msk swellings

Question 1

what is the treatment for septic arthritis?

Answer 1

aspiration, urgent washout and debridement

Question 2

where do you find baker’s cysts?

Answer 2

popliteal fossa

Question 3

should you operate on baker’s cysts?

Answer 3

no

Question 4

where do you get gouty tophi?

Answer 4

elbows, hands (commonly DIPJs) and feet

Question 5

what inheritance patten is Dupuytren’s?

Answer 5

autosomal dominant

Question 6

what are the different surgical treatments for Dupuytren’s?

Answer 6

Needle fasciotomy (single band) - local anaesthetic

Limited fasciectomy (removal of the bands)

Dermofasciectomy + graft (removal of the band, adherent/contracted skin and covering graft)

Question 7

what is an osetochondroma?

Answer 7

benign lesion derives from aberrant cartilage from the perichondral ring

Question 8

where are osetochondromas commonly found?

Answer 8

near the knee- distal femur / proximal tibia

Question 9

what is ewing’s sarcoma

Answer 9

primary bone tumour of endothelial cells, hot swollen tender joint or limb with raised inflammatory markers, poor prognosis

Question 10

what is myositis ossifican’s?

Answer 10

abnormal calcification of a muscle haematoma. initial soft swelling that hardens over a few weeks. only intervene after ossification has matured (6-12 months) or risk recurrence

Question 11

what is the presentation of giant cell arteritis?

Answer 11

excruciating temporal headche, transient (temporary) vision loss, tender scalp

Question 12

what is the treatment for giant cell arteritis

Answer 12

high dose steroids (e.g. 60mg prednisolone)