Non-union

Mastering the Management of Scaphoid Fractures: Understanding Classification, Treatment, and Complications

Management of Scaphoid Fracture /* CSS for the main container */ .container { font-size: 18px; font-family: WorkSans-Bold, Helvetica, sans-serif; width: 1140px; padding: 20px; margin: 0px auto; max-width: 1200px; color: rgb(51, 51,

Managing Mid-shaft Clavicle Fracture: A Comprehensive Guide

Management of Mid-shaft Clavicle Fracture /* CSS for the main container */ .container { font-size: 18px; font-family: WorkSans-Bold, Helvetica, sans-serif; width: 1140px; padding: 20px; margin: 0px auto; max-width: 1200px; color: rgb(51, 51,

The Dislocated Shoulder: Can You Ace This Orthopedic Oral Exam

<p><input alt="Fracture dislocaon shoulder" src="https://hutaifortho.com/upload/1696331831.png" style="height: 281px; width: 400px; float: left;" type="image" /></p> <figcaption class="boxlegend" style="margin: 0px

Distal Clavicle Fractures: Diagnosis, Treatment, and Complications

Distal Clavicle Fractures: Diagnosis, Treatment, and ComplicationsDistal Clavicle FracturesDistal clavicle fractures are traumatic injuries caused by direct trauma to the shoulder and are most common in older or osteoporotic patients. Diagnosis is confirmed with standard shoulder radiographs and

Promoting Transparency and Trust: Sharing MCQ Questions and Typical Answers

Interactive MCQs * { box-sizing: border-box; } body{ font-family: Arial, sans-serif; font-size: 16px; background-color:#f2f2f2; margin: 0; padding: 0; }

FRCS (Tr & Orth) Oral Examination:IM Nail Biomechanics

IM Nail Biomechanics body { font-family: Arial, sans-serif; font-size: 16px; color: #333; } .container { max-width: 800px; margin: 0 auto; padding: 20px; background-color: #f9f9f9; border-radius: 5px; box-shadow: 0 0 10px rgba(0, 0, 0,

tibia

COMMON CAUSES OF PAIN IN THE ANTERIOR ASPECT OF THE LOWER LEG   Note: Knock-knee and bow-leg deformities are included with the knee joint. OSTEITIS OF THE TIBIA Osteitis of the tibia occurs predominantly in children, with or without a history of previous trauma or sore throat.

hip

DEVELOPMENTAL DISLOCATION OF THE HIP (DDH)   This condition occurs in the perinatal period and involves displacement of the femoral head relative to the acetabulum; if untreated it disrupts the normal development of the hip joint which in the long term may lead to joint dysplasia,

wrist

Study of the wrist cannot be separated from that of the hand, and in many cases careful examination of both may be required.&zwnj;   COMPLICATIONS OCCURRING AFTER COLLES’ FRACTURE   Considering the incidence of Colles’ fracture, the commonest of all fractures, it

elbow

    Fig. 5.A.     ANATOMICAL FEATURES GENERAL POINTS The calliper-like close fit between the ulna and the trochlea (1) contributes to the impressive stability of the

shoulder

ANATOMICAL FEATURES           Fig. 4.A. The shoulder is complex, and it is important to note that it has two main components, namely the glenohumeral joint (between the head of the humerus and the

FRCS (Tr & Orth) Oral Examination: Abbreviated Both Bones Forearm Fracture Case Presentation

  A 32-year-old woman is admitted after a fall from her bicycle. She has an isolated injury to her left upper limb. These are her radiographs.     Quiz on Forearm Fractures body { font-family: Arial, sans-serif; font-size: 16px; line-height:

FRCS (Tr & Orth) Oral Examination: Abbreviated Fractures of the Radial Head Case Presentation

A 32-year-old man fell while rollerblading, injuring his left dominant elbow. He complained of pain and a reduced range of movement. These are the emergency department radiographs, which shows an isolated injury.     Quiz on Radial Head Fractures body

Distal Humerus Fracture Trauma Case for FRCS (Tr & Orth) Oral Examination

A 66-year-old man is admitted to the orthopaedic unit after a fall in which he injured his elbow.  This is an isolated injury.     Quiz on Distal Humerus Fracture body { font-family: Arial, sans-serif; font-size: 16px; line-height:

