Orthopaedics Crash Course Flashcards

1
Q
A

B

Lachmans test

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2
Q

ACL tears occur following …

A

Pivoting or valgus forces

Occur during sport, classically football, basketball + skiing

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3
Q

Optimal imaging modality for ACL diagnosis

A

MRI

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4
Q

ACL tear management

A

Can be managed surgically (repair/recon) or conservatively (physio)

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5
Q

Perthes disease vs SCFE

A
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6
Q

NOF - description of limb

A

Shortened and externally rotated

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7
Q

What is it?

A

Right intra-capsular NOF fracture

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8
Q

Proximal femur consists of …

A
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9
Q

Hip fracture location

A
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10
Q

AVN=

A

A vascular necrosis

Medial and lateral circumflex to femoral head

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11
Q
A

C

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12
Q

Garden’s classification

A
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13
Q

Intra-capsular fractures - 1,2 …

3,4 ….

A

1,2 SCREW
3,4 Hemi/THR
For displaced intra-capsular fractures, THR is offered to those appropriately mobile, fit for anaesthetic and not cognitively impaired

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14
Q

Garden I + II

A

Internal fixation

Small risk of AVN and non union

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15
Q

Garden III+ IV

A

Hemi/THR

High risk of AVN and non union

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16
Q

Extra-capsular fractures

A

Left = dynamic screw
Right = IM nail
Blood supply isnt affected

17
Q

Always … if swollen knee, limited ROM and infection markers

A

Joint aspiration!

Think septic arthritis

18
Q

Most common cause of septic arthritis in the adult population?

A

Staph aureus

19
Q

Management of septic arthritis

A

Joint drainage and culture-guided antibiotics

20
Q

Ankle X rays series - what rules can be used to help determine which patients require these?

A

Ottawa rules

21
Q

Ottawa ankle rules

A
22
Q
A

Weber

23
Q

ABC Weber classification

A
A = walking boot
B = may keep an eye on it and fix later
C = requires fixation
24
Q

Maisonneuve fracture

A

Examine above and below joint!

25
Q

DVT and PE in ankle fractures

A
26
Q

X ray of wrist - outstretched hand

A

Colle’s fracture - extra-articular distal radius fracture with dorsal angulation, commonly following a fall on outstretched hand

27
Q

Management of this fracture?

A

Dependent on fracture pattern, stability and patient based factors
Conservative vs surgical