ortho Flashcards
Medial knee pain
MCl/meniscus
anterior knee pain
patella
lateral knee pain
LCL/meniscus
posterior knee pain
hamstring tendons, baker’s cyst
Instability of knee on changing direction
ACL
Knee instability on valgus stress eg breast stroke
MCL
knee instability on varus stress
LCL
Knee instability on walking uphill/hyperextension
PCL
Can MCL/LCL cause swelling
no as they aren’t intra-articular
If PCL is ruptured it might also be along with what injury
popliteal tendon
LCL
(posterolateral corner)
IVDU with severe back pain and signs of infex
discitis
Management for intracapsular NOF in a highly functioning person
THR
Management for intracapsular NOF in a poorly functioning person
Hemiarthroplasty
Management for intertrochanteric extracapsular NOF
DHS
Management for subtrochanteric extracapsular NOF
medullary nail
Someone with a suspected meniscal tear with a locked knee post trauma should be advised what in order to improve chance of repair
don’t weight bear
dactylitis, pain along the finger on passive extension, pain along tendon
flexor tenosynovitis- emergency
When is Simmond’s test use
achilles rupture- calf squeeze
Swollen, red hot foot in diabetic patient
charcot’s foot
Osteomyelitis pathogen
staph aureus
On shoulder abduction pain between 60 and 120 degrees
subacromial impingement
Pain in the first 60 degrees of shoulder abduction
rotator cuff tear
Lumbar disc prolapse- which vertebrae if posterolateral leg and lateral side of foot numb, with reduced ankle reflex
S1
Lumbar disc prolapse- which vertebrae if dorsum of foot numb with intact reflexes
L5
Lumbar disc prolapse- which vertebrae if anterior thigh numb and reduced knee reflex
L3
Lumbar disc prolapse- which vertebrae if anterior knee numbness and reduced knee reflex
L4
burning thigh pain
meralgia paraesthetica - lateral cutaneous nerve of thigh compression
what could be a source of staph aureus discitis
endocarditis- do an echo
Cystic lesion proximal to the nail bed in a patient with OA
Myxoid cyst
Discitis pathogen
staph aureus
Who should get FRAX score
Women >65, men >75
Younger pts with risk factors (includes being a smoker or drinking over 14u alcohol/week, endocrine conditions incl diabetes, COPD, liver failure, CKD, immobility)
Causative pathogen of blood and bone infections in sickle cell
non-typhi salmonella
Carpel tunnel test where you passively flex the patient’s wrist and hold it in flexion.
Phalen’s
Carpel tunnel test where you tap the nerve
Tinels
which bursa is affected in ‘housemaids knee’
prepatellar bursa
Gradual onset unilateral or bilateral leg pain (with or without lower back pain), numbness, and weakness which is worse on walking
Spinal stenosis
how to definitively diagnose spinal stenosis
MRI spine
patients with arthritis or gout and following a minor trauma to the knee may develop
baker’s cyst
Pain worse on extension of the back and tender on palpation of spine
Facet joint pain
Back pain that is improved by leaning forward when walking, or crouching
spinal stenosis
what medication has dupytrens as a SE
phenytoin
soap bubble appearance bone tumour
osteoclastoma (giant cell tumour)
sunburst appearance bone tumour
osteosarcoma
onion appeareance bone tumour
Ewing’s sarcoma