HOLSTEIN–LEWIS FRACTURE

A 32-year-old man is admitted with an injury to his right arm. He has a dense radial nerve palsy. He tells you that this happened while arm wrestling.   1. Describe these radiographs. These are an AP radiograph of the right humerus and a lateral radiograph of the distal humerus

Midshaft Humerus Fracture

A 46-year-old man fell from a ladder, injuring his left non-dominant arm. This is an isolated injury and these are his radiographs from the emergency department.   1. What do the radiographs show and how would you manage this patient? These are plain radiographs of the left

CLAVICLE FRACTURE

A 28-year-old woman presents to the emergency department after a fall from a horse. The emergency department doctor has diagnosed a clavicle fracture from this radiograph.   1. How would you treat this injury in the emergency department? I would take a careful history and examine the

PROXIMAL HUMERUS FRACTURE:Orthopedic MD Oral Examination

Management of Proximal Humerus Fracture /* CSS for the main container */ .container { font-size: 18px; font-family: WorkSans-Bold, Helvetica, sans-serif; width: 1140px; padding: 20px; margin: 0px auto; max-width: 1200px; color: rgb(51, 51,

PROXIMAL HUMERUS FRACTURE

An 80-year-old woman attends the fracture clinic after stumbling and hitting her shoulder Against a banister.. Describe these radiographs.  These are AP and axillary lateral views of the proximal humerus. They show a minimally displaced proximal humerus fracture. How would

PATHOLOGICAL FRACTURE

Can you describe the radiograph? This is an AP radiograph of the right hip. There is a pathological fracture of the right femur in the subtrochanteric region of a skeletally mature patient. A lytic area extends from just distal to the lesser trochanter to approximately 10 cm down the femoral

IPSILATERAL FEMORAL NECK AND SHAFT FRACTURE

A 20-year-old man is brought to the emergency department following a high-speed road traffic accident in which he was the seat belt–restrained driver of a car. He is treated along ATLS guide- lines and is found to have an isolated left lower limb injury as shown in this

Periacetabular Osteotomy and Femoral Osteotomy

  Periacetabular Osteotomy and Femoral Osteotomy       THE BERNESE PERIACETABULAR OSTEOTOMY Developmental dysplasia of the hip (DDH) is associated with structural deformity of the acetabulum that creates mechanical dysfunction and has been recognized as a major

CASE 59 PILON FRACTURE

Describe the radiographs pictured above. These are AP and lateral radiographs showing a comminuted and displaced pilon fracture. There is articular impaction and comminution, as well as metaphyseal comminution, as is typical with most pilon fractures. What is the typical mechanism

CASE 58 INFECTED ANKLE

A 76-year-old non-insulin dependent diabetic returns to your clinic 3 weeks after ORIF of a right ankle fracture because he has been feeling unwell and has noticed redness and swelling extending beyond the plaster cast. This is a clinical photograph once the plaster cast has been

CASE 54 Calcaneal Fracture

A 35-year-old man is brought to the emergency department after jumping to the ground from a 10-foot wall while being pursued by the police. He complains of bilateral heel pain.      Describe this x-ray. This is a lateral radiograph of the ankle and hindfoot. It

CASE 51 TALUS FRACTURE

ANTERIOR/VOLAR (HENRY’S) APPROACH TO THE FOREARM

    What are the indications for a volar approach to the forearm?   ORIF of fractures Bone grafting and fixation of non-unions Osteotomies Biopsy and treatment of bone tumours Anterior exposure of bicipital tuberosity Compartment syndrome

NON-UNION

  s 1 year down the line following an open fracture of the tibia treated with an intramedullary nail. 1.  Describe the radiograph and explain the diagnosis.  This is a lateral radiograph showing a tibial shaft fracture treated with an intramedullary nail. The nail is

NAILS AND EXTERNAL FIXATORS

  How do IM nails and external fixators differ with regard to load bearing and their moment arm?  This depends on the fracture type. For AO type A and B fractures with cortical contact, the IM nail or external fixator is load sharing as there is some cortical contact between

Soft Tissue Surgery of the Knee

Soft Tissue Surgery of the Knee     &zwnj; &zwnj; &zwnj;&zwnj; &zwnj;   321Knee arthroscopy 328Arthroscopic meniscal knee surgery 332Lateral patellar retinaculum release Patellofemoral instability 334Cartilage

