2. MSK High Yield Flashcards

1
Q

Muscle involved in Avulsion # @ Iliac Crest

A

Abdominal Muscles

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2
Q

Muscle involved in Avulsion # @ ASIS

A

Sartorius

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3
Q

Muscle involved in Avulsion # @ AIIS

A

Rectus Femoris

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4
Q

Muscle involved in Avulsion # @ Greater trochanter

A

Gluteal muscles

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5
Q

Muscle involved in Avulsion # @ Lesser trochanter

A

Iliopsoas

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6
Q

Muscle involved in Avulsion # @ Ischial tuberosity

A

Hamstrings

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7
Q

Muscle involved in Avulsion # @ pubic symphysis

A

Adductor group

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8
Q

Essex-Lopresti #

A

of radial head & anterior dislocation of distal radio-ulnar joint

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9
Q

Fracture of radial head & anterior dislocation of distal radio-ulnar joint

A

Essex Lopresti #

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10
Q

Abdominal muscle causes avulsion # of…

A

Iliac crest

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11
Q

Sartorius muscle causes avulsion # of…

A

ASIS

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12
Q

Rectus femoris causes avulsion # of…

A

AIIS

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13
Q

Gluteal muscles cause avulsion # of…

A

Greater Trochanter

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14
Q

Hamstrings cause avulsion # of…

A

Ischial tuberosity

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15
Q

Iliopsoas causes avulsion # of…

A

Lesser trochanter

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16
Q

Adductor group cause avulsion # of…

A

Pubic symphysis

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17
Q

Galeazzi Fracture

A

Radial shaft # with anterior dislocation of ulna at distal radio-ulnar joint

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18
Q

Radial shaft # with anterior dislocation of ulna at distal radio-ulnar joint

A

Galeazzi Fracture

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19
Q

Monteggia Fracture

A

Proximal ulnar # with anterior dislocation of radial head

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20
Q

Proximal ulnar # with anterior dislocation of radial head

A

Monteggia Fracture

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21
Q

Bankart Spectrum (4 stages)

A

GLAD: Superficial partial labral injury with cartilage tear. Stable
Perthes: Avulsed anterior labrum (only minimal displacement). Inferior GH complex still attached to periosteum. Intact periostium
ALPSA: Similar to Perthes, but medially displaced, “bunched up” inferior GH complex. Intact periostium.
True Bankart: Torn labrum, periostium distupted.
Bony Bankart: Anterior, inferior glenoid fracture.

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22
Q

GLAD shoulder

A

Superficial partial labral injury with cartilage defect. Periostium intact

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23
Q

Superficial partial labral injury with cartilage tear. Periostium intact

A

GLAD shoulder

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24
Q

Perthes’ shoulder

A

Avulsed anterior labrum (minimally displaced), intact inferior GH complex, still attached to periostium. Intact periostium.

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25
Q

Avulsed anterior labrum, minimally displaced. Intact inferior GH complex and periostium

A

Perthes shoulder

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26
Q

ALPSA

A

Avulsed anterior labrum, “bunched up”, medially displaced inferior GH complex. Intact periostium

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27
Q

Avulsed anterior labrum. “bunched up” and medially displaced inferior GH complex. Intact periostium

A

ALPSA

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28
Q

Bankart injury (cartilaginous)

A

Torn labrum and GH ligament. Periostium distrupted.

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29
Q

Torn labrum and GH ligament. Periostium disrupted.

A

Bankart lesion (cartilaginous)

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30
Q

Bony bankart lesion.

