T AND O

Question 1

Most common organism in septic arthritis

Answer 1

STAPH AUREUS

Question 2

Function of flexor tendon sheath

Answer 2

Allows tendons to be bathed in synovial fluid in the tendon sheath- allows gliding motion

Bad if infected as poor blood supply means infection can’t be cleared much like bone

Scarring in the tendon sheath causes stiff fingers

Question 3

Treatment for open fracture

Answer 3

Co amoxiclav

Question 4

4 Kanavel’s signs

Answer 4

Sausage digit, pain to percussion/palpation, pain with passive extension, held in passive flexion

= high suspicion of flexor tendon sheath infection

Question 5

Compartment syndrome classic presentation

Answer 5

Pain out of proportion to clinical signs

Common Signs and Symptoms: The “5 P’s” are oftentimes associated with compartment syndrome: pain, pallor (pale skin tone), paresthesia (numbness feeling), pulselessness (faint pulse) and paralysis (weakness with movements). Numbness, tingling, or pain may be present in the entire lower leg and foot.

Question 6

Treatment of compartment syndrome

Answer 6

Fasciotomy

Question 7

Common secondary bone cancer sources

Answer 7

5 Bs- breast, bronchus, bidney, bhyroid, brostate

Question 9

Surgical management of compartment syndrome

Answer 9

Fasciotomy decompression