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WlwG Old > *WlwG MSK Fractures and MSK Paeds > Flashcards

*WlwG MSK Fractures and MSK Paeds Flashcards

1
Q

MSK Injury name & stability: C1 compression from diving

A

Jefferson fracture, unstable
(“Jefferson the diver”)

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2
Q

MSK Injury name & stability: Basion-axial interval >12mm

A

AA disociation, unstable

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3
Q

MSK Injury name & stability: Hyper-extension fracture of C2

A

Hangman’s, unstable

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4
Q

MSK Injury name & stability: Extension fracture of anterio-inferior C2

A

C2 teardrop fracture, stable

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5
Q

MSK Injury name & stability: Flexion fracture at anterio-inferior cervical vertebra

A

Flexion teardrop, unstable

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6
Q

MSK Injury name & stability: Oblique avulsion fracture of cervical spinous process

A

Clay-shovelers fracture
(“Head twisting when shoveling, thus cervical spinous process”)

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7
Q

MSK Injury name & stability: Flexion compression fracture

A

Wedge fracture, stable

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8
Q

MSK Injury name & stability: Severe anterolisthesis and increased interspinous distance

A

Bilateral facet dislocation, unstable

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9
Q

MSK Injury name & stability: Mild increased interspinous distance with mild anteriolisthesis

A

Unilateral facet dislocation, stable. Spinous process points to affected side.

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10
Q

MSK Injury name & stability: Comminuted compression fracture of L1

A

Jumpers fracture

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11
Q

MSK Injury name & stability: Pars defect at L4-5

A

SpondyloLysis

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12
Q

MSK Injury name & stability: Tripod fracture components?

A

Zygomatico-frontal suture + posterior zygomatic arch + inferior orbital/lateral maxillary

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13
Q

MSK Injury name: Ulnar shaft, Radial head

A

Monteggia (“Monty python is near/proximal, Gale blows things far/distal”).

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14
Q

MSK Injury name: Distal radius and DRUJ dislocation

A

Galeazzi (“Monty python is near/proximal, Gale blows things far/distal”).

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15
Q

MSK Injury name: Radial head and DRUJ dislocation

A

Essex-Lopresti
(“Fisting during sex, thus prox and distal radius”)

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16
Q

MSK Injury name: Distal radius and ulnar styloid, dorsal displacement of radius

A

Colles
(“Come sign, thus dorsal displacement”)

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17
Q

MSK Injury name: Distal radius and ulnar styloid, volar displacement of radius

A

Smith
(“Stop sign, thus volar displacement”)

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18
Q

MSK Injury name: Dorsal aspect of distal radius fracture

A

Barton
(“Bartender shake drink, thus distal radius”)

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19
Q

MSK Injury name: Chronic scapho-lunate dislocation with scaphoid non-union

A

Scapho-Lunate advanced collapse (SLAC), from CPPD

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20
Q

MSK Injury name: Dorsal dislocation of 1st metacarpal

A

Bennett***
(“Bend it/Bin it, thus bend thumb fracture”)
(Compare Rolando with comminuted fracture “Roll on it”)

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21
Q

MSK Injury name: Dorsal dislocation of 1st metacarpal with comminuted fracture

A

Rolando
(“Roll on it, thus comminuted thumb fracture”)
(Compare Bennett without comminuted fracture, just dislocation)
(Compare Skiers thumb, fracture of 1st proximal phalange instead of metacarpal)

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22
Q

MSK Injury name: Fracture of base of 1st proximal phalange, dx and ligament involved

A

Skier’s thumb, Ulnar Collateral ligament involved***
(Compare Bennett/Rolando, fracture of 1st metacarpal)

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23
Q

MSK Injury name: DIP flexion

A

Baseball finger

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24
Q

MSK Injury name: PIP flexion, DIP extension

A

Boutonniere finger

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25
Q

MSK Injury name: Carpal tunnel nerve and muscles involved?

