Ortho stuff Flashcards
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Adamantanoma
Polyostotic bone lesion
OC Enchondroma Fibrous dysplasia GCT Ewing’s
Radio resistant
OS
CS
Malignant fibrous histiocytoma
Upper end of humerus
UBC > CB
ABC
Lower metaphysis of tibia femur
Osteoid osteoma
Femur then tibia
Ivory Osteoma
Face and skull
Enchondromas
Hand bones
Adamant
Amelo
Adam- tibia
Amelo- mandible (scc)
MM
Mets
MM - Lumbar vert
Mets - dorsal thoracic vert
Purely BLASTIC
PCMB
Prostate
Carcinoid
Medulloblastoma
BASTIC
Mc primary
Breast females
Lungs makes
Children - neuroblastoma
Bone to bone mets
BONE
OS
Neuroblastoma
Ewing’s mc
Simple bone cyst
“Fallen leaf 🍃 sign”
BEECH
Brodies. Brown tumor Eosinophilic granuloma Enchondroma CB Haemophilia
Single cavity in metaphysis 1st decade Upper humerus Central concentric Straw color
UBC
Curettage and BG
Multiloculated Eccentric Tibia LL Fluid fluid level More expansile Hemorrhagic fluid
ABC
Extended curettage
Eccentric tumor
NAG Expands
NOF
ABC
GCT
Large to feel small on X-ray
Pain bursitis and #
Diaphysial aclasis
?malig
Osteochondroma
Extraperiosteal resection
Mc true benign lesion
Night pain 😌 on salicyclates
NIDUS in cortex
Osteoblasts and clasts
Osteoid osteoma
RFA
Compact osteoma
Skull and face
Eburnated
Ivory osteoma
No Rx
Codmans tumor
Epiphysis
Calcification +
Mc upper end humerus
CB
Extended curettage
Mc benign lesion bone
1st decade
Metaphyseal
Self healing no malig potential
NOF/Fibrous cortical defect
Mc tumor of bones of hands and teeth
Hyaline cart
5% premalig
Enchondroma
Extended curettage
Olliers
Maffauci
Ollier - Only enchondromas
Maffauci- many things along with enchondroma + hemangioma + phleboliths
100% premalig
Malignant cell is mononuclear cell
Mets to lungs
More in Girls
Goes to joint
GCT
Extended curettage with BG with fibula
Shepherd hook deformity
Mc Cune Albright
Rind sign
Fibrous dysplasia
Mc cune albright
Fibrous dysplasia
Cafe au lait
Precocious puberty
Letterer Siwe disease
Hand schuller Christian
Eosinophilic granuloma
LCH
Spontaneous resolution
Birbeck granules TENNIS racket shape on EM
LCH
<3y fatal
Letterer siwe
Lytic skull lesion
Exophthalmos
Diabetes insipidus
Hand schuller Christian
Solitary bone/lung Lung - histiocytosis X Skull - bevelled lytic lesion mc CD1a S100+
Eosinophilic granuloma
Jail bar
Courdroy appearance
Polka dot sign
Hemangioma
Sacrum Lytic lesion
Notochord remnant
Physaliferous cells
2nd mc malig of spine after MM
Chordoma
Excision +/- radiation
Radio resistant Germ line RB mutation Night pain Mc lower end of femur Metaphysis Intramedullary tumor
OS
DOC- MTX
Doc for OS
MTX
No etoposide. Never
Marrow tumor 2nd > 1st decade Femur diaphysis Pain, ?OM Onion peel
Ewing’s
ChemoRx
Genes in Ewing’s
21,22 17,22 11,22 Trisomy 8&12 MIC2 specific CD99 specific
Pelvis
I’ll defined margin
Hyperglycaemia +
CS
> 20% plasma cells
No CRAB
Plasma cell leukaemia
CRAB?
