MSK Flashcards

1
Q

what is a salter harris 1 fracture?

A

fracture through the physis only (XRAY can be normal)

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2
Q

what is a salter harris 2 fracture?

A

fracture through the physis and metaphysis

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3
Q

what is a salter harris 3 fracture?

A

fracture through the physis and epiphysis to include the joint

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4
Q

what is a salter harris 4 fracture?

A

a fracture involving the physis, metaphysis and epiphysis

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5
Q

what is a salter harris 5 fracture?

A

a crush injury involving the physis (XRAY may resemble type I and appear normal)

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6
Q

treatment for an undisplaced intracapsular fracture in a healthy patient?

A

internal fixation

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7
Q

treatment for an undisplaced intracapsular fracture in an unfit patient?

A

hemiarthroplasty

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8
Q

treatment for a displaced intracapsular hip fracture in a normal patient?

A

THR

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9
Q

treatment for a displaced intracapsular hip fracture in an unfit patient?

A

hemiarthroplasty

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10
Q

treatment for a stable extracapsular hip fracture?

A

DHS

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11
Q

treatment for an unstable extracapsular hip fracture?

A

IMD

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12
Q

which nerve root compression leads to weakness in foot and big toe dorsiflexion?

A

L5

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13
Q

which nerve root compression leads to weakness in knee flexion and sensory loss over anterior thigh?

A

L3

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14
Q

which nerve root compression leads to weakness in knee flexion and sensory loss over the anterior aspect of the knee and medial malleolus?

A

L4

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15
Q

which nerve root compression leads to weakness in plantar flexion of foot and a reduced ankle reflex?

A

S1

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16
Q

what is the first line treatment for SLE?

A

hydroxychloroquine

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17
Q

what myotome is incharge of hip flexion?

A

L1/2

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18
Q

what myotome is in charge of knee extension?

A

L3/4

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19
Q

what myotome is in charge of foot dorsiflexion?

A

L5

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20
Q

what myotome is in charge of ankle plantar flexion?

A

S1/2

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21
Q

what happens in an L5/S1 prolapse?

A

pain down to sole of foot
reduction in plantar flexion

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22
Q

what happens in an L3/4 prolapse?

A

pain down to medial ankle
loss of quadricep power
reduction in knee jerk

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23
Q

what happens in an L4/5 prolapse?

A

pain down to foot dorsum
loss of power to extensor hallucis longus and tibialis anterior

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24
Q

what is a galeazzi fracture?

A

fracture of the radius with an associated dislocation of the distal radioulnar joint

25
what does colchicine interact with?
atorvastatin to cause rhabdomyolysis
26
what antibodies are associated with drug induced lupus?
anti histones
27
how long do you give abx for in septic arthritis?
4-6 weeks
28
what is co prescribed with NSAIDs in patients with osteoarthritis?
PPI
29
what antibodies are present in GPA?
cANCA PR3
30
what antibodies are present in MPA?
pANCA MPO
31
what antibodies are present in EGPA?
pANCA MPO
32
what is the haversian canal?
vertical thing that can be seen in bone histology
33
what is a volkmann canal?
horizonal thing that can be seen on bone histology, connecting haversian canals together
34
on which bones articular surface is the thickest hyaline cartilage found?
patella
35
which nerve is at risk in a supracondylar fracture of the distal humerus?
median
36
what is myositis ossificans?
a condition where heterotopic ossification (bone forming outside the skeleton) occurs in muscles usually after an injury
37
which ligament is usually affected in a patella dislocation?
ligament restraining it on the MEDIAL side usually has to tear
38
what is the sarcomere?
the region from one Z line to the other
39
are steroid injections done in Achilles tendonitis?
no due to risk of rupture
40
what is a key feature of polymyalgia rheumatica?
raised inflammatory markers
41
what is a swan neck deformity?
hyperextension of PIP flexion of DIP
42
what is a boutonnières deformity?
flexion of PIP hyperextension of DIP
43
what type of bones is found at the epiphysis?
cancellous/trabecular
44
what type of bone is found at the shaft (diaphysis) of bone?
dense cortical bone
45
what is the line surrounding osteons called?
cement lines
46
where are chondrocytes located within the extracellular matrix?
lacuna
47
what is a bundle of muscle fibres called?
fasicle
48
which nerves does sciatica usually affect?
usually compression of L5/S1
49
what kind of vasculitis is polyarteritis nodosa?
medium sized
50
who does polyarteritis nodosa usually affect?
middle aged men associated with hep B infection
51
how does polyarteritis nodosa present?
fever, malaise and arthralgia WL ?testicular pain
52
what investigation is used in psoas abscess?
CT abdo
53
what is compression osteochondritis of the 2nd metatarsal head called?
freibergs disease
54
what is compression osteochondritis of the navicular bone called?
kohlers disease
55
what is compression osteochondritis of the lunate of carpus called?
keinbocks disease
56
what is compression osteochondritis of the capitulum of elbow called?
panners disease
57
what is compression osteochondritis of the vertebrae called?
scheurmanns disease
58
what is simmonds triad?
palpation, examining the angle of declination at rest and the calf squeeze test
59
what is the definition of a monteggia fracture?
Dislocation of the proximal radioulnar joint in association with an ulna fractur