Ortho

Question 1

Quadriceps tendon rupture

1) Epi & Mechanism
2) SSx
3) XR

Answer 1

1) Age > 50 yo
Eccentric contraction (e.g., descending stairwell)
2) Weakness, difficulty weight-bearing
3) Distal malposition of patella (opposite to patellar tendon injury)

Question 2

Lumbar spine stenosis

1) SSx
2) Best Ix

Answer 2

1) Progressive difficulty walking & bilateral calf pain relieved when leaning forward (opens up the spine)
2) CT

Question 3

OP: Screening Ix

Answer 3

Bone densitometry
(NOT radionuclide bone scan)

Question 4

Rotator cuff tear

1) Mechanism
2) Sx
3) Definitive mgmt

Answer 4

1) falling on outstretched arm
2) weakness, but passive ROM preserved. May not have pain or deformity.
3) Surgery. (Tear may worsen without surgical repair.)

Question 5

Paralytic ileus

1) Def
2) Causes

Answer 5

1) aka Post-op ileus: An acute complication that can occur after orthopedic surgery.
2) Metabolic or electrolyte AbN, medications, sepsis, etc