MSK yearclub revision 2

Question 1

Osteochondroma

Answer 1

Annual X-Ray
Biopsy IF - growth in adults, compressing soft tissue

Question 2

Enchondroma

Question 3

simple bone cyst

Question 4

aneurysmal bone cyst

Question 5

Giant cell tumour

Question 6

Osteosarcoma

Answer 6

X-ray: sunburst pattern

Question 7

Chondrosarcoma

Answer 7

X-ray: popcorn calcification

Question 8

Ewings sarcoma

Answer 8

young people
fever, raised inflammation marker, warm swelling
(might be misdiagnosed as osteomyelitis)

X-ray: onion skin

Question 9

Red flags for bone cancers!

Question 10

Buzz words

Question 11

Prostate Lungs Thyroid Kidney Breast

Question 12

Adhesive capsulitis

Question 13

Impingement syndrome

Answer 13

Painful arc at 60-120 degrees abduction, other shoulder movements fine

Question 14

Rotator cuff tear

Answer 14

Sudden jerk motion in 40+ yr old patient
Pain in three different movements for three potential different muscle injuries

Question 15

Acute calcific tendonitis

Question 16

Anterior shoulder dislocation

Answer 16

Most common 95%

Question 17

Posterior shoulder dislocation

Answer 17

Much less common - electrician gets a shock (occupational)

Question 18

Humeral surgical neck fracture

Answer 18

Loss of sensation over regimental badge patch area (axillary nerve injury)

Question 19

Humeral midshaft fracture

Answer 19

Presentation - wrist drop (radial nerve injury)

Question 20

Colles fracture

Question 21

Smith fracture

Question 22

Monteggia fracture

Question 23

Galeazzi fracture

Question 24

Golfer’s Elbow

Question 25

Trigger finger

Question 26

Dupuytren’s contracture

Answer 26

Palmar fascia thickening/shortens
Genetic

Question 27

Carpal tunnel syndrome

Question 28

Scaphoid injury

Answer 28

Loss of pinch/grip strength, tenderness over anatomical snuff box

X-ray lateral AND AP aspects

Question 29

Boxers fracture (5th metacarpal fracture)

Question 30

Penetrating injury

Answer 30

Palmar - flexor tendon/digital nerves/digital artery
Dorsal