A

Median nerve, thenar muscles (Ab PB, FPB, Opponens pollicis and 1st/2nd lumbricals (aka lateral lumbricals) (“FAB & peace sign”)

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26
Q

MSK Injury name: Guyons canal components

A

Ulnar artery, Ulnar nerve

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27
Q

MSK Injury name: Femoral AVN artery and cause involved

A

Femoral circumflex artery from sub-capital femoral head fracture

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28
Q

MSK Injury name: FAI, CAM vs Pincer meaning

A

Cam (overgrowth of anterolateral femoral head-neck junction. Pincer (excessively deep acetabulum)

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29
Q

MSK Injury name: Piriformis syndrome nerve involved

A

Sciatic nerve***

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30
Q

MSK Injury name: Chronic groin pain in athletes

A

Athletic Pubalgia

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31
Q

MSK Injury name: Dense sclerosis of iliac bone adjacent to SI joint in multiparous women

A

Osteitis condensans

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32
Q

MSK Injury name: Proximal tibia stress fracture

A

Runners fracture

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33
Q

MSK Injury name: Patellofemoral joint/tendon degeneration

A

Jumpers knee/Patellar tendinitis

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34
Q

MSK Injury name: Meniscal calcification causes

A

CPPD, hyperPTH, Wilsons disease, Gout

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35
Q

MSK Injury name: What is segond vs reverse segond fracture and associated ligament tear

A

***Segond fracture: Avulsion fracture of supero-LATERAL proximal TIBIA, associated with ACL TEAR.

Reverse Segond fracture: Supero-MEDIAL proximal tibia, associated with PCL TEAR.

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36
Q

MSK Injury name: Supra-malleolar fracture in jumper

A

Tibia Pilon fracture
(“Tibia pile onto malleolus”)

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37
Q

MSK Injury name: Lateral distal tibia/distal tibiofibular junction avulsion injury

A

Tibia tillaux fracture
(“Tibia tail, thus tibia and tibfib joint affected, compare to Wagstaffe which is fibula affected”)

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38
Q

MSK Injury name: Medial distal fibula/distal tibiofibular junction avulsion injury

A

Wagstaffe fracture

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39
Q

MSK Injury name: Ankle inversion injury ligaments involved?

A

Calcaneofibular (CFL) > Anterior talofib (ATFL) > Posterior talofib (PTFL) > Anterior TIBIOFIB

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40
Q

MSK Injury name: Ankle eversion injury ligaments involved?

A

Deltoid ligament (“Delt-OUT for outward ankle”)

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41
Q

MSK Injury name: Posterio-inferior calcaneal fracture

A

Lovers fracture (fall from height). Lovers triad = calcaneal + spine + arm fractures

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42
Q

MSK Injury name: Bony overgrowth/erosion of calcaneus with compression of distal Achilles tendon

A

Haglund disease (from bad shoes)

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43
Q

MSK Injury name: Osteochondrosis of metatarsal head

A

Freiberg infarct, repetitive trauma in teen girls

44
Q

MSK Injury name: Transverse fracture of 5th metatarsal proximal shaft

A

Jones fracture

45
Q

MSK Injury name: Dorsal dislocation of tarsometatarsal joint

A

Lisfranc

46
Q

MSK Injury name: Fascia inflm/thickening from repeated heel trauma

A

Plantar fasciitis

47
Q

US Shoulder method: Subscapularis

A

External rotation and Adduction (“Subtract, X and +”)

48
Q

US Shoulder method: Supraspinatus

A

Internal rotation (“Spine, thus hand at back”)

49
Q

US Shoulder method: Subacromial impingement

A

Internal rotation and Abduction (“Pinch A BIN”)

50
Q

US Shoulder method: Biceps

A

Point to contralateral knee

51
Q

US Shoulder method: Infraspinatus and teres minor

A

Hand on contralateral shoulder

52
Q

Hip Attachments: ASIS

A

Sartorius (“Superior sartorius, compare rectus femorAIIS”)

53
Q

Hip Attachments: AIIS

A

Rectus femorAIIS (Compare “superior sartorius”)

54
Q

Hip Attachments: Pubic ramus/symphisis

A

Adductors (magnus/longus/brevis/gracilis)

55
Q

Hip Attachments: Greater trochanter

A

Gluteus medius/minimus (“Great butt”)

56
Q

Hip Attachments: Lesser trochanter

A

Iliopsoas (“Soas is a lesser school”)

57
Q

Hip Attachments: Ischial tuberosity

A

Hamstrings (Biceps femoris, SemiT/SemiM “Bottom of hip = BTM”)

58
Q

Salter Harris Mnemonic

A

S: Straight across / Separated growth plate
A: Above (ie metaphyseal)
L: Lower (ie epiphyseal)
T: Through (A + L)
E: Erasure of growth plate / merged growth plate
R: Reaction of periosteum

59
Q

Absent ball-and-socket hip joint with recurrent superiolateral hip dislocation in infant

A

DDH

60
Q

AVN of femoral epiphysis with painless limp in child

A

Perthes

61
Q

Femur SH1 fracture after trauma in fat teen

A

SUFE

62
Q

No pectoralis

A

Poland “pact”

