Lower Limb Flashcards

1
Q

typical lower limb sites of impacted #s

on xray appears

A

femoral neck
tibial plateau
calcaneus
sclerotic

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2
Q

for all polytrauma mode of imaging is

A

CT

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3
Q

if pelvis is the sole site of injuring imaging =

A

xray

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4
Q

Ix of choice for low E (elderly osteoporotic) pelvic fractures

A

MRI

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5
Q

typical sites that low E pelvic #s affect

A

sacrum and pubic rami

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6
Q

imaging that shows acute injury to superficial soft tissue

A

US

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7
Q

Best Ix for pelvic soft tissue injury

what can it show

A

MRI

blood/fluid in torn tendons

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8
Q

hip usually dislocates ___ with a ___ #

imaging for Sx planning =

A

posteriorly
pelvic rim #
CT

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9
Q

intracapsular proximal femur #s interfere with ___ and so prone to +
Rx =

A

blood supply
AVN+non union
hemiarthroplasty (if young and undisplaced = reduce and screw fixate)

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10
Q

extracapsular proximal femur # Rx =

A

internally fixate with DHS

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11
Q

lipohaemarthrosis under patellar/quad tendon is a sign of

A

intra articular #

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12
Q

80% of tibial plateau #s affect ___ after ___ force with foot ___

A

lateral condyle
valgus
planted

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13
Q

tibial plateau fractures imaging =

A

CT

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14
Q

extensor mechanism injuries imaging =

A

US

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15
Q

for acute knee trauma eg. meniscal tears, undisplaced #s, ligament and hyaline cartilage injury imaging =

A

MRI

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16
Q

spiral # of prox 1/3 of fibula + tear of distal tibiofibular syndesmosis and interosseous membrane + medial malleolus #/deep deltoid lig rupture =

A

Maisonneuve #

17
Q

talar dome margin # are caused by excessive __/__

A

in/eversion of ankle

18
Q

5th MT base # tend to be ___ #s
caused by ___
seen on __ xray

A

transverse
inversion
lateral

19
Q

calcaneal # mechanism of injury =

A

axial compression

20
Q

measure the central peak of the calcaneus using ____

A

Bohler’s angle

21
Q

fracture mimic in the 5th MT

which age group

A

5th MT longitudinal accessory ossification centre

adolescence

22
Q

fracture mimic in calcaneus

which age group

A

fragmented accessory ossification centre on posterior calcaneus
kids

23
Q

fracture mimic that is often visible posterior to distal femur

A

fabella = sesamoid bone in lateral head of gastroc

24
Q

fracture mimic often seen posterior to talus

A

os trigonum - accessory ossification centre

25
Q

rounded sesamoids in the foot are almost invariably seen on __+___ of ___ head

A

medial and lateral plantar aspect of 1st MT head

26
Q

imaging of ankle tendon injury that is easier for ptnts and allows dynamic testing

A

US

27
Q

Lisfranc #s are best shown on what imaging

A

CT

28
Q

groups at risk of knee extensor mechanism injury

A

middle age runners and jumpers
steroid/abx users
diabetics

29
Q

signs of knee extensor mechanism injury seen on xray =

A

effusion/displaced patella

30
Q

Rx for knee extensor mechanism rupture =

A

Sx repair and physio

31
Q

traction apophysitis at the tibial tubercle (patellar tendon insertion) =

A

Osgood-Schlatter’s

32
Q

Osgood Schlatters tends to affect this group of people =

leaves a ___

A

adolescent active male

prominent bony lump

33
Q

increases risk of achilles tendon rupture (3)

A

RA, steroids, tendonitis

34
Q

+ve Simmonds test =

for __

A

lie patient on their front and squeeze calf => no plantarflexion
Achilles tendon rupture

35
Q

Ix for achilles tendon injury =

A

US/MRI

36
Q

Rx for achilles tendon tear =

A

plaster/ Sx repair

37
Q

Tibialis posterior rupture progression:

___>progressive ___> rupture > progressive ___ + __

A

tenosynovitis
elongation
flat foot + valgus hindfoot

38
Q

Rx for tibialis posterior

A

NSAIDs
cast
inject
debrids may => tendon transfer