HyperCa
Renal failure
Anemia
Bone Lytic lesions
MM
Bursa tumor
Biphasic tumor ~ Squamous and mesenchymal cells +
t(X;18)
SYT SSX fusion gene
Synovial cell CA
Skull Lytic lesions
MELTHROME
MM Eosinophilic granuloma LCH TB HyperPTH RadioRx OM Mets Epidermoid
IA,B,C
II
III
1A - well defined , sclerotic : SBC, FD
1B - well defined , no sclerotic : ABC, GCT
1C - ill defined : CS
2 - Moth eaten - MM Mets
3 - Permeative : Ewing’s MM Mets
Cotton wool skull
Osteoporosis circumscripta
Pagets
Coffee bean nucleus
Langerhans cell of LCH
Cupping splaying freying
Rickets
Epiphysis is BLACK
Trummerfeld rarefaction Pelikan spurs Corner sign Wimberger ring Frankel line
Scurvy
Epiphysis is WHITE
Winberger corner sign
Metaphyseal defect in congenital syphillis
Enamel defect
Dentine defect
Enamel - rickets
Dentine - scurvy and OI
Adult rickets TRIRADIATE PELVIS Otto pelvis - protrussio acetabuli Osteoid>Osteon Tetracycline label
Osteomalacia
XD
PHEX gene mutation
Ca PTH D3 normal
ALP raised
Hypophosphataemic rickets
White line frenkel
Scurvy
Healing rickets
MTX
Lead poisoning
Pseudo# milkman# looser zones UMBAZANON
Arterial indentation on bones
NOF
Pubic Rami
Osteomalacia
Hyper PTH
NF
Subperiosteal resorption Osteitis fibrousa cystica Brown tumor ROTTING FENCE POST ap Salt and paper skull Loss of LAMINA DURA in teeth
HyperPTH
FGFR3 # Enchondral ossification defect NORMAL IQ Limb dwarf Trident Starfish hand Champagne glass pelvis Bullet shaped vertebra
Achondroplasia
Absent clavicle
Intramembranous ossification defect
Cleidocranial disorder
Absent marrow OM of mandible Carbonic anhydrase Proton pump # Marble bone Functional def of osteoclasts Anemia infections HSM CN2,7,8 DELAYED bone healing
Osteopetrosis
Marrow transplant
Marble bone
Rugger jersey spine
Osteopetrosis
Osteitis deformans Osteoclasts large and irregular Elder males PELVIS mc PAIN mc Ca AND PO4 normal ALP raised
Pagets
Calcitonin for pain
Bisphosphinates
Histo
Cement lines
Mosaic form
Marble ap
Pagets
Ivory vert
Bullet head vert
Cotton wool skull
Pagets
T score
Normal
Osteopenia
Osteoporosis
Normal >-1
Osteopenia -1 to -2.5
Osteoporosis
Normal CA PO4 PTH ALP
Osteoporosis
Estrogen
Bisphosphinates
Calcitonin
Low dose PTH
Max osteoporosis of which bone in hemiplegia
Humerus
Lobstein vrolik Brittle bone disease Col type 1 # AD Osteopenia Hyperlax DDH Blue sclera, hearing # Dentinogenesis imperfecta Silence classification Bailey dubo rods for path #
OI
Gene Rx
Ivory vertebra
LIMPHO
Lymphoma Infection TB Medullo Mets Pagets Hemangioblastoma OS, OB
Candle dripping
Maleorrhexis
Spotted bone disease
Osteopoikilosis
Serrations
Osteopathia serratia
Perkins line Shallow acetabulum Superolat displacement Small epiphysis Narath +
DDH
IOC and Screening DDH
IOC MRI
Screening USG
Alpha angle decreases
Beta increase
Allis and galleazi test for
DDH
Pavlik harness
Von Rosen
Bachelor cast
AVN femoral epiphysis Painless Lat subluxation HOF Sagging rope Crescent sign X-ray IOC MRI
Perthes
Self resolving
Maintain abduction
11-20 boys Endocrines # AXIS DEVIATION Klein’s line - Trethowan sign MRI Flexion restricted
SCFE
Fixation
XR Males Dystrophin gene <5y (>5y Becker’s) Gower sign
DMD
Ischemia of SCM
COCK ROBIN ap
Up to 3m
CMT
Self resolves
Fusion of cervical vert Short web neck low post hairline Restricted neck Scoliosis Sprengel deformity
Klippel Fiel
Genu recurvatum Knee hyperextn Defect in upper tibia 60% B/L Progresses with age
Blounts
Lateral wedge osteotomy
Vertical talus
Rocker bottom
Obliterated medial arch
Heel in valgum
Jacks test - flexible or restrictive?
Peds planus
CTEV correction
<1y
Ponsetti
Above knee cast in CAVE for 6-8wks
CTEV correction
1-3y
PMSTR Turcos
CTEV correction
3-5 y
Calcaneum cuboid resection
Evans
CTEV correction
5-8y
Dwyers lat osteotomy
CTEV correction
8-10y
Wedge tarsectomy
CTEV correction
>10y
Triple arthrodesis
NTCC
NT toughest
Atypical CTEV
SHORT CALF
Short great toe Sole crease Heel crease Hyperextended great toe Others AMC NF SPINA BIFIDA Rigid feet Tight heel
PIRANI scoring
THE LMP
Talar head Heel Equinus Lat curvature of foot Medial crease Post crease
Chip # meta+epi+periosteum Metaphyseal bucket handle # Spiral # Knobbing # at ribs Sub epiphysis micro # on MRI Skull egg shell #
BBS
Crawford classification
Cong Pseudoarthrosis of tibia
Turner
Wrist styloid process prominent
BL
Functions excellent
Madelung
Quardriceps #
Tibialis Ant #
Deltoid #
Polio
Pure lytic bony secondaries
RCC
Mc benign tumor
Osteochondroma
Multiple
Mc true benign
Osteoid osteoma
Single
Mc bony tumor non-hemat origin
1st OS
2nd CS
3rd Ewing’s sarcoma
Mc hemat bony CA
MM
Mc bone tumor
Mets
Mc tumor in 1st decade
Ewing’s
Owl winking sign
Spinal mets
Pure lytic bony secondaries
RCC
Mc benign tumor
Osteochondroma
Multiple
Mc true benign
Osteoid osteoma
Single
Mc bony tumor non-hemat origin
1st OS
2nd CS
3rd Ewing’s sarcoma
Mc hemat bony CA
MM
Mc bone tumor
Mets
Mc tumor in 1st decade
Ewing’s
Owl winking sign
Spinal mets