A

Fractured anterior glenoid rim

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31
Q

Fractured anterior glenoid rim

A

Bony Bankart

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32
Q

Posterior Elbow dislocation associated with

A

Capitulim #

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33
Q

Capitulum # associated with

A

Posterior elbow dislocation

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34
Q

Chondroblastoma in adult associated with

A

Clear Cell Chondrosarcoma

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35
Q

Malignant epiphyseal lesion associated with

A

Clear Cell Chondrosarcoma

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36
Q

Permeative lesion in the diaphysis of a child

A

Ewings sarcoma

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37
Q

T2 bright lesion in the sacrum

A

Chordoma

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38
Q

Lytic T2 dark lesion

A

Fibrosarcoma

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39
Q

Sarcomatous transformation of an infarct

A

MFH (malignant fibrous histiocytoma)

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40
Q

Epiphyseal lesion that is NOT T2 bright

A

Chondroblastoma

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41
Q

Short 4th metacarpal

A

Pseudopseudohypoparathyroidism and Turners Syndrome

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42
Q

Clear Cell Chondrosarcoma

A

Chondroblastoma in Adult
OR
Malignant epiphyseal lesion

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43
Q

Ewings

A

Permeative lesion in the diaphysis of a child

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44
Q

Chordoma

A

T2 bright lesion in sacrum

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45
Q

Fibrosarcoma

A

Lytic, T2 Dark lesion

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46
Q

Malignant Fibrous Histiocytosis

A

Sarcomatous transformation of an infarct

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47
Q

Chondroblastoma

A

Epiphyseal lesion that is NOT T2 bright

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48
Q

Pseudopseudohypoparathyroidism & Turners

A

Short 4th metacarpal

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49
Q

Band like acro-osteolysis

A

Hajdu-Cheney

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50
Q

Hadju-Cheney

A

Band like acro-osteolysis

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51
Q

Fat containing tumour in the retroperitoneum

A

Liposarcoma

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52
Q

Liposarcoma

A

Fat containing tumour in the retroperitoneum

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53
Q

Sarcoma in the foot

A

Synovial Sarcoma

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54
Q

Synovial sarcoma

A

Sarcoma in the foot

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55
Q

Avulsion of the lesser trochanter

A

Pathological fracture

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56
Q

Crossover sign

A

Pincer type FAI (Femoro-Acetabular Impingement)

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57
Q

Pincer type femoroacetabular impingement (FAI)

A

Cross over sign

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58
Q

Segond fracture (what is it? Associated with?)

A

(lateral tibial plateau #) ACL tear

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59
Q

Deep intercondylar notch

A

ACL tear

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60
Q

ACL tear (2)

A

Deep intercondylar notch
Segond # (Lateral tibial plateau avulsion #)

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61
Q

Reverse segond #

A

Medial tibial plateau avulsion #, PCL tear

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62
Q

Arcuate sign

A

PCL tear
Fibular head avulsion

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63
Q

PCL tear (3)

A

Reverse Segond #
Arcuate sign
Fibular head avulsion

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64
Q

Bilateral Patellar Tendon Ruptures

A

Chronic steroid use

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65
Q

Wide ankle mortise

A

Look for proximal fibula (Maisonneuve #)

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66
Q

Bilateral calcaneal #

A

Look for spinal compression fracture (Lover’s leap)

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67
Q

Dancer with lateral foot pain

A

Avulsion of 5th MT

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68
Q

Avulsion of 5th MT

A

Dancer with lateral foot pain

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69
Q

Old lady with sudden knee pain with standing

A

SONK (Spontaneous OsteoNecrosis of the Knee)

70
Q

SONK (Spontaneous OsteoNecrosis of the Knee)

A

Old lady, sudden knee pain with standing

71
Q

Looser’s zones associated with

A

Osteomalacia or Rickett’s (low vit D)

72
Q

Osteomalacia or Rickett’s (low Vit D) (imaging buzzword)

A

Looser’s Zones

73
Q

Unilateral RA with preserved joint spaces

A

RSD (Reflex Sympathetic Dystrophy)

74
Q

RSD (Reflex Sympathetic Dystrophy)

A

Unilateral RA with preserved joint spaces

75
Q

T2 bright tumour in finger

A

Glomus tumour

76
Q

Glomus tumour

A

T2 bright tumour in finger

77
Q

Blooming in tumour in finger

A

Giant Cell Tumour of Tendon Sheath (PVNS)

78
Q

Giant Cell Tumour of Tendon Sheath (PVNS)