Paediatric Orthopaedic Surgery

Pediatric Orthopedic Surgery       Epiphysiodesis&zwnj; Developmental dysplasia of 443 Slipped upper femoral epiphysis: Osteotomy   462 the hip: Closed

Limb Reconstruction

Principles of limb reconstruction&zwnj;&zwnj; 427 Principles of deformity correction 436 Surgical techniques&zwnj; 428 Innovation in limb

Surgery of the Foot

    Principles of foot and ankle&zwnj;&zwnj;     Interdigital neuroma   408 arthrodesis&zwnj; 385 Lesser toe

Surgery of the Hand

  Dupuytren’s surgery&zwnj;&zwnj;   193   Tendon transfers   224 Synovial cyst treatment&zwnj; 201 Soft tissue

Surgery of the Knee

  Primary total knee replacement&zwnj;&zwnj;   279   Distal femoral osteotomy   309 Revision total knee replacement&zwnj; 293 Proximal tibial

Surgery of the Wrist

Wrist arthroscopy&zwnj; Preoperative planning Indications Assessment and treatment of radiocarpal and mid-carpal joint problems to include: Chondral surfaces and debridement of lesions Triangular fibrocartilage complex (TFCC) assessment and treatment Assessment and

Surgery of the Shoulder

    Diagnostic shoulder arthroscopy   85   Shoulder arthroplasty   108 Arthroscopic procedures 90 Viva

Surgery of the Peripheral Nerve

Surgery of the Peripheral Nerve       Carpal tunnel decompression&zwnj; Ulnar nerve decompression at the wrist&zwnj; Ulnar nerve decompression at the

Surgery of the Thoracolumbar Spine

Surgery of the Thoracolumbar Spine   Thoracic spine Lumbar spine 43 53 Viva questions 60   Daniel P Ahern, Joseph S Butler, Matthew Shaw and Sean Molloy   Thoracic spine&zwnj;&zwnj;&zwnj;&zwnj; Posterior thoracic surgery Scoliosis

Surgery of the Cervical Spine

Anterior approach to the cervical&zwnj; spine (C3-T1) 25 Posterior approach to the cervical spine (C2-C7) 31 Posterior approach to the upper cervical spine (C1-C2) 35 Halo vest fixation of the cervical spine 36 Viva

Early Total Hip Replacement After Fractures of the Acetabulum

Introduction                        Total hip replacement is an important option in the management of sequelae following fractures of the acetabulum to relieve pain and restore function.

Trochanteric Osteotomy

Introduction The basis of development of this chapter deals principally with the understanding of transtrochanteric approach and different types of osteotomy that are used to manage the majority of the difficult pathologies encountered in the hip. The use of classic

Internal Fixation of Sesamoid Fractures

DEFINITION Hallux sesamoid bone fracture is a break through the sesamoid bone or cartilage. Medial sesamoid bone fractures are more common than lateral sesamoid bone fractures.1,14 Fractures usually occur about perpendicular to the long axis of the elliptically shaped bone. Longitudinal

Pediatric Orthopaedic MCQS ONLINE BANK

(SAE09TR.72) A 13-year-old girl sustained an isolated midshaft left femoral fracture in a motor vehicle accident. The fracture was treated with a rigid, antegrade intramedullary nail placed through the piriformis fossa. The fracture healed uneventfully, as shown in Figure 46a; however, at 12 months

Spine Orthopedic MCQS online Bank

(SAE08OS.6) Figures 2a and 2b show the radiograph and MRI scan of a 56-year-old woman who has low back pain and right leg pain. She has grade 3/5 toe and ankle dorsiflexion strength on the right side. Nonsurgical management has failed to provide relief; therefore, surgery should include Review

BASIC SCIENCE ORTHOPEDIC MCQS ONLINE BANK

What assay is commonly used to examine the level of messenger RNA (mRNA) of a particular gene?    Western blot Southern blot Reverse transcription polymerase chain reaction (RT-PCR) Immunocytochemical analysis Enzyme-linked immunosorbent assay

Trauma Orthopedic MCQS online Bank

(OBQ14.208) When treating a proximal tibia fracture, the surgeon decides to (1) use blocking screws in the proximal fragment, and (2) pick the intramedullary nail based on the location of the Herzog curve. Which of the following combinations will best prevent the classic deformity associated with

