Orthopaedics

Question 1

what antibiotic is associated with tendon disorders?

Answer 1

ciprofloxacin

Question 2

What features do you get with achilles tendinopathy?

Answer 2

You get gradual posterior heel pain worse following activity. Morning pain and stiffness are common.

Question 3

What is a positive Simmond’s triad?

Answer 3

This can be performed by asking the patient to lie prone with their feet over the edge of the bed. The examiner should look for an abnormal angle of declination; Achilles tendon rupture may lead to greater dorsiflexion of the injured foot compared to the uninjured limb. They should also feel for a gap in the tendon and gently squeeze the calf muscles if there is an acute rupture of the Achilles tendon the injured foot will stay in the neutral position when the calf is squeezed.

Question 4

What condition is associated with adhesive capsulitis ?

Answer 4

aka frozen shoulder is associated with diabetes mellitus

Question 5

What happens in a frozen shoulder?

Answer 5

external rotation is affected more than internal rotation or abduction
both active and passive movement is affected

Question 6

What are the Ottawa rules ?

Answer 6

pain in the malleolar zone and any one of the following findings
:
bony tenderness at the lateral malleolar zone (from the tip of the lateral malleolus to include the lower 6 cm of posterior border of the fibular)

bony tenderness at the medial malleolar zone (from the tip of the medial malleolus to the lower 6 cm of the posterior border of the tibia)

inability to walk four weight bearing steps immediately after the injury and in the emergency department