Ortho Flashcards
MESS score…
_ trauma score
_ Mangled Extremity Score System
_includes-
Velocity of injury
Ischemia
Shock
Age of the pt.
_ limb removal if >7
Dinusumab
Inhibition of RANK ligand
Rugger jersey spine seens in
RENAL OSTEODYSTHROPHY
ie.
Secondary parathyroidism d/t Renal failure
Gene associated with Paget ds
⭐SQSTMI Gene mutation
Lab - ⬆️⬆️ALP
Biopsy - Mosaic pattern
Mc cause of death in Paget ds
High Output Cardiac Disease
Other complications-
_banana fracture
_cranial nerve compression 2, 5, 7, 8
_ transformation into OSTEOSARCOMA.
Rx
_ Bisphosphonate
_ Calcitonin
Mc fracture OVERALL / NEWBORN / BIRTH
Clavicle
at medial 2/3 & lat. 1/3
By fall in outstretched arm
Rx-
_ Figure of 8 bandagd or arm sling
_Sx in critical case
Holstein Lewis fracture
Shaft of Humerus fracture
_upper 2/3 & lower 1/3
_ Radial nerve injury - wrist,thumb,finger drop
Sensory loss
Fractures of Necessity..
- Intra articular fracture
- Lateral condyle humerus fracture
- Monteggia / Galeazzi fracture
- Neck of Femur fracture
Terrible triad of Elbow
Aka Hotchkiss triad
- Posterior dislocation of Elbow
- Fracture Coronoid
- Fracture Radial head
Monteggia fracture
Ulnar# with Radial head Dislocation
Finger, thumb drop WITHOUT Sensory loss
Posterior Interossious nerve injury
Rx - ORIF with plates
⭐ just opposite to Galeazzi #
Painfull arc syndrome
⭐PARTIAL tear of Supraspinatus Tendon.
C/f - Pain in shoulder & Upper arm during Mid ABduction.
Translocation in Ewing Sarcoma
t (11;22)
Complex Regional Pain Syndrome
_ Advanced Atrophic Disorder
_ A late stage of Post - traumatic Reflex Sympathatic Dystrophy.
Ray Amputation….
Removal of Finger with Respective Metacarpal from Carpometacarpal joint
Banett fracture #
of lower 1/3 of radius with Dislocation / Subluxation of the distal Radio - Ulnar joint.