A

Blooming in tumour in finger

79
Q

Atrophy of teres minor

A

Quadrilateral space syndrome

80
Q

Quadrilateral space syndrome

A

Atrophy of teres minor

81
Q

Subluxation of biceps tendon

A

Subscapularis tear

82
Q

Subscapularis tear

A

Subluxation of biceps tendon

83
Q

Too many bow ties

A

Discoid meniscus

84
Q

Discoid meniscus

A

Too many bow ties

85
Q

Celery stalk ACL - T2

A

Mucoid degeneration

86
Q

Drumstick ACL - T1

A

Mucoid degeneration

87
Q

Mucoid degeneration

A

Celery stalk ACL - T2
Drumstick ACL - T1

88
Q

Acute flat foot

A

Posterior tibial tendon tear

89
Q

Posterior tibial tendon tear

A

Acute flat foot

90
Q

Boomerang shaped peroneus brevis

A

Tear or split tear (peroneus brevis)

91
Q

Tear or split tear (peroneus brevis)

A

Boomerang shaped peroneus brevis

92
Q

Meniscoid mass in the lateral gutter of the ankle

A

Anteriolateral Impingement Syndrome

93
Q

Anteriolateral Impingement Syndrome

A

Meniscoid mass in the lateral gutter of the ankle

94
Q

Scar between 3rd and 4th metatarsals

A

Morton’s neuroma

95
Q

Morton’s neuroma

A

Scar between 3rd and 4th metatarsals

96
Q

Osteomyelitis in the spine

A

IV drug user

97
Q

Osteomyelitis in the spine with kyphosis

A

TB (Gibbus deformity)

98
Q

TB (Gibbus deformity)

A

Osteomyelitis in the spine with kyphosis

99
Q

Unilateral SI joint lysis

A

IV drug user

100
Q

Psoas muscle abscess

A

TB

101
Q

Rice bodies in joint

A

TB (sloughed synovium)

102
Q

TB (Sloughed synovium)

A

Rice bodies in joint

103
Q

Calcification along the periphery

A

Myositis ossificans

104
Q

Myositis ossificans

A

Calcification along the periphery

105
Q

Calcifications more dense in the centre

A

Osteosarcoma (reverse zoning)

106
Q

Osteosarcoma (radiological feature/buzzword)

A

(reverse zoning) calcifications more dense in the centre

107
Q

Premeative lesion in the diaphysis of a child

A

Ewings

108
Q

Ewings

A

Permeative lesion in the diaphysis of a child

109
Q

Long lesion in a long bone

A

Fibrous dysplasia

110
Q

Fibrous dysplasia

A

Long lesion in a long bone

111
Q

Large amount of oedema for size of lesion

A

Osteoid osteoma

112
Q

Osteoid osteoma (imaging feature/buzzword)

A

Large amount of oedema for size of lesion

113
Q

Cystic bone lesion, NOT T2 Bright

A

Chondroblastoma

114
Q

Chondroblastoma

A

Cystic bony lesion, NOT T2 bright

115
Q

Lesion in finger of child

A

Periosteal chondroma

116
Q

Periosteal chondroma

A

lesion in finger of child

117
Q

looks like NOF (Non-ossifying fibroma) in anterior tibia with anterior bowing

A

Osteofibrous dysplasia

118
Q

Osteofibrous dysplasia

A

Looks like NOF (non-ossifying fibroma) in anterior tibia with anterior bowing

119
Q

RA + Pneumoconiosis

A

Caplan syndrome

120
Q

Caplan syndrome

A

RA + Pneumoconiosis

121
Q

RA + Big Spleen + Neutropenia

A

Felty syndrome

122
Q

Felty syndrome

A

RA + Big spleen + Neutropenia

123
Q

Reducible deformity of joints in hand

A

Lupus

124
Q

Lupus (joints)

