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MSK > Pelvic/Knee/Foot > Flashcards

Pelvic/Knee/Foot Flashcards

1
Q

MMC of pelvic fracture?

A

MVA, high energy

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2
Q

How do you know the pelvis is fx?

A

XRAY will show a change in the RING, bleeding

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3
Q

Tx of pelvic fx are?

A

Pelvic binder, type and cross, surgery

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4
Q

SXS of hip fracture?

A

Prox femur - short limb that is EXTERNALLY rotated

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5
Q

Short femur internally rotated is due to?

A

posterior dislocation

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6
Q

What part of the femur is associated with AVN?

A

Femur neck

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7
Q

With a posterior dislocation what nerve should you check?

A

Sciatic Nerve

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8
Q

Complication to posterior dislocation of femur is?

A

AVN, needs a CR, abd brace.

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9
Q

Causes of AVN?

A

Femur neck fx, posterior dislocation, ICS use.

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10
Q

AVN diagnosis is made with? tx?

A

Frog leg Xray. Wt lose to surgery

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11
Q

dev hip dysplasia risk factors? diag?

A

Females, breech, first born. US

Ortolani, Barlow, uneven gluteal fold

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12
Q

dev hip dysplasia tx?

A

Palvic Harness

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13
Q

Legg-Calve-Perth is?

A

boys 4-10 AVN

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14
Q

Legg-Calve-Perth sxs? diag?

A

Unilateral Painless limp/ AP, lat, frogleg

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15
Q

Legg-Calve-Perth tx?

A

Bracing or surgery

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16
Q

SCFE is what?

A

Salter 1 fx in obese 10-16, can be bilateral

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17
Q

SCFE diag?

A

AP, lat, frogleg = Icecream of cone

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18
Q

patellofemoral synd worse with?

A

increase Q angle, pain with stair climbing. Theater sign (pain with movement after sitting)

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19
Q

patellofemoral synd PE? Diag

A

Pain with compression. No imaging

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20
Q

patellofemoral synd

A

PT - NSAID

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21
Q

Meniscal tear moa?

A

Twisting and squat

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22
Q

Meniscal tear diag?

A

“give way”, McMurray, Apley (upside down grinding), Thessaly

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23
Q

Meniscal tear tx?

A

rice, nsaid, PT, surgery

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24
Q

ligament tear mcc are?

A

ACL and MCL

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25
Q

ACL diag? MCL diag?

A

Lachman (30), and drawer.

Valgus stress- does medial ligament give?

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26
Q

Osgood Schlatter is

A

ossification of tibial tubercal, overuse

27
Q

popliteal cyst associated with

A

Meniscal tear, OA, RA

28
Q

patellar dislocation diag?

A

AP/lat Xray & see deformite.

Pt cant weight bare.

29
Q

patellar dislocation tx?

A

CR, knee immobilitation, Surgery

30
Q

Knee dislocation is of the?

A

tibio-femoral joint.

31
Q

Knee dislocation complications?

A

Popilteal artery & peroneal nerve - may sublux

32
Q

Knee dislocation PE and DIag?

A

Pulses, ABI, Arteriography

33
Q

Knee dislocation tx?

A

CR, splint, surgery

34
Q

Weekend warrior tear what ligament/ ICS/ Aminoglycoside?

A

Achilles tear - felt shot or kicked

35
Q

Achilles test? diag?

A

Thompson test/ MRI

36
Q

Achilles tx?

A

Analgesia, Splint, surgery

37
Q

MC ankle sprain is a

A

planter flex & Iver = Ant talofib lig.

38
Q

Medial ankle ligament damage? Eversion

A

deltoid

39
Q

High ankle damage associated with?

A

syndesmosis

40
Q

ankle tx?

A

grade 1 = stretched ligament
grade 2 = partial teat
grade 3 = tear = surgery

41
Q

Ankle fx daig?

A

Ottowan ankle rule = AP, Lat, Mortise

42
Q

Ankle fx classification

A

weber A= below syndesmosis
*Weber B = at syndesmosis
Weber C = above synd

43
Q

Mainsonnerve fx is between

A

medial malleous and tibio-fib syndesmosis - common peroneal nerve damage

44
Q

Talar neck fx is?

A

talar commonly missed & AVN

45
Q

Plantar fasciitis sxs?

A

sharp heel pain, worse at AM at calcaneous.

46
Q

Plantar fasciitis tx?

A

stretch, splint at night, NSAID, PT, ICS

47
Q

Morton Neuroma is?

A

fibrosis btw 3-4 MT head = walk on marble

48
Q

Morton Neuroma tx?

A

MT pad, wide box, Amitriptyline/gabapentin

49
Q

Hallux valgus - Bunion is?

Tx?

A

MTPJ

50
Q

Lisfranc Injury is at the?

A

midfoot (btw 1-2 MTP)

51
Q

Dancer Fx is

A

Peroneus breves at 5MTP - inversion planter flex

52
Q

Dancer Fx tx?

A

walking boot, crutches, easier than Jones. RICE

53
Q

Jones fx is?

A

5MTP at Meta/Dia neck.

54
Q

Jones fx tx?

A

NO Wt baring.- High non-union rate - surgery

55
Q

What concomitant knee injury should be evaluated for in patients with pes anserine bursitis?

A

Medial collateral ligament injury

56
Q

If there is severe tenderness and swelling at the medial malleolus, which fracture must be suspected?

A

Maisonneuve fracture

57
Q

Which is a mu receptor partial agonist?

A

Buprionophen

58
Q

Which is a mu receptor antagonist?

A

Naloxone

59
Q

Which is a MU receptor agonist?

A

Methadone/Opioids

60
Q

_____test involves flexing the infant’s hips and knees, then looking level at the knee heights.

A

The Galeazzi

61
Q

______begins with hip flexion and adduction. Lateral force is then applied

A

Barlow test

62
Q

Salter 1 is? how do you treat?

A

through the Physis, Non-weight bearing

63
Q

tarsal tunnel syndrome sxs?

A

medial ankle and plantar numbness

64
Q

Superolateral ANV, and smooth round patella is?

A

Bipartite Patella

MSK (8 decks)

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