cards Flashcards
Which type of fractures are associated with compartment syndrome
Supracondylar
Tibial shaft fractures
What imaging modality for osteomyelitis
MRI: bone marrow edema, low signal T1 and high signal on fluid sensitive sequences
MC mechanism of ankle sprain
Inversion
Clin f of compartment syndrome
Pain - even on passive movement
Parasthesia
Pallor
Paralysis
Presence of pulse doesn’t r/o compartment syndrome
Spot diagnosis: firm and well circumscribed mass that transilluminates on the dorasal aspect of the wrist
ganglion cysts
Clin f of iliotibial band syndrome
lateral knee pain in runners
Clin f of meniscal tear
rotation sporting injuries
delayed knee swelling
joint locking
reccurent spisodes of pain and effusion
What is the definitive mng of septic arthrits
Arthroscopic washout/ debridement
What are the features of Leriche syndrome
triad of symptoms in men: claudication of buttocks and thighs, atrophy of musculature of the legs, impotence due to L1 paralysis
Features of ACL rupture
sports injury
twisting force to a bent knee
loud crack and pain and rapid jt swelling due to hemoarthrosis
poor healing
Features of PCL rupture
hyperextension injuries
tibia lies back on femur
paradoxical ant drawer test
Features of MCL rupture
Leg forced into valgus via force outside the leg
knee unstable when put into valgus
Features of meniscal tear
rotational sporting injuries
dalayed knee swelling
jt locking
recurrent ep of pain and effusion
Features of chondromalacia patellae
teenage girls following injury to knee
pain going downstairs or on rest
tenderness, quadriceps wasting
features of patellar dislocation
traumatic primary event-> direct trauma or severe contraction of quadriceps with knee stretched in valgus and ER
RF: genu valgum, tibial torsion, high riding patellar
XR: skyline
Features of patellar fracture
Direct blow - undisplaced fragments and avulsion fracture
Features of tibial plataeu fracture
In the elderly
Knee, forced into vargus/ valgus but knee fractures before ligament ruptures
Varus = affects medial plataeu
Valgus = affects lateral plataeu - depressed fracture
How to manage pregnancy induced carpal tunnel
- wrist splint, activity mods, hand and wrist exercises
Pt profile for discitis
IVDU and infective endocarditis
Clin F of discitis
back pain
systemic: fevers, rigors
neuro features
Causes of discitis
bacterial- mc= staph aureus
viral
TB
aseptic - spondyloarthropathies, RA, gout/ psueudogout
discitis mng
assess for endocarditis with transthoracic/ transesophageal echo
6-8 weeks IVABX
Which late sign of compartment syndrome indicates poor prognosis
Pulselessness
How long to continue DAPT for after insertion of drug eluting stent
6mo - longer term tx are ass with increased risk of bleeding and non cardiac deaths