Sport Orthopedics Mcqs online Bank

(SAE12SN.35) What is the most commonly involved level for brachial plexus stretch injuries or "stingers" in younger athletes involved in collision sports? Review Topic   1 C3-4 2 C4-5 3 C5-6 4 C6-7 5 C7-T1   PREFERRED

Arthroplasty for Posttraumatic Conditions of the Elbow

DEFINITION Posttraumatic conditions of the elbow represent a variety of disorders involving the elbow as a result of previous injury. Included among the posttraumatic conditions are as follows: Posttraumatic arthritis Primary pathology involves posttraumatic degeneration of the articular

Plate Fixation of Humeral Shaft Fractures

DEFINITION Humeral shaft fractures, which account for about 3% of adult fractures, usually result from a direct blow or indirect twisting injury to the brachium. These injuries are most commonly treated nonoperatively with a prefabricated fracture brace. The humerus is the most freely movable

Intertrochanteric Femoral Osteotomy

Indications Patient selection is crucial for the success of the intertrochanteric osteotomy. Patients should be under the age of 50 years, should be motivated, and should have a clear and realistic understanding of the goal of surgery. Various symptomatic hip pathologies can be appropriate

Plate Fixation of Humeral Shaft Fractures

Operative Treatment of Radius and Ulna Diaphyseal Nonunions

DEFINITION A diaphyseal forearm fracture should be treated as a nonunion if there is either no likelihood that the fracture will go on to union (ie, large segmental defect) or if the fracture has ceased to demonstrate any progression of healing. Secondary to the advent of compression plating,

Percutaneous Fixation of Acute Scaphoid Fractures

DEFINITION Located in the proximal carpal row, the scaphoid serves as an important link between the proximal and distal carpal rows. It is the most commonly fractured carpal bone, accounting for about 1 in every 100,000 emergency room visits.17 Scaphoid fractures typically result from a fall

Open Reduction and Internal Fixation of Scaphoid Fractures

DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures typically result from a fall on an outstretched hand or less commonly following forced palmar flexion of the wrist20 or axial loading of

Complete Wrist Arthrodesis

  DEFINITION Wrist arthritis occurs when the codependent joints of the wrist lose the ability to rotate normally around one another, thereby impairing wrist kinematics. Wrist arthritis can originate from many causes including osteoarthritis, degenerative arthritis, and inflammatory

Limited Wrist Arthrodesis

  DEFINITION Limited wrist arthrodeses are salvage procedures for posttraumatic and degenerative conditions of the wrist as well as symptomatic instabilities. The goal is to reduce pain by selected fusion of the affected joints, thereby sparing motion, and improving the function of

Open and Arthroscopic Radial Styloidectomy

      DEFINITION Arthritis between the radial styloid and the distal aspect of the scaphoid can lead to pain, weakness of grip, and limitation of motion. This arthritis can occur in the early stages of a variety of pathologic states of the radiocarpal joint. Radial

Arthroplasty for Posttraumatic Conditions of the Elbow

ORTHOPEDIC MCQS BANK HAND AND WRIST 1B

145) A 32-year-old carpenter complains of progressively worsening wrist pain for the last 2 months. He denies any recent history of trauma to the wrist or hand. An MRI is obtained and a representative image is provided in Figure A. Which of the following surgical interventions is thought to be

ORTHOPEDIC MCQS BANK HAND AND WRIST 1C

  A 22-year-old college quarterback is tackled and sustains a reducible first carpometacarpal dislocation. What is the recommended treatment? Closed reduction and casting Closed reduction and percutaneous pinning First carpometacarpal

ORTHOPEDIC MCQS BANK Hand and wrist 1A

A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her

Vascularized Bone Grafting and Capitate Shortening Osteotomy for Treatment of Kienböck Disease

Vascularized Bone Grafting and Capitate Shortening Osteotomy for Treatment of Kienböck Disease     DEFINITION Lunate revascularization for Kienböck disease involves transfer of either a vessel or a pedicled bone graft to the lunate in an attempt to reverse

