Orthopaedics Flashcards
What is the management of an intracapsular hip fracture?
Undisplaced: internal fixation or hemiarthroplasty if unfit
Displaced: arthroplasty (total hip replacement or hemiarthroplasty)
What is the management of an extracapsular hip fracture?
stable intertrochanteruc fracture: dynamic hip screw
if reverse oblique, transverse or subtrochanteric fractures: intramedullary device
What are the main clinical findings in frozen shoulder?
Active and passive movement limited
External rotation most affected
What are main features of De Quervain’s tenosynovitis?
pain on the radial side of the wrist
tenderness over the radial styloid process
abduction of the thumb against resistance is painful
NOTE: can do Finkelstein’s test
What is the management of De Quervain’s tenosynovitis?
Analgesia
Steroid injection
immobilisation with thumb splint
occasionally surgeons
Which antibiotic is associated with Achilles tendon rupture?
Ciprofloxacin
How doses subacromial impingement present
painful arc of abduction.
With subacromial impingement, this is typically between 60 and 120 degrees.
How do rotator cuff tears present?
painful arc of abduction.
normally in first 60 degrees
What are the features of Iliotibial band syndrome?
common cause of lateral knee pain in runners
tenderness 2-3cm above lateral joint line
What are some causes of Duputryen’s contracture?
1) manual labour
2) phenytoin treatment
3) alcoholic liver disease
4) diabetes mellitus
5) trauma to the hand
How do posterior hip dislocations present?
Shortened and internally rotated hip
How do anterior hip dislocations present?
Abducted and externally rotated
How does a NOF present?
Shortened and externally rotated
What is the most common cause of total hip replacement revision?
Aseptic loosening of implant
Burning sensation over anteroom-lateral aspect of thigh is due to which nerve?
Lateral cutaneous nerve of the thigh
