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Surgery Lectures > Orthopaedics Part 3 > Flashcards

Orthopaedics Part 3 Flashcards

Lower Limb - Fractures / Dislocations

1
Q

What is Patella Dislocation?

A
  • Patella instability/dislocation is a result of injury.
  • Hypermobility of patella either medially/laterally
  • Acute dislocation typically occurs after a
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2
Q

What are the RF of patella Dislocation ?

A

prior history
adolescent females
Patella alta ( high rising patella)

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3
Q

What do you look in the examination with patella Dislocation ?

A
  • medial patella reticulum tenderness
  • Check straight leg raise against resistance
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4
Q

What is the management for patella dislocation ?

A

Physio
patella brace if the pt is young ( it provides support & stability to the patella (kneeecap))

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5
Q

Pt 3

70M, Fall, unable to weight bear

Diagnosis ?

A
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6
Q
A
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6
Q

86yrs, F, A & E , followed by an unwitnessed fall in a nursing home complaining of left sided hip pain and unable to FWB

PMH - OA, HTN, DMT2, AS & recurrent UTIs

o/e left leg is shortened & externally rotated

Diagnosis ?

A

Dx NOF (Neck of femur)
intracapsular fracture ( anything that goes inside the capsule affects the artery which could lead to avascular necrosis

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7
Q

What is the management of intracapsular NOF

A

Hemi arthroplasty

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8
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A
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Surgery Lectures (12 decks)

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