MSK

Question 1

Adhesive Capsulitis phases

Answer 1

First: 2-9 months
Second: 4-12 months
Recovery: 5-24 months

External rotation is the first to go

Question 2

AC joint separation

Answer 2

6 types:

1 - stretched: non-op
2- partial rupture: cc sprain, AC tear, non-op
3 - complete rupture - cc and ac
4 - posterior dislocation: surgery
5 - tenting: surgery
6 - inferior: surgery

Type II:

Question 3

DRUJ

Answer 3

FOOSH Injury
Can be associated with distal radius fracture
PE: Ulnar styloid (Piano key)
Fovea sign - point tenderness over ulnar capsule
XR: displacement of Ulna compared to radius

Question 4

Skier’s Thumb / Game keepers thumb

Answer 4

Laxity of UCL 2nd to forced abduction
- COMPARE TO OTHER THUMB
Tx: Thumb spica, complete tear OR within

Watch for Stener Lesion

Question 5

Dislocated Knee

Answer 5

Very lax knee
3/4 ligaments involved
Needs:
CTA, ABI, NV exam.

Question 6

Ankle Physical Exam

Answer 6

Start at knee and work down
Palpate entire fibula (Maisonneuve)
Squeeze calf
Palpate Syndesmosis
Palpate talus head
Ankle dorsiflexion , externally rotate
Anterior Drawer
Squeeze calcaneus
Look for ecchymoses over plantar aspect / mid foot

Question 7

Lisfranc Injury

Answer 7

Sprain to complete disruption of the taso-metatarsal joint
- Bruising at bottom of foot
- Plantarflexion + external rotation
PE:hematoma/ecchymoses on plantar foot, midfoot swelling
XR: Often normal
- Do both feet with weightbearing
- 1-2 or 2-3 metatarsal bases w
- “Fleck sign”
Tx: Posterior slab, walking boot, NWB

Question 8

Muscles and their insertions for pelvic apophyseal Avulsion

Answer 8

ASIS: Sartorius and TFL
AIIS: Rec Fem
Ischial Tuberosity: Hamstrings
Greater trochanter: Rotators
Lesser trochanter: Iliopsoas

Question 9

Pattern of reduction and splinting procedure

Answer 9

Traction
Reduction
Apply splint materials
Molding
Position

Question 10

3 Types of Hip Fracture

Answer 10

Subcapital
Intertrochanteric
Subtrochanteric

Question 11

Segond Fracture

Answer 11

Lateral tibial plateau avulsion of the capsule - +++ association with ACL-R

Question 12

Toddler’s #

Answer 12

Age 9 mo to 4-5 years
Twisting of foot causes oblique fracture of tibia
Usually normal or subtle XR findings
Slab / Boot and f/u with ortho

Question 13

Maisonneuve Fracture

Answer 13

Medial malleolus and proximal fibular head fracture
External rotation / eversion mechanism

Question 14

Tillaux Fracture

Answer 14

Tween girls and boys
Distal tibial growth plate closes from medial to lateral
Salter III of the distal tibia

Question 15

base of the 5th #

Answer 15

Ankle inversion injury
Avulsion of the peroneus brevis or lateral plantar aponeurosis
Low profile air Qboot

Question 16

Jones’ #

Answer 16

Proximal 5th metatarsal#
between proximal and middle 1/3 of metatarsal
“Acute on chronic stress #”
Posterior slab, NWB
Ortho f/u