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Orthopedic Surgery OITE > Flashbang! > Flashcards

Flashbang! Flashcards

1
Q

Flashbang!

Hindfoot valgus that doesn’t correct with toe standing.

A

Think tarsal coalition.

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2
Q

Flashbang!

Pediatric conditions: Odontoid hypoplasia

A

Morquio’s syndrome and pseudoachondroplasia

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3
Q

FlashBang!

pediatric distal femur fracture

A

Complication = Limb length discrepancy or angular deformity

  • results from physeal arrest
  • occurs in 30-50% of displaced fractures
  • prevent with
  • anatomic physeal alignment (critical)
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4
Q

Flashbang

Bilateral sesamoiditis

A

Concern for:

Reiter’s disease

Psoriatic arthritis

Seronegative RA

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5
Q

Flashbang!

Looks like perthes but is simultaneous and bilateral.

A

MED

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6
Q

Flashbomb!

Markedly elevated CPK

A

Duchennes muscular dystrophy

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7
Q

Flashbang!

SED

A

Involve:

  1. ophthalmologist
    • obtain yearly eye examination
  2. pulmonologist
    • monitor for declining lung function
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8
Q

Flashbomb!

Pediatric Olecrenon Fracture

A

Association with OI

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9
Q

Flashbang!

Intravascular Injection of Bupivicaine

A

Can cause arrythmia and asystole

Give intravascular lipid emulsion immediatly.

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10
Q

FlashGong!

Pediatric patient: Distal tibial physeal fracture

A

Risk of unrecognized rotational deformity which can lead to increased external foot progression angle.

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11
Q

Flashbang!

Recon with PAGETS

A

Increased bleeding - need cell-saver

Increased risk for intra-op fracture

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12
Q

Flashbang!

JIA Workup

A

Examine C-Spine (AAS)

Opthamology consult (Uveitis)

Abdominal exam (splenomegaly)

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13
Q

Flashbang!

Pediatric patient with irriducible (closed) injury.

A

Usually interposed soft tissue

PERIOSTEUM

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14
Q

Flashbang

recurrent MT stress fractures

A

cavovarus foot

female athlete triad

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15
Q

Flashbang!

Patient has spondylodiskitis.

A

MRI the ENTIRE spine.

high incidence of skip lesions.

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16
Q

FlashNuke

Charcot Shoulder

A

Syrinx

17
Q

Flashbang!

Surgically treated tibial eminence fracture.

A

Risk of arthrofibrosis is high.

Early ROM is critical.

18
Q

Flashbang!

Nerve Injury post THR

A
  1. Examine patient
  2. Flex knee and extend hip
  3. Release compressive bandages
  4. Assess for hematoma - release in OR if present
  5. EMG at 3 months
  6. Involve nerve surgeon
  7. Foot Drop Splint
  8. Only 30% recover completely
19
Q

Flashbang!

Larsens Syndrome

A

Cervical spine imaging to rule out cervical kyphosis

20
Q

Flashbang!

OI patient with apnea, altered consciousness, ataxia, or myelopathy.

A

Basilar Invagination.

usually 3 or 4 decade of life.

21
Q

Flashbang!

BBFA fracture treated with CR and cast.

(Involving long term prognosis.)

A

5-10% chance of re-fracture

22
Q

FlashGrenade!

Hemihypertrophy

A

Association with malignant intra-abdominal tumours and genitourinary pathology

  • malignant intra-abdominal tumors
    • Wilm’s tumor (most common)
      • perform serial abdominal ultrasounds (every 3 months) until age 7 to rule out Wilm’s tumor
      • then physical exam every 6 months until skeletal maturity
    • adrenal carcinoma
    • hepatoblastoma
  • genitourinary abnormalities
    • medullary sponge kidneys
    • polycystic kidney
    • inguinal hernias
23
Q

Flashbang!

Ehlors Danlos w/u

A

Echocardiogram

(mitral valve and aortic root)

24
Q

Flashbang!

Bilateral sesamoiditis

A

Concern for:

  1. reiter’s disease (urethritis, conjuctivitis / iritis, inflammatory bowel disease)
  2. psoriatic arthritis
  3. seronegative RA
25
Q

Flashbang!

Pediatric proximal tibia fracture.

A

WARN FAMILY​

Cozen phenomenon

  • Risk of valgus deformity
    • Usually self correcting
  • Risk of LLD
    • Does not correct
    • Affected tibia usually LONGER (overgrowth)
26
Q

Flashbang!

Hemophilia

A

HIV

90% prevalence

27
Q

Flashbang!

Pediatric conditions: Spinal Stenosis

A

Achondroplasia

28
Q

Flashbang!

Displaced distal ulnar physeal injury

A

Associated with DRUJ injury

29
Q

Flashbang!

Patient is on Phenytoin.

A

Can cause osteoporosis and fracture.

30
Q

Flashbang!

Myelodysplasia

A

Latex Allergy

Anaphylactic

(IgE mediated)

31
Q

FlashGang!

Pediatric MRSA Osteomyelitis

A

High risk of DVT and septic emboli

32
Q

Flashbang !

Crouch walker - CP Gait

A

Don’t do isolated heel cord lengthening because it will worsen the deformity.

33
Q

Flashbang!

Pediatric carpal tunnel syndrome

A

Mucopolysaccharidoses

Type 1 S (Sheie)

34
Q

Flashbang!

Total knee in setting of patellectomy.

A

Have to use PS knee.

Orthopedic Surgery OITE (21 decks)

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