Partial Scaphoid Excision of Scaphoid Nonunions

  Partial Scaphoid Excision of Scaphoid Nonunions         DEFINITION Scaphoid fractures are quite commonplace, representing the most frequently fractured carpal bone with an annual incidence of approximately 29 per 100,000.5 Fractures of the scaphoid,

Vascularized Bone Grafting of Avascular Scaphoid Nonunions

  Vascularized Bone Grafting of Avascular Scaphoid Nonunions         DEFINITION Scaphoid fractures account for 60% of carpal bone fractures. Nonunions occur in up to 15% of scaphoid fractures and often result from delayed treatment, inadequate

Volar Wedge Bone Grafting and Internal Fixation of Scaphoid Nonunions

  Volar Wedge Bone Grafting and Internal Fixation of Scaphoid Nonunions         DEFINITION The scaphoid is the most commonly fractured carpal bone in the wrist. Scaphoid fractures that fail to heal after 6 months of treatment are categorized as

Open Reduction and Internal Fixation of Scaphoid Fractures

  Open Reduction and Internal Fixation of Scaphoid Fractures       DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures typically result from a fall on an

Percutaneous Fixation of Acute Scaphoid Fractures

  Percutaneous Fixation of Acute Scaphoid Fractures       DEFINITION Located in the proximal carpal row, the scaphoid serves as an important link between the proximal and distal carpal rows. It is the most commonly fractured carpal bone, accounting for about 1

Percutaneous Fixation of Acute Scaphoid Fractures

Operative Treatment of Radius and Ulna Diaphyseal Nonunions

  Operative Treatment of Radius and Ulna Diaphyseal Nonunions       DEFINITION A diaphyseal forearm fracture should be treated as a nonunion if there is either no likelihood that the fracture will go on to union (ie, large segmental defect) or if the fracture

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A     1)      3341. (2079) Q8-2501: Indications for internal fixation of the humeral shaft include all of the following except:   1) Acute radial nerve palsy 3) Bilateral humeral fractures 2)

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A

ORTHOPEDIC MCQS ONLINE QUESTION BANK H2E

ORTHOPEDIC MCQS ONLINE QUESTION BANK H2E The diagnosis of chronic exertional compartment syndrome is confirmed by measuring a resting pressure of more than    mm Hg, 1-minute postexercise pressure of more than    mm Hg, or a 5-minute postexercise pressure

ORTHOPEDIC MCQS ONLINE BANK

(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture?           Hip

Plate Fixation of Humeral Shaft Fractures

Chapter 17 Plate Fixation of Humeral Shaft Fractures   Matthew J. Garberina Charles L. Getz     DEFINITION Humeral shaft fractures, which account for about 3% of adult fractures, usually result from a direct blow or indirect twisting injury to the

Open Reduction and Internal Fixation of Scaphoid Fractures

Chapter 2 Open Reduction and Internal Fixation of Scaphoid Fractures   Asheesh Bedi Peter J.L. Jebson Levi Hinkelman   DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid

Open Reduction and Internal Fixation of Scaphoid Fractures

  Open Reduction and Internal Fixation of Scaphoid Fractures   Asheesh Bedi Peter J.L. Jebson Levi Hinkelman   DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures

ORTHOPEDIC MCQS ONLINE BANK OITE 14B

ORTHOPEDIC MCQS ONLINE BANK OITE 14B    Answer 04.50 # 2 In

ORTHOPEDIC MCQS ONLINE BANK OITE23

Orthopedics MCQS ONLINE OITE23 1.03 What is the most common complication associated with surgical fixation of a transverse midshaft humeral fracture using antegrade statically locked medullary nail?   Infection Radial nerve palsy Brachial artery injury during

ORTHOPEDIC MCQS ONLINE BANK OITE 22

ORTHOPEDIC MCQS ONLINE BANK OITE 22 FOR OITE 22 FIGURES CLICK OITE22FIG 02.1 answer back A 30-year-old patient sustains an isolated type II open femoral shaft fracture. In addition to irrigation and debridement, management should include 1- skeletal traction. 2-

ORTHOPEDIC MCQS ONLINE BANK OITE 20

ORTHOPEDIC MCQS ONLINE BANK OITE 20   For OITE 20 FIGURE CLICK  OITE 20 FIGURES  00.1 A 25-year-old man sustains the injury shown in the radiographs in Figures 1A and 1B. Examination reveals that he is neurovascularly intact, and there is a transverse 3-cm open medial

