Orthopaedics Flashcards
Sx osteosarcoma
Dull bone pain worse at night
Sunburst appearance on x-ray
Age range affected by osteosarcoma and why
Younger people - occurs before growth plates fuse
Where does osteosarcoma occur
Distal femur and proximal tibia
Cause of osteomyelitis
Infection of bone from staph aureus
Symptoms of osteomyelitis
recent trauma
constant bone pain
lump
systemic sx from infection - fever etc
Ix osteomyelitis
MRI
Treatment osteomyelitis
Children = cefazolin Adults = flucloxacillin
Sx Paget’s bone
Constant achey bones
Warm bones
Hearing loss
Heart failure
Ix Paget’s bone
high ALP
normal calc and phos
Tx paget’s bone
Biphosphonates
Sx bony metastases
Hx of cancer
Raised calcium
Sx chondrosarcoma
Painful, growing mass in the axial skeleton
Tx chondrosarcoma
Excision
What is SUFE?
Epiphyseal fracture means femoral head moves out of position
At risk category for SUFE
Obese boys 10-16
Sx SUFE
Reduced abduction and flexion
Leg is externally rotated
Tx SUFE
Internally rotate
Sx Perthe’s disease
Hip pain and reduced movements
Tx Perthe’s disease
Bed rest, NSAIDs
At-risk category of Perthe’s disease
4-7 boys
Sx transient synovitis of hip
Acute onset hip pain relieved with rest
At-risk category transient synovitis of hip
4-10 years old, post URTI
Tx transient synovitis of hip
Paracetamol and NSAIDs
what is Osgood-Schlatter’s disease?
overuse condition in paediatric males
Osgood-schlatter sx
warm and tender knee, swelling over tibial tuberosity
tx osgood schlatter
conservative
sx knee ligament damage
swelling, pain and inability to weight bear
test for ACL and PCL tear
drawer’s test (a and p respectively)
test for LCL tear
varus
test for mcl tear
valgus
mx knee ligament damage
protect, rest, ice, compress/crutches, elevation and rehab
what is chondromalacia patallae
overuse in teenage girls after lots of exercise
sx chondromalacia patellae
grinding in knee when flexed, worse when on stairs
ix chondromalacia patellae
MRI
tx chondromalacia patellae
conservative
what is prepatelar bursitis
common in roofers/tradesmen - presents as swollen patella
mx is conservative
sx meniscal tear
popping sound
worse on flexion
pain over lateral/medial patella
no weight bearing
ix meniscal tear
mc Murray and MRI
anterior hip dislocation
lengthened and externally rotated leg
tx hip dislocation
closed reduction <6h
posterior hip dislocation sx
internally rotated and shortened leg
cause of posterior glenohumeral dislocation
seizures/electricl shocks
cause of anterior glenohumeral dislocation
rugby/football
mx displaced NOF fracture
arthroplasty
mx undisplayed NOF fracture
cannulated screws
management for intertrochanteric fracture
dynamic screw
management for extratrochlear NOF fracture
inter medullary nail
reactive arthritis
post infection - campylobacter
anterior uveitis
methotrexate