A

Reducible deformity of joints in hand

125
Q

Destructive mass in a bone of leukaemia pt

A

Chloroma

126
Q

Chloroma

A

Destructive mass in bone of leukaemia pt

127
Q

First sign of SLAC or SNAC wrist

A

Arthritis of the radioscaphoid compartment

128
Q

Arthritis of radioscaphoid compartment

A

First sign of SLAC or SNAC wrist

129
Q

SLAC wrist associated with

A

DISI deformity

130
Q

DISI deformity associated with

A

SLAC wrist

131
Q

Cause of dorsolateral dislocation in Bennett fracture

A

Pull of Abductor Pollucis Longus Tendon

132
Q

Pull of Abductor Pollucis Longus tendon causes

A

Dorsolateral dislocation in Bennett Fracture

133
Q

Carpal Tunnel syndrome associated with

A

Dialysis

134
Q

Dialysis associated with

A

Carpal Tunnel syndrome

135
Q

Risk of AVN from #NOF depends on…

A

Degree of femoral head displacement

136
Q

Degree of femoral head displacement (#NOF) determines

A

Risk of AVN

137
Q

Part of scaphoid at risk of AVN following fracture

A

Proximal pole

138
Q

Commonest cause of sacral insufficiency fracture (old lady)

A

Osteoporosis

139
Q

Commonest direction of patellar dislocation

A

Lateral (almost always)

140
Q

Commonest tibial plateau fracture

A

Lateral

141
Q

SONK favours which part of knee

A

Medial (most weight bearing)

142
Q

Normal SI joints excludes

A

Ankylosing Spondylitis

143
Q

Ankylosing Spondylitis excluded by

A

Normal SI Joints

144
Q

Looser’s Zones are a type of…

A

Insufficiency fracture

145
Q

Scoring system (& score needed) for Osteoporosis

A

T score (<-2.5)

146
Q

Isolated 1st extensor compartment tenosynovitis

A

de Quervain’s

147
Q

de Quervain’s

A

Isolated 1st extensor compartment tenosynovitis

148
Q

1st and 2nd extensor compartment tenosynovitis

A

Intersection syndrome

149
Q

Intersection syndrome

A

1st and 2nd extensor compartment tenosynovitis

150
Q

6th extensor compartment tenosynovitis

A

Early RA

151
Q

Early RA

A

6th extensor compartment tenosynovitis

152
Q

Flexor Pollicis and Carpal Tunnel

A

Flexor Pollicis Longus goes through carpal tunnel.
Flexor Pollicis Brevis DOES NOT

153
Q

Pisiform Recess and Radiocarpal Joint

A

These normally communicate

154
Q

Which 2 spaces in the wrist usually communicate

A

Pisiform recess and radiocarpal joint

155
Q

Absent anterior/superior labrum + thickened middle glenohumeral ligament

A

Bulford complex

156
Q

Bulford complex

A

Absent anterior/superior labrum + thickened middle glenohumeral ligament

157
Q

Thickest part of medial meniscus

A

Posterior

158
Q

Posterior part of medial meniscus is

A

Thicker

159
Q

Anterior talofibular ligament

A

Most commonly torn ankle ligament

160
Q

Most commonly torn ankle ligament

A

Anterior talofibular ligament

161
Q

TB in the spine

A

Spares disc space (so can brucellosis)

162
Q

Spine infection, spares disc space

A

TB in spine

163
Q

Conditions for QG

A

Quail Growth –> cuddles & forehead kisses

164
Q

Scoliosis curvature and osteoid osteoma

A

Scoliosis curves away from the osteoid osteoma

165
Q

Only benign skeletal tumour associated with radiation

A

Osteochondroma

166
Q

Osteochondroma (trivia)

A

Only benign skeletal tumour associated with radiation

167
Q

Ix for Mixed Connective Tissue Disease

A

Requires serology for Dx (Ribonucleoprotein)

168
Q

Medullary bone infarct

A

Will have fat in the middle

169
Q

Bucket handle meniscal tears are…

A

…longitudinal tears

170
Q

Longitudinal meniscal tears a.k.a.

A

Bucket handle tears