Delayed puberty is defined as the absence of any signs suggestive of puberty by 14 years of age. In this case, the patient's pubertal delay appears to be constitutional because of his positive family history, absence of syndromic features or systemic illness, and bone age of 12 years. Puberty correlates more closely with bone age than chronological age. On follow-up, the patient will most likely demonstrate a similar onset of puberty as his father.

Basic Surgical Instrumentation

ATTENTION! 5 Warning Signs Of BREAST CANCER That Many Women Ignore!

Sinusitis and Sinus Surgery Explained (Balloon Sinuplasty and Endoscopic Sinus Surgery)

-Tibial stress fractures are common in athletes and nonathletes who suddenly increase their physical activity. Clinical features include pain, localized tenderness, and swelling. Plain x-ray is <50% sensitive for stress fractures, especially in the first 2-3 weeks after the onset of symptoms. MRI is preferred over bone scan or ultrasound as it can show the fracture line that extends through the cortex into the medullary line. MRI can also identify ligament, muscle, and cartilage injuries. However, MRI findings may be persistently abnormal for up to 1 year after the stress fracture has healed.

This is a surgical video that shows the removal of a volar ganglion cyst. This is a common surgical procedure and this video may help you better understand the steps that occur during the procedure.

0 to 9 Months Journey In The Womb

A deep cut on the palm side of your fingers, hand, wrist, or forearm can damage your flexor tendons, which are the tissues that help control movement in your hand. A flexor tendon injury can make it impossible to bend your fingers or thumb.

Ultrasound-guided internal jugular cannulation

An example of a technique I use in my surgical practice

Biceps tenodesis surgery is performed when the biceps tendon is damaged, or the rotator cuff tendon or cartilage ring in the shoulder is torn. The biceps tendon is a strong rope‐like structure connecting the upper end of the biceps muscle to the bones in the shoulder. In biceps tenodesis surgery, the biceps tendon is separated from the shoulder and reattached to the humerus, or the upper arm bone.

Australian Blood Donor Saves 2 Millions Babies with Special Right Arm

An animation for Acumed demonstrating their new line of screws for fixing fractures. This one is focused on a Scaphoid fracture in the hand.

Removal and Replacement with Breast Capsulectomy

Possible complications could include: Difficulty healing. Infection. Stump pain (severe pain in the remaining tissue) Phantom limb pain (a painful sensation that the foot or toe is still there) Continued spread of gangrene, requiring amputation of more areas of your foot, toes or leg. Bleeding. Nerve damage.

Expressing the First Milk

Hand Express Breast Milk,Breastfeeding

A fluid-filled swelling (cyst) in the Bartholin's glands, which lubricate the vagina.

Bartholin gland Marsupialization in Primary Bartholin Cyst

heart dissection / cardiac anatomy