Ortho Flashcards
If needing to reconstruct cruciate ligament, which tendon harvest from?
Semitendinosus tendon
Features of adhesive capsulitis (frozen shoulder)
Symptoms of frozen shoulder include pain and stiffness in your shoulder that does not go away.
Red flags of back pain and ix of choice
- Being woken from sleep due to pain
- Subacute duration, e.g. weeks-months
Ix: Spinal X-ray, if negative then MR
Supraspinatus tendinopathy features
- Shoulder and upper arm pain for weeks
- Worsen when arm elevated above head
- Reduced ROM
- Pain on abduction at shoulder - worse when arm in internal rotation
Supraspinatus tendinopathy mx
General advice / refer to physio
What can be seen here?
Spondylolisthesis - one vertebral body in spine slips forward or backward over vertebra below it
What can be seen here?
Cauda equina syndrome
What can be seen here?
Vertebral body compression fracture
What can be seen here?
Spinal disc herniation
Subacromial bursitis features
- Pain during shoulder abduction
- Normal XR
Inverted ankle sprain - most commonly injured ligament?
Anterior talofibular ligament (ATFL)
What can be seen here?
Spondylosis
Name the bones of the hand
Post #
- severe pain
- pale limb
- difficult to move part of limb
think 6Ps
Compartment syndrome
Compartment syndrome
an increase in pressure inside a muscle, which restricts blood flow and causes pain
Mx for displaced intracpsular #
Active
- total hip replacement
Needs help bestie
- hemiarthoplasty
Mx for undisplaced intracaps #
Head sparing surg
- Cannulated hip screw
- Dynamic hip screw
Mx for extrcapsular # - intertrochanter
Dynamic hip screw
Mx for extrcapsular # - subtrochanter
Intramedullary nail
What do you see?
Light bulb sign - posterior dislocation of shoulder
Pain on palpation on anatomical snuff box
Scaphoid # (high risk AVN)
Paradoxical breathing after chest trauma
Flail segment
Ottawa rules
If yes to any of these Qs, # can’t be ruled out
1. Inability to weight bear immediately after injury and in A&E
2. Pain on palp of lat malleolus
3. Pain on palp of medial malleolus
Lat malleolus # classification
Weber system
Weber system
A - below mortise (usually stable)
B - @ level of mortise (surg if ligamentous damage)
C - above mortise (need surg)
Initial mx ankle #
- Analgesia
- AP/lat/oblique XR
- Closed reduction of joint clinically deformed/ dislocation on XR
Stable v unstable # mx
Stable - sent home w repeat xr + # clinic
Unstable - surgery
Open # mx
Empirical abx ± tetanus booster
Garden classification
Intracapsular # (hip #)
1 - non complete, non displaced
2 - complete, non displaced
3 - complete, partially displaced
4 - completely displaced
flexed, internally rotated and ADducted hip
posterior hip dislocation
