Orthopaedics Flashcards

1
Q

Sx osteosarcoma

A

Dull bone pain worse at night

Sunburst appearance on x-ray

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2
Q

Age range affected by osteosarcoma and why

A

Younger people - occurs before growth plates fuse

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3
Q

Where does osteosarcoma occur

A

Distal femur and proximal tibia

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4
Q

Cause of osteomyelitis

A

Infection of bone from staph aureus

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5
Q

Symptoms of osteomyelitis

A

recent trauma
constant bone pain
lump
systemic sx from infection - fever etc

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6
Q

Ix osteomyelitis

A

MRI

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7
Q

Treatment osteomyelitis

A
Children = cefazolin
Adults = flucloxacillin
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8
Q

Sx Paget’s bone

A

Constant achey bones
Warm bones
Hearing loss
Heart failure

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9
Q

Ix Paget’s bone

A

high ALP

normal calc and phos

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10
Q

Tx paget’s bone

A

Biphosphonates

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11
Q

Sx bony metastases

A

Hx of cancer

Raised calcium

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12
Q

Sx chondrosarcoma

A

Painful, growing mass in the axial skeleton

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13
Q

Tx chondrosarcoma

A

Excision

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14
Q

What is SUFE?

A

Epiphyseal fracture means femoral head moves out of position

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15
Q

At risk category for SUFE

A

Obese boys 10-16

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16
Q

Sx SUFE

A

Reduced abduction and flexion

Leg is externally rotated

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17
Q

Tx SUFE

A

Internally rotate

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18
Q

Sx Perthe’s disease

A

Hip pain and reduced movements

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19
Q

Tx Perthe’s disease

A

Bed rest, NSAIDs

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20
Q

At-risk category of Perthe’s disease

21
Q

Sx transient synovitis of hip

A

Acute onset hip pain relieved with rest

22
Q

At-risk category transient synovitis of hip

A

4-10 years old, post URTI

23
Q

Tx transient synovitis of hip

A

Paracetamol and NSAIDs

24
Q

what is Osgood-Schlatter’s disease?

A

overuse condition in paediatric males

25
Osgood-schlatter sx
warm and tender knee, swelling over tibial tuberosity
26
tx osgood schlatter
conservative
27
sx knee ligament damage
swelling, pain and inability to weight bear
28
test for ACL and PCL tear
drawer's test (a and p respectively)
29
test for LCL tear
varus
30
test for mcl tear
valgus
31
mx knee ligament damage
protect, rest, ice, compress/crutches, elevation and rehab
32
what is chondromalacia patallae
overuse in teenage girls after lots of exercise
33
sx chondromalacia patellae
grinding in knee when flexed, worse when on stairs
34
ix chondromalacia patellae
MRI
35
tx chondromalacia patellae
conservative
36
what is prepatelar bursitis
common in roofers/tradesmen - presents as swollen patella | mx is conservative
37
sx meniscal tear
popping sound worse on flexion pain over lateral/medial patella no weight bearing
38
ix meniscal tear
mc Murray and MRI
39
anterior hip dislocation
lengthened and externally rotated leg
40
tx hip dislocation
closed reduction <6h
41
posterior hip dislocation sx
internally rotated and shortened leg
42
cause of posterior glenohumeral dislocation
seizures/electricl shocks
43
cause of anterior glenohumeral dislocation
rugby/football
44
mx displaced NOF fracture
arthroplasty
45
mx undisplayed NOF fracture
cannulated screws
46
management for intertrochanteric fracture
dynamic screw
47
management for extratrochlear NOF fracture
inter medullary nail
48
reactive arthritis
post infection - campylobacter anterior uveitis methotrexate