Orthopedics

Question 1

Define Osteochondrosis

Answer 1

Decreased blood supply to bone, especially the Epyphysis

Question 2

When Osteochondrosis happens at the proximal part of the femor it is called

Answer 2

Legg-Calve-Perthers disease

Question 3

What is the cause of Legg-Calve-Perthers disease

Answer 3

Unknown

Question 4

Pathogenesis of Legg-Calve-Perthers disease

Answer 4

Avascular necrosis

Question 5

Age of patients with Legg-Calve-Perthers disease

Answer 5

5-10 years

Question 6

Which is the leading theory of cause (Legg-Calve-Perthers disease)

Answer 6

Vascular theory

Question 7

Main blood supply for the femoral epyphysis

Answer 7

Lateral side of epyphysis from the circumflex artery

Question 8

Stages of Legg-Calve-Perthers disease

Answer 8

Initial necrotic
Fragmentation
Healing reossification
Growing remodeling

Question 9

What happens to the femoral neck in Legg-Calve-Perthers disease

Answer 9

Becomes shorter and wider

Question 10

How can we classify Legg-Calve-Perthers disease

Answer 10

Lateral Pillar

A, B, C

Question 11

Lateral Pillar is based on what features?

Answer 11

Involvement of the lateral epiphysis

Question 12

Clinincal picture in case of Legg-Calve-Perthers disease

Answer 12

Hip limping
Muscular atrophy
Pain in groin thigh knee

Question 13

Hip limping can also be called

Answer 13

Trendelenburg sign

Question 14

Operative methods in case of Legg-Calve-Perthers disease

Answer 14

Proximal femoral Varus osteotomy

Question 15

Define Congenital Dislocation of the hip

Answer 15

Abnormality of the hip joint where the acetabulom does not fully cover the femoral head

Increased risk for joint relocation

Question 16

Congenital Dislocation of the hip is more common in male/female

Answer 16

Female (X6)

Question 17

Congenital Dislocation of the hip- Dislocation reposition maneuver is called

Answer 17

Ortolani’s sign

Question 18

Congenital Dislocation of the hip- unstable hip test is called

Answer 18

Barlow test

Question 19

Congenital Dislocation of the hip

Later symptoms

Answer 19

Trendelenburg’s sign

Insufficiency of gluteus medius and minimus

Question 20

Congenital Dislocation of the hip

Conservative treatment

Answer 20

Closed reduction

Question 21

Site of involvement

Chondroblastoma

Answer 21

Femur > Prox. tibia > Prox. humerus

Question 22

Medial collateral ligament of the elbow consists of (3)

Answer 22

Anterior bundle
Posterior bundle
Transverse ligament

Question 23

Tendinosis in the extensors origin of the elbow is also called

Answer 23

Tennis elbow

Lateral side!

Question 24

Tendinosis in the flexors origin of the elbow is also called

Answer 24

Golf elbow

Question 25

Tendinosis=

Answer 25

Angiofibroblastic tendinosis

No inflammatory cells!

Question 26

Whichone is the more common tendinosis?

Medial
Lateral

Answer 26

Lateral (Tennis elbow)

Question 27

Lateral tendinosis usually affects which extensor muscle origin

Answer 27

Extensor carpi radialis brevis