. He stated he jumped and felt an immediate “pop” and pain in the posterior leg. He has been unable to ambulate due to the pain. On exam, he had a positive Thompson test on the left calf. Radiographs were negative for acute fracture, but point of care ultrasound (POCUS) demonstrated an Achilles tendon injury.

Megan Buranosky MD, Victoria Gonzalez MD, and Scott Sherman MD

Ortho Pearls: A Case of Sternoclavicular Septic Arthritis

February 3, 2022

The Case: A 56-year-old man presents with a tender mass on his chest.

Ortho Pearls: A Case of Spontaneous Compartment Syndrome

December 9, 2021

The Case: 55-year-old woman presented to the ED with two days of worsening bilateral leg pain, stiffness, and swelling. She first noticed a change two nights prior when she woke up to use the restroom and found she had some difficulty moving her legs. She noticed increased difficulty walking since that period. She denied any trauma, IVDU, or anticoagulant use. Prior to the onset of her symptoms, she routinely walked two to three miles each day.

the County Consult