Orthopaedics Flashcards
lytic lesion in the diaphysis of the right humerus with an ‘onion skin’ appearance suggests…
Ewing’s sarcoma
triangular area of new subperiosteal bone in the metaphyseal region of the femur which shows a ‘sunburst’ pattern suggests…
Osteosarcoma
The first 20 degrees of shoulder flexion is done by which muscle?
Supraspinatus
Altered sensation lateral thigh aggravated by standing suggests…
Meralgia parasthetica
Fever and pain on hip extension suggests…
Psoas abscess
Pain in the third inter-metatarsophalangeal space suggests…
Morton’s neuroma
What is the most common location of stress fractures in the foot?
2nd metatarsal
Shortened, internally rotated leg suggests…
Posterior hip dislocation
radial styloid process pain and painful abduction of the thumb against resistance suggests…
De Quervain’s tenosynovitis
What is the most common cause of revision for THR?
Aseptic loosening of the joint
Pain on straight leg raise suggests…
Sciatica
Which scaphoid fractures require fixation?
Pole of scaphoid or displaced fractures
Leg pain better on walking up hills or cycling suggests…
Lumbar stenosis
What should be used to assess fracture risk?
FRAX score
What is the treatment for sub-trochanteric NOF#?
Intra-medullary nail
What is the treatment for inter-trochanteric NOF#?
DHS
What are the treatment options for intracapsular NOF#?
THR or hemi-arthoplasty
Which muscle is responsible for initiation of shoulder abduction?
Supraspinatus
Which muscles are responsible for external rotation of the arm at the shoulder?
Infraspinatus & teres minor
Which muscle is responsible for internal rotation of the shoulder?
Subscapularis
Which muscles attach to the greater tuberosity of the humerus?
Supraspinatus, Infraspinatus and Teres Minor
Which muscle attaches to the lesser tuberosity of the humerus?
Subscapularis
How long may adhesive capsulitis last?
1-2 years
What is meant by shoulder impingement?
impingement’ of the rotator cuff tendons in the acromioclavicular space - usually results in inflammation of the supraspinatus tendon
What is calcific tendonitis?
Calcification of the supraspinatus tendon resulting in an acute & severe impingement syndrome
What is the most important initial management of ankle fracture?
Reduction
What is the most common cause of osteomyelitis in patients with sickle cell disease?
Salmonella
What is the initial surgical approach for psoas abscess?
Percutaneous drainage