MSK Bank

Question 1

Ottawa rules

Answer 1

Ankle x-ray if there is pain in malleolar zone and one of:

1. Bony tenderness at lateral malleolar zone (including distal 6cm fibular)
2. Bony tenderness at medial malleolar zone (including distal 6cm tibia)
3. Inability to weight bear 4 steps immediately and in ED

Question 2

Golfer’s elbow

Answer 2

Medial epiondylitis

• Tender medial epicondyle
• Medial wrist pain on resisted wrist pronation

Question 3

Tennis elbow

Answer 3

Lateral epicondylitis

• Tender lateral epicondyle
• Lateral elbow pain on resisted wrist extension

Question 4

Patellofemoral pain syndrome AKA

Answer 4

chondromalacia patellae

Question 5

Patellofemoral pain syndrome features

Answer 5

Softening of cartilage of patella
Teenage girls
Anterior knee pain on alking up/down stairs and rising from prolonged sitting
Responds to physio

Question 6

Infraptellar bursitis

Answer 6

=clergyman’s knee

Associated with kneeling

Question 7

Prepatellar bursitis

Answer 7

=Housemaid’s knee

Associated with upright kneeling

Question 8

ACL injury

Answer 8

Caused by twisting of knee + popping noise
Rapid knee effusion
Positive draw test

Question 9

PCL injury

Answer 9

Anterior force applied to proximal tibia (eg knee hitting dashboard)

Question 10

Collateral ligament injury

Answer 10

Tenderness over affected ligament

Knee effusion

Question 11

Mensical lesion

Answer 11

Caused by twisting of the knee
Locking and giving way are common features
Tender joint line

Question 12

OA of knee

Answer 12

Intermittent swelling, crepitus, limitation of movement

Question 13

Hip OA findings

Answer 13

Reduction in internal rotation

Question 14

Referred lumbar spine pain

Answer 14

Femoral nerve stretch positive