JAAOS lists Flashcards
When can bisphosphonates be considered? (6)
- Vertebral compression fracture with Osteoporosis
- Fragility fracture with osteoporosis
- Pagets
- MM
- OI
- AVN
- metastic disease (reduces skeletal events)
What are contributing factors to squeaking seen not only in COC but also MOM? (5)
- component malposition
- edge loading
- impingement
- third-body particles
- loss of lubrication
How does improper acetabular component orientation affect outcome of THA? (8)
- Increases dislocation rates
- component impingement
- Increased bearing surface wear
- Increased number of revision surgeries
- Leg length discrepancy increases
- Alteration of hip biomechanics
- Increased pelvic osteolysis
- Increased risk of acetabular component migration
What are the 5 moderate strength recommendations concerning distal radius fractures?
- Recommendations for surgical treatment
- Dorsal angulation >10 degrees
- shortening >3mm
- step off >2mm
- use a real cast for non op
- give vitamin c.
Fracture displacement in calcanei fractures typically results in these findings which can be problematic if malunion occurs. (5)
Loss of hindfoot height
Varus heel position,
Widening of the hindfoot
Possible subfibular impingement
Irritation of the peroneal tendon and/or sural nerve
What is the sole strong recommendation concerning vertebral osteoporotic compression fracture?
Don’t do a vertebroplasty.
4 complications of lateral humeral condyle fracture
- Cubitus valgus
- Tardy ulnar palsy
- Fishtail (due to osteonecrosis)
- Cubitus varus

Who wants to know the 4 moderate grade recommendations concerning RTC?
- NSAIDS and physio for incomplete tears
- No routine acromioplasty
- Don’t use xenograft patches
- Workers comp will do worse
What are the “most recognized” complications of TEA? (6)
- implant loosening
- periprosthetic fracture
- implant failure
- infection
- triceps insufficiency
- nerve palsy
List 8 complications of rTSA
- neurologic injury
- periprosthetic fracture
- hematoma
- infection
- scapular notching
- dislocation
- mechanical baseplate failure
- acromial fracture
List three distinct pathological types of knee osteonecrosis.
- secondary ON
- spontaneous ON of the knee
- postarthroscopic ON
4 indications for an HTO of in a varus knee
- varus alignment of the knee associated with medial compartment arthrosis
- knee instability
- medial compartment overload following meniscectomy
- osteochondral defects requiring resurfacing procedures
Concerning healed in situ pinning of SCFE, a proportion of these patients progress to symptomatic femoral acetabular impingement. List 3 surgical treatment options.
- arthroscopic femoral neck osteochondroplasty
- a limited anterior hip approach or surgical hip dislocation
- flexion intertrochanteric osteotomy
Concerning arthroscopic release of arthrofibrosis of the knee what four areas do you want to address?
- the anterior interval
- posterior capsule
- peripatellar
- suprapatellar regions
List contraindications to TAR (7)
uncorrectable deformity
severe osteoporosis
talus osteonecrosis
charcot joint
ankle instability obesity
young laborers increase the risk of failure and revision
List factors contributing to chronic ankle instability
Mechanical Pathologic laxity
Arthrokinetic restriction
Synovial changes
Degenerative changes
Functional Impaired
proprioception Impaired
neuromuscular control Impaired
postural control
Strength deficits
List 5 risk factors for progression of sponylolisthesis (5)
>50% slip
>50 deg slip angle
dysplastic
young age
female
Risk factors of pseudoarthrosis of sponylolisthesis (6)
Sacral slope > 45 deg
Hypermobile
L5/S1 Decompression
Sacral dysplasia
Spina bifida
Secondary changes of S1 from slip
Risk factors for child abuse (8)
low income
unemployed
single parent homes
abuse of parents
drug abuse
recent job loss of parent
children with disabilities (cerebral palsy, premature)
step children
Poor prognostic factors with Ewings
Location - spine and pelvic tumors (distal tumors have a better prognosis)
Size - tumors greater than 100cm3 or >8cm
Age >14 yo
Male
LDH >200IU
CRP/WBC elevation may be associted with mets and higher tumor burden
< 95% necrosis with chemotherapy
p53 mutation in addition to t(11:22) translocation
Relapse at < 2years
Complications of radiotherapy in a young person (5)
fragility fractures
limb length discrepancy
joint contracture
muscle atrophy
pathological fractures secondary malignancy (sarcoma, usually at 10 years, 20% will develop by 20 years)
Indications for immediate surgical fixation SCH# (8)
Open fracture
Dysvascular limb
Skin puckering
Floating elbow
Median nerve palsy
Evolving compartment syndrome
Young age
Cognitive disability
Surgical indications for disci tis (6)
◦ abcess ◦ neurologic deficits (for any reason) ◦ progressive deformity ◦ gross spinal instability ◦ persistent infection despite antibiotic (BW still elevated)
Indications for medical treatment of a spinal epidural abcess
◦ no neurologic deficits ◦ small abscess ◦ patient capable of close clinical follow-up ◦ those who are not candidates for surgery due to medical comorbidities





