MSK Flashcards
plantar fasciitis symp
pain with walking felt on instep
localised tenderness on palpation of site
worse after exercising
tendoachilles tendonitis
pain at insertion into calcaeneous/pain of the tendon
morning stiffness
worse after exercising
eases w heat
tetanus micro
GP anaerobic rods
tetanus symp
neurotoxin causes spastic paralysis
muscles spasm - starts in jaw then spreads to the rest of the body
tetanus rx
debridement
immunglobulin
pen/metho
tetanus can be found
soil
gardens
animal bites
gas gangrene spores where
in tissue and predisposing factors (dead tissue, anaerobic conditions)
spores germinate - gas bubbles
gas gangrene micro
GP strictly anaerobic rods
treatment of gas gangrene
urgent debridement
pen and or metho
hyperbaric oxygen in severe
cellulitis cause
SA
group b strep haemolytic
cellulitis treatment general
rest, elevation, analgesia, splint
cellulitis treatment mild
not resolving
fluclox PO 1g QDS 7 days
not resolving doxy 100mg BD 7 days
cellulitis septic rx
fluclox 1g IV QDS
BMI >30 then 2g
septic arthritis treatment
PA
<5s
IV fluclox 2g QDS IV 2 weeks oral 4 weeks
PA clindamycin 600mg IV QDS
ceftriaxone <5s for king ella and HI cover
osteomyelitis treatment
PA
chronic
MRSA
Fluclox IV QDS 1w IV then 4w PO
clindamycin 600mg IV QDS
PO fluclox 1g QDS
IV vanc
marfans genetics
adom
femoral shaft fracture in kids under two
gallows
early hip spica
femoral shaft kids 2-6
hip spica
thomas splint
femoral shaft 6-12
flexible IM nail
femoral shaft >12
IM nail
cx of supramcondlar fracture in kids
brachial artery and medial nerve
can’t make okay sign FDP FPL
calcanea fracture
impingement of lateral ankle tendon
ix for mid foot fracture
CT
knee dislocation cx
popliteal artery.vein
preineal nerve
compartment syndrome
scaphoid fracture ix
AP lateral 2 oblique
ligament in acromioclavicuar joint 1
2 - step
acromioclaviaulr
AC and coracoclavicuar
acetabulum ix
oblique XR
CT
cx of colles
EPL
median nerve
CRPS
loss of grip strength
monteggie
ulnar fracture and dislocation of radial lead
galaezzie
radial fracture and dislocation of radioulnar joint
radial head fracture can occur with
dislocation of elbow
cx of humeral shaft fracture
radial nerve in spiral groove
wrist drop and loss of sensation in first dorsal web space
radial nerve in spiral groove of humeral shaft fracture injury
usually neurprexia
cx of proximal humeral fracture
brachial plexus injury
AVN
non union
distal fibular fracture assoc 2
minimally displaces medial malleolus
deltoid ligament rupture -> talar shift
proximal tubal fracture cx
post traumatic arthritis
cx of femoral shaft fracture
ARDS
fat embolism
posterior hip dosclocation presentation
cx
shortened and internally rotated
sciatic nerve injury
LCL injury
common perineal
dyptrons
type1 to type 3 collagen
medial epicondyleisits
can’t give steroid injection - ulnar nerve injury
DDH treatment
hip thingy 6 weeks full time
6 weeks part time
can be used up to 4 years
poinsettia method
cast and manipulation till 10-12 weeks
night time brace up to 4 year old
browns lesions
hyperparathyroidism
supraspinatous
adducts the arm
infraspineatous
external rotation
teres minor
external rotation
subscap
internal rotation
order of brachial plexus nerves
M A R M U
musculocuteanous
C5 C6 C7
axillary nerve
C5 C6
radial nerve
C5 C6 C7 C8 T1
median nerve
C5 C6 C7 C8 T1
ulnar nerve
C7 C8 T1
gluteus max supply
inferior gluten nerve
gluteus med and mini
superior gluteal nerve bundle
tredelenburgs
fibular neck injury
common fibular nerve
pudendal nerve
S2 - S4
sciatic nerve
L4-S3
femoral nerve
Weakness in knee extension, loss of the patella reflex, numbness of the thigh
sciatic nerve
Weakness in knee flexion and foot movements, pain and numbness from gluteal region to ankle
obturator nerve
Weakness in hip adduction, numbness over the medial thigh
proximal femur intertrochanteric - extracapsulae
dynamic hip screw
intracapsular and elderly/poor mobility
austin-moore heiarthroplasty
intracapsular and young active and displaced
THR
intracapsular and young active and NOT displaced
dynamic hip screw or cannulated screws if minimally displaced
hipe and thighs injuries in A and E
thomas splint
infratrochanteric fracture of femur
intramedullary nail
open fracture rx
clean wound
excise non viable tissue
stabilise - external fixation
both malleoli displaces and fibula fracture at or above the tibiofibular lag
surgical plating of the fibula
significant medial malleolar fragment
fix with wire or screw
displaced stable fractures of malleolus
closed reduction ad plaster
non displaced stable fracture malleolus
plaster cast
old man falls
left inferior and superior pubic rami fracture
intact femur
analgesia and active mobilisation
scaphoid fracture
scaphoid plaster and sling - cast & XR in 4 weeks
supracondylar fracture in kids
reduction under anaesthetic pin fixation
collar and cuff w arm in flection
stabbing in neck then shoulder pain
axillary nerve
posterior hip dislocation
internal rotation shortening
loss of lumbar lordosis
mechanical back pain
extra capsular and intertrochanteric fracture
sliding screw and plate
80 women nodules in finger joints
XR
radial tunnel syndrome
compression to the posterior interssoeos branch of the radial nerve - no pain at lateral epicondyle - worse when extending the elbow and pronating arm
external rotation of tibia and various force
LCL
body builder and heavy lifting
patellar or quadriceps tendon rupture
what nerve supplied supinator
C6
fat guy running now foot in pain
gastrocnemius tendon tear
Sternocleidomastoid nerve
11 spinal accessory
sustentaculum tali fracture
flexor hallicus longus
supracondylar fracture another complication in kids
weakness to the index finger - anterior interrousous nerve injury