ORTHOPEDIC MCQS BANK OITE98

Orthopaedic In-Training Exam 1998   Question 1 - A patient has a grade 2 open tibial fracture with 70% cross sectional bone loss that extends 2 cm in length. Treatment consists of stabilization with a nonreamed interlocking nail and successful secondary wound closure. Four months

ORTHOPEDIC MCQS ONLINE OB SPINE

SPINE A 79-year old man falls sustaining a hyperextension injury to his neck. A lateral radiograph, CT scan and MRI are seen in Figures A through C. On motor examination, he has 3/5 strength in his deltoids, elbow and wrist flexors and extensors. He has 4/5 strength in his hip flexors,

ORTHOPEDIC MCQS ONLINE OB HAND 1A

ORTHOPEDIC MCQS ONLINE OB HAND 1A   A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her

Revision Total Knee Arthroplasty With Extensile Exposure: Tibial Tubercle Osteotomy

    Revision Total Knee Arthroplasty With Extensile Exposure: Tibial Tubercle Osteotomy     DEFINITION Obtaining adequate anterior exposure of the knee can be difficult using standard approaches during revision total knee arthroplasty (TKA). The

Femoroacetabular Impingement and Surgical Dislocation of the Hip

    Femoroacetabular Impingement and Surgical Dislocation of the Hip     DEFINITION Femoroacetabular impingement (FAI) is a pathologic condition in which structural abnormalities of the femoral head–neck junction or the acetabulum result in early

Femoral Osteotomy

      DEFINITION This chapter focuses on the use of intertrochanteric adduction (varus) osteotomy to reorient the proximal femur to improve femoral head coverage and hip joint congruency. Clinical conditions that constitute good indications for this operative

Periacetabular Osteotomy

  Chapter 13&zwnj;   Periacetabular Osteotomy   Marco Teloken, David Gusmao, and Marcus Crestani     DEFINITION According to the prefix peri (meaning “around”), a periacetabular osteotomy (PAO) is defined as an

Revision Total Hip Arthroplasty With Well-Fixed Components

      DEFINITION Well-fixed femoral and acetabular implants often have to be removed during revision total hip arthroplasty (THA). Conditions that necessitate removal of well fixed implants include: Infection Recurrent dislocations

Periacetabular Osteotomy

Periacetabular Osteotomy DEFINITION According to the prefix peri (meaning “around”), a periacetabular osteotomy (PAO) is defined as an osteotomy that involves dislodging the hip socket from its bony bed in the pelvis without distorting the normal pelvic anatomy. The

Hip Arthroscopy: The Basics

  Chapter 24&zwnj; Hip Arthroscopy: The Basics   Marc Safran and Matthew A. Stanich   DEFINITION The hip is increasingly recognized as a source of pain owing to heightened awareness of pathologies, recent research, enhanced imaging techniques, and

ORTHOPEDIC MCQS ONLINE OB 20 2B RECONSTRUCTION

ORTHOPEDIC MCQS ONLINE OB 20 2B RECONSTRUCTION  156) A 66-year-old male undergoes the procedure shown in figures A and B. After 4 years, he develops progressive pain and limitations in his daily function that is refractory to conservative measures. He is indicated for conversion to a

ORTHOPEDIC MCQS ONLINE OB 20 RECONSTRUCTION 1A

ORTHOPEDIC MCQS ONLINE OB 20 2A RECONSTRUCTION  OrthoCash 2020   A 65-year-old woman with painful knee arthritis and the deformity seen in Figure A, is scheduled to undergo a total knee arthroplasty. All the following are risk factors for a post-operative peroneal palsy

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2D

ORTHOPEDIC MCQS ONLINE OB 20 2D         OrthoCash 2020   1216) Poor pre-injury cognitive function has been proven to increase mortality for which of the following injuries? Proximal humerus fracture Distal

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2V

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2C week of indomethacin followed by 5 weeks of placebo, and (4) 6 weeks of indomethacin and followed for 1 year. The authors concluded that the use of prophylactic postoperative indomethacin increases the incidence of symptomatic nonunion of the PW as assessed

