Dums rugby, Flashcards
What is transient synovitis?
Self limiting inflammation of the synovium of the joint.
Most common cause of juvenile hip pain.
Occurs after viral infection.
Rest and NSAIDs.
How do you treat DDH
Pavlik harness.
What is Perth’s disease and who gets it?
idiopathic osteochondritis of the femoral head.
Pain and limp; more common in active boys.
Femoral head transiently loses blood supplies.
Trendelenburg test +ve, reduced abductor power.
Management of perthes?
NSAIDs, physio, rest.
Golfers elbow?
Medial epicondylitis (flexor)
Management = rest + NSAIDs +/- steroids
Tennis elbow?
Lateral epicondylitis
Worse on extension at the wrist.
Management = rest + NSAIDs +/- steroids.
Buzzword for trigger finger?
A1 pulley, nodules enlargement that produces a click when you move your finger.
Management of trigger finger?
Steroid injections.
Dorsal interossei function?
DAB - Dorsal = Abduction.
Palmar interossei function?
PAD - Palmarr - addiction.
How do you managed club foot?
Ponseti technique.
What is SUFE and how do you manage it?
Pain and limp + groin pain + fat + not active.
MAy present with knee pain.
At risk of AVN so all need to get a nail.
What happens to the femoral head in SUFE
Slips inferior in relation to the femoral neck.
+ve Steinman’s test indicates what?
Meniscal tear.
+ve lachman’s test
ACL rupture
=+ve simmonds test?
Achilles rupture.
MCL rupture, pain on what stress?
Valgus.
What nerve and artery are at risk in anterior should disoclation and how do u manage it?
Axillary nerve injury and axillary artery injury.
1) closed reduction under sedation.
2) Open reduction.
Bankart repair for recurrent dislocation.
Humeral shaft fracture, what artery and nerve?
Radial nerve and brachial artery.
What is an isolated ulnar fracture
Nightstick, manage conservatively.
What is a smiths fracture and how do u manage it?
Opposiitve for a Colles fracture.
Distal radius fracture with volar displacement.
ORIF (highly unstable).
What x-rays required for scaphoid #?
AP, lateral and 2 oblique.
How does a hip fracture present?
Externally rotated and shortened.
Disruption of shenton’s line.
Management of intracapsiualr fracture?
hemi-arthroplasty or THR.
