Wrist

Question 1

Outstretched hand 
Transverse frac @ radius 
1inch prox to RadioCarp joint
Dorsal displacement + angulation 
-Dinner fork deformity
Distal radius #

Answer 1

Colles

Question 2

Fall BACK onto palm
Fall with wrists flexed
Volar displacement
Distal radius #

Answer 2

Smith (reverse colles)

Question 3

RadioCarpal dislocation

Distal radius #

Answer 3

Barton’s

Question 4

RadioUlnar joint dislocation + ulnar #

Outstretched hand, FORCED pronation

Answer 4

Monteggia

Question 5

RadioUlnar joint dislocation + radial #

Outstretched hand, rotational force

Answer 5

Galleazzi

Question 6

Fistfight – flexed metacarpal
1st carpometacarpal joint
Triangular fragment @ metacarpal ulnar base

Answer 6

Bennet

Question 7

Outstretched hand

• fracture not initially seen
• after casting THEN fracture seen..

Pain @ snuffbox – poss AVN necrosis

Answer 7

Scaphoid fracture

Question 8

Outstretched hand
Tender radial head,
impaired elbow movement (inc sup and pron)
sharp lateral elbow pain

Answer 8

Radial head fracture

Question 9

Painful wrist

Pain @ resisted thumb ABduction

pain @ radial wrist @ FINKelstein

What’s dx? And finkelstein? Which tendons?

Answer 9

De Quervain’s tenosynovitis – finkelstein to diagnose

Pain @:
Flex thumb THEN
Ulnar deviate and flex wrist

Extensor pollicis brevis
Adductor pollicis longus

Question 10

Kanavel’s sign:
FIXED flexion,
Fusiform swelling,
Pain @ passive extension

Answer 10

Infective flexor tenosynovitis

AB’s, RICE, debridement

Question 11

AR Bone harder denser

Cant differentiate between cortex and medulla @ x-ray #marblebone

Answer 11

Osteopetrosis

Question 12

Poor collagen formation -> shit osteoid
Translucent, multiple fractures
Blue sclera

Answer 12

Osteogenesis imperfecta

Question 13

VitD def -> osteoid ossify fail = Small, F2T
LARGE head,
CW deformity –
thick costochonJunc; Transverse(Harrison’s) sulcus in chest=pull of diaphragm
Bowing femur+tibia,

Answer 13

Rickets osteomalacia

Question 14

1 in 10million @young males
Long bone DIAPHYSIS = small round tumour
Onion skin appearance
Aggressive

Answer 14

Ewing

Question 15

Long bone METAPHYSIS

Assoc with Pagets, Radiation, Retinoblastoma

Answer 15

Osteosarcoma

Question 16

2 in 1 million @>40yr

Answer 16

Liposarcoma

Question 17

Tumour with loads of histiocytes
Most common in adults
Undifferentiated pleomorphic sarcoma i.e. cell origin unknown

Answer 17

Malignant Fibrous Histiocytoma

Question 18

Trapped flexor tendon
Digit Locked in flexion
Have to passively release it

Associated with diabetes rheumatoid gout

Answer 18

Stenosing Tino synovitis
A.k.a. trigger finger

Flexor tendon sheath thickened and narrowed

Analgesias/steds

Question 19

Patient has diabetes/cirrhosis/phenytoin user

Patients got flexion contracture of the fingers
(mainly RING)
Nodular thickening of palmer fascia

What test?

Answer 19

Dupuytrens contracture

Proliferative fibroplasis of Palmer and digital fascia

Assoc with Peyeonie/Ledderhose

Hueston table top test

Question 20

What fractures are compartment syndrome associated with?

Answer 20

Supracondylar and tibial shaft

Question 21

Pain and swelling
Large radiolucent and head of numerous extending to subchondral plate

SOAP bubble on X-ray

Can present as path fract

Answer 21

Giant cell tumour