MLA Orthopaedics Flashcards
Decreased sensation on the palmar surface involving the thenar eminence, and the index and middle fingers as well as half of the ring finger - which nerve is affected?
Media nerve compression (carpal tunnel syndrome)
What is the most likely complication of a scaphoid fracture?
Avascular necrosis
When should an amputation be performed when irreversible necrotic changes affect a limb?
Within 6 hours
A 24-year-old man presents to the Emergency department with a left forearm deformity after a fall playing sport. Radiological imaging reveals dislocation of the radial head and a proximal fracture of the ulna.
What is the most likely diagnosis?
Monteggia fracture
Which fracture is associated with dorsal angulation, involving the distal radius?
Colles fracture
Which fracture is associated with snuff box tenderness?
Scaphoid fracture
Which fracture is associated with dislocation of the radial head and proximal fracture of the ulna?
Monteggia fracture
Which fracture is associated with dislocation of the ulna head, and radial shaft fracture?
Galaeazzi fracture
What is the first line management for an angualted supracondylar fracture?
Open reduction and internal fixation
Pain on passive leg movement accompanied by paraesthesia, and tightness, is consistent with what diagnosis?
compartment syndrome
What is the 1st line management for compartment syndrome?
Fasciotomy
What should be reimplanted first during replantation of an amputated finger?
Bone
What is the first line management for gout?
Colchicine
What is the first line of management for septic olecranon bursitis?
Aspiration and antibiotics
Following joint aspiration, what is the first line investigation for septic arthritis?
Blood cultures