63
Q

No patella

A

Nail-patella syndrome

64
Q

No clavicle

A

Cleido-cranial dysostosis

65
Q

No thumb/radius

A

(“Hold-oram”) = Holt-oram

66
Q

Small mandible

A

Caffey (“Cannot drink coffee”)

67
Q

Inward foot

A

Talipes equinovarus

68
Q

Outward foot

A

Tarsal coalition

69
Q

Many epiphyseal osteo-chondromas

A

Trevor disease

70
Q

Many soft tissue/cartilage calcifications

A

ChondroDysplasia Punctata

71
Q

Many bone islands

A

Osteopoi-KILO-sis

72
Q

Dripping wax bones

A

Melorheostosis

73
Q

Mental retard + piss glycosaminoglycans + short

A

MucoPolySaccharidosis

74
Q

Short person

A

Achondroplasia

75
Q

Recurrent fractures, sclerotic bones

A

Osteopetrosis

76
Q

Short with recurrent fractures

A

PyknoDysostosis

77
Q

Recurrent fractures, osteoporosis, hearing loss

A

Osteogenesis Imperfecta type 1

78
Q

Frisky Freckly and Fibrous

A

Mcune Albright

79
Q

Many basal cell ca

A

Gorlin syndrome (Gremlin)

80
Q

Tall with long limbs

A

Marfans

81
Q

Hip effusion in child after infn/flu

A

Transient synovitis

82
Q

Hip effusion with hip pain

A

Septic arthritis

83
Q

Athlete with repeated joint trauma

A

OCD, do MRI

84
Q

Unstable pelvic fracture meaning

A

Involves 2+ components of pelvic ring (eg iliac and pubic ramus)

85
Q

Unstable femoral fracture meaning

A

Inter-trochanteric fracture with involvement of posteriomedial or lateral aspects

86
Q

Shoulder Attachments: Deltoid

A

Clavicle/acromion/scapula to deltoid tuberosity humerus

87
Q

Shoulder Attachments: Teres major

A

Scapula to inter-tubercle groove humerus

88
Q

Shoulder Attachments: Rotator cuff except subscapularis

A

Scapula to greater tubercle humerus

89
Q

Shoulder Attachments: Subscapularis

A

Scapula to lesser tubercle humerus

90
Q

Tendon involved in flat foot?

A

Posterior tibial tendon and spring ligament

91
Q

Foot drop nerve?

A

Peroneal nerve

92
Q

ACL insertions

A

ACL - Anteriomedial tibia plateau to lateral femoral condyle
PCL - posteriolateral tibia plateau to medial femoral condyle

93
Q

PCL insertions

A

ACL - Anteriomedial tibia plateau to lateral femoral condyle
PCL - posteriolateral tibia plateau to medial femoral condyle

94
Q

Hill-sachs vs Bankart

A

Hill-sachs: Posterio-lateral humeral head depression fracture from anterior shoulder dislocation
Bankart: Anterio-inferior glenoid labrum from anterior shoulder dislocation
Reverse Bankart: Posterio-inferior glenoid labrum from posterior shoulder dislocation

95
Q

MSK Injuries: Difference between SLAC vs SNAC vs DISI

A

SLAC (scapholunate widening)

SNAC/Scaphoid non-union (scaphoid fracture)

DISI/Dorsal instability (increased scapholunate angle >60 degrees)

96
Q

MSK Injury name: Horizontal splitting of vertebra due to anterior compression (seatbelt), usually L2-3

A

Chance fracture (Compare Wedge fracture due to flexion, Burst fracture due to axial compression/jumper)

97
Q

MSK Injury name: Comminuted vertebral body due to axial compression (jumper), usually L1 region.

A

Burst fracture (Compare Wedge fracture due to flexion, Chance fracture due to anterior compression/seatbelt)

98
Q

Attachments: PSIS

A

Gluteus maximus

99
Q

Attachments: PIIS

A

Superior gamelus

100
Q

Attachments: Knee medial condyle

A

Adductor magnus

101
Q

Attachments: Knee lateral condyle

A

Popliteus

102
Q

Attachments: Base of thumb

A

Abd PL (“Eat Apple”)
Compare base of 5th finger = “Easy promise = ECU”)

103
Q

Attachments: Base of 5th finger

A

“Easy promise = ECU”
Compare base of thumb = “Eat Apple = Abd PL

104
Q

Attachments: Medial elbow epicondyle

A

Common flexors

105
Q

Attachments: Lateral elbow epicondyle

A

Common extensors

WlwG Old (22 decks)

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