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2B

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA  2B CT angiography and admit the patient for hourly neurovascular checks Interventional radiology consult for formal angiography and stenting Corrent answer: 2 This patient has a posterior knee dislocation with an ischemic limb

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 2A

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA  2A OrthoCash 2020   A 25 year-old-male presents with the injury seen in Figure A. Which of the following would be a contraindication to closed management with a functional

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1D

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1D   fractures is associated with decreased shoulder strength and increased nonunion rates. Risk factors for non-union in non-operative management of midshaft clavicle fractures include advanced age, female gender, displacement and comminution. Open

ORTHOPEDIC MCQS 20 OB TRAUMA 1C

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1C   Figure A Buttress plating is most appropriate in which of the following clinical

ORTHOPEDIC MCQS 20 OB TRAUMA 1B

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1B     Deep peroneal nerve, sural nerve Deep peroneal nerve, tibial nerve Superficial and deep peroneal nerves Superficial peroneal nerve, tibial nerve There is no true internervous

ORTHOPEDIC MCQS 20OB TRAUMA 1A

ORTHOPEDIC MCQS 20 TRAUMA 1A     What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75%   Correct

ORTHOPEDIC MCQS 010 ONLINE

ORTHOPEDIC MCQS 010 ONLINE  Your Source for Lifelong Orthopaedic Learning   Question 1 What is the most common maxillofacial/dental injury in ice hockey? Temporomandibular   Lip laceration Tooth avulsion Crown fracture Mandible

ORTHOPEDIC MCQS ONLINE HAND 017

ORTHOPEDIC MCQS ONLINE HAND017   HAND AND WRIST SELF-SCORED EXAMINATION AAOS 2016     Question 1 of

Orthopedic MCQS Trauma 0018

Orthopedic MCQS online Trauma 0018 AAOS TRAUMA self Assessment 2018     Question 1 of 100 A 32-year-old man has a closed mid-shaft spiral humeral fracture after a fall. After a discussion of his treatment options, he wants to proceed with surgical management. When

ORTHO MCQS SPORT 10

ORTHO MCQS SPORTS 10   Your Source for Lifelong Orthopaedic Learning   Question 1 What is the most common maxillofacial/dental injury in ice hockey? Temporomandibular   Lip laceration Tooth avulsion Crown

ORTHOPEDIC MCQS OB 20 TRAUMA1

  ORTHOPEDIC MCQS OB 20 TRAUMA1 What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% CORRECT ANSWER: 4 Anterior knee

ORTHOPEDIC MCQS OB 20 BASIC 1

Which of the following is the most accurate definition of stress shielding?   The decrease in physiologic stress in bone due to a stiffer structure sharing load Electrochemical potential created between two metals in physical contact and immersed in a conductive

ORTHOPEDIC MCQS BANK WITH ANSWER SHOULDER 02

ORTHOPEDIC MCQS BANK WITH ANSWER SHOULDER 02                 1-Which of the following statements best describes why the ulnar nerve is most prone to neuropathy at the elbow?

ORTHOPEDIC MCQS WITH ANSWER SPINE 03

ORTHOPEDIC MCQS WITH ANSWER SPINE 03 1.         The transverse diameter of the pedicle is most narrow at which of the following levels?   1-         T1 2-        

ORTHOPEDIC MCQS WITH ANSWER TRAUMA 03

ORTHOPEDIC MCQS WITH ANSWER TRAUMA 03 1.         A 21-year-old woman who was wearing a seat belt sustained an injury of the thoracolumbar junction in a motor vehicle accident.  The AP radiograph shows widening between the L1 and L2 spinous processes,

ORTHOPEDIC MCQS WITH ANSWER SPORT 04

ORTHOPEDIC MCQS WITH ANSWER SPORT 04 1.       A 21-year-old collegiate wrestler sustains a blow to his right eye during a match.  Examination reveals anisocoria with a dilated right pupil.  The globe is properly formed, and extra-occular movements and the

ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05

ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05     1.      A 36-year-old woman has pain and swelling of the anterior arm after undergoing arthroscopic shoulder surgery 8 months ago.  At the time of the procedure, extensive debridement and synovectomy of

ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06

ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06 1.      A 36-year-old woman sustained a tarsometatarsal joint fracture-dislocation in a motor vehicle accident.  The patient is treated with open reduction and internal fixation.  What is the most common

Lower limb Trauma Structured oral examination question 9

Lower limb Trauma Structured oral examination question 9 A 29-year-old female horse rider fell off her horse; she has been fully assessed in A&E and has an

Lower limb Trauma Structured oral examination question 7

Lower limb Trauma Structured oral examination question 7 A 78-year-old woman fell out of her bed and sus- tained this injury. She is in reasonably good

Lower limb Trauma Structured oral examination question 2

Lower limb Trauma Structured oral examination question 2 A 79-year-old woman fell in her garden sustaining this injury. She is generally quite independent, has a history of angina which is controlled and likes

Spine structured oral questions7: Spinal trauma

Spine structured oral questions7: Spinal trauma EXAMINER: A 26-year-old man crashes his motor-bike and sustains the fracture shown. How would you go about assessing a patient with a suspected spinal injury? (Figure

Foot and ankle structured oral questions3: The rheumatoid foot

Foot and ankle structured oral questions3: The rheumatoid foot EXAMINER: Please have a look at this radiographic print and tell me what you see. (Figure 4.3.) CANDIDATE: This is an AP radiograph of a forefoot. There is hallux valgus with displacement of the second toe and destructive change

Foot and ankle structured oral questions2: Ankle arthritis

Foot and ankle structured oral questions2: Ankle arthritis EXAMINER: Describe the findings on this X-ray. (Figure 4.2.) CANDIDATE: This is an AP weightbearing radiograph of a left ankle showing narrowing of the joint space and some subchondral sclerosis consistent with post-traumatic

Shoulder And Elbow: Questions Mcqs AND EMQS

Shoulder And Elbow: Questions Mcqs AND EMQS MCQs The term internal impingement is used in throwers to describe a condition where the posterosuperior glenoid labrum impinges on which structure? a.          The anterior glenohumeral

Hand and wrist: MCQ AND EMQ Questions

Hand and wrist: MCQ AND EMQ Questions MCQs Which of the following is not a cause of a swan neck deformity? Mallet deformity. Flexor tendon tenosynovitis. Volar plate rupture. Central slip rupture. Lateral band subluxation. When performing a replant of an

oral

Structured Oral Hip Examination Question 3

Structured Oral Hip Examination Question 3 EXAMINER: This is an anteroposterior (AP) radiograph of a 78-year-old man presenting with increasing right hip pain. He had a THA performed 17 years ago. CANDIDATE: The AP radiograph demonstrates severe osteolysis of both femoral and acetabular

Hip structured oral questions

Chapter Hip structured oral questions 2   All viva questions outlined here are examples of actual questions asked in the FRCS (Tr & Orth) exam. Currently each viva question lasts 5 minutes and examiners are advised against switching to another topic earlier even if a candidate

Questions in Trauma and Orthopaedics Adult Pathology for the FRCS

  Questions in Trauma and Orthopaedics  Adult Pathology for the FRCS Section 8 Foot and Ankle  Viva 57  Reproduced from Murray Longmore, Ian Wilkinson, Edward Davidson, Alexander Foulkes, and Ahmad Mafi , Oxford Handbook of Clinical Medicine,

Questions in Trauma and Orthopaedics for the FRCS

 Questions in Trauma and Orthopaedics for the FRCS  Section 6 Lower Limb and Pelvic Trauma  Viva 41  This 27-year-old has been involved in a road traffic accident (RTA).  Describe what you see in this picture and explain your initial

Basic Sciences Viva

 Basic Sciences Viva   Basic Sciences  Section 3 Tissue Anatomy and Pathology  Viva 21  Reproduced from C. Bulstrode et al., Oxford Textbook of Trauma and Orthopaedics second edition, 2011, fi gure 1.3.10, p. 25, with

Hands and Paediatric Orthopaedics

viva Hands and Paediatric Orthopaedics    Hands and Paediatric Orthopaedics  Section 1 Hands Viva 1  What is the likely diagnosis?  What are the risk factors for this condition?  What are the two main

UPDATED ORTHOPEDIC MCQS

1) What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail?  1. <10%  2. 10-33%  3. 33-50%  4. 50-75%  5. >75%  Corrent answer:

Operative Treatment of Radius and Ulna Diaphyseal Nonunions

Operative Treatment of Radius and Ulna Diