Orthopaedics Flashcards
Treatment for non-displaced intracapsular hip fracture:
Internal fixation (screws)
Treatment for displaced intracapsular hip fracture:
Hemiarthroplasty (patients with limited mobility), or total hip replacement (patients with good mobility)
Treatment for stable intertrochanteric fracture:
Dynamic hip screws
Treatment for subtrochanteric fractures:
Intramedullary nails
Patient with sepsis and changing lower limb neurology symptoms:
Epidural abscess
Blood and bone infections caused by non-typhi salmonella (NTS) are typically associated with which 2 conditions:
Malaria and homozygous sickle cell disease. Typically in children.
Nerve most likely to be damaged during knee arthroplasty:
Common peroneal nerve
Which active and passive movement is classically impaired in adhesive capsulitis?
External rotation
Initial imaging modality of choice for suspected Achilles tendon rupture:
Ultrasound
Ankle x-ray is required only if there is any pain in the malleolar zone and any one of the following findings (3):
- 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
NICE advice regarding age and risk factors to assess women for osteoporosis with FRAX or Qfracture:
All women aged >65, and younger women with risk factors for osteoporosis.
Clinical findings of clubfoot:
Inverted + plantar flexed + not passively correctable
Clinical difference between subacromial impingement and rotator cuff (supraspinatus) tear:
Subacromial impingement presents with pain midpoint in shoulder abduction while rotator cuff presents with pain or weakness during the first part of shoulder abduction
First-line imaging for spinal stenosis:
MRI
