Ortho Flashcards

1
Q

If needing to reconstruct cruciate ligament, which tendon harvest from?

A

Semitendinosus tendon

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2
Q

Features of adhesive capsulitis (frozen shoulder)

A

Symptoms of frozen shoulder include pain and stiffness in your shoulder that does not go away.

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3
Q

Red flags of back pain and ix of choice

A
  • Being woken from sleep due to pain
  • Subacute duration, e.g. weeks-months

Ix: Spinal X-ray, if negative then MR

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4
Q

Supraspinatus tendinopathy features

A
  • 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
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5
Q

Supraspinatus tendinopathy mx

A

General advice / refer to physio

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6
Q

What can be seen here?

A

Spondylolisthesis - one vertebral body in spine slips forward or backward over vertebra below it

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7
Q

What can be seen here?

A

Cauda equina syndrome

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8
Q

What can be seen here?

A

Vertebral body compression fracture

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9
Q

What can be seen here?

A

Spinal disc herniation

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10
Q

Subacromial bursitis features

A
  • Pain during shoulder abduction
  • Normal XR
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11
Q

Inverted ankle sprain - most commonly injured ligament?

A

Anterior talofibular ligament (ATFL)

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12
Q

What can be seen here?

A

Spondylosis

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13
Q

Name the bones of the hand

A
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14
Q

Post #
- severe pain
- pale limb
- difficult to move part of limb
think 6Ps

A

Compartment syndrome

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15
Q

Compartment syndrome

A

an increase in pressure inside a muscle, which restricts blood flow and causes pain

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16
Q

Mx for displaced intracpsular #

A

Active
- total hip replacement

Needs help bestie
- hemiarthoplasty

17
Q

Mx for undisplaced intracaps #

A

Head sparing surg
- Cannulated hip screw
- Dynamic hip screw

18
Q

Mx for extrcapsular # - intertrochanter

A

Dynamic hip screw

19
Q

Mx for extrcapsular # - subtrochanter

A

Intramedullary nail

20
Q

What do you see?

A

Light bulb sign - posterior dislocation of shoulder

21
Q

Pain on palpation on anatomical snuff box

A

Scaphoid # (high risk AVN)

22
Q

Paradoxical breathing after chest trauma

A

Flail segment

23
Q

Ottawa rules

A

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

24
Q

Lat malleolus # classification

A

Weber system

25
Weber system
A - below mortise (usually stable) B - @ level of mortise (surg if ligamentous damage) C - above mortise (need surg)
26
Initial mx ankle #
- Analgesia - AP/lat/oblique XR - Closed reduction of joint clinically deformed/ dislocation on XR
27
Stable v unstable # mx
Stable - sent home w repeat xr + # clinic Unstable - surgery
28
Open # mx
Empirical abx ± tetanus booster
29
Garden classification
Intracapsular # (hip #) 1 - non complete, non displaced 2 - complete, non displaced 3 - complete, partially displaced 4 - completely displaced
30
flexed, internally rotated and ADducted hip
posterior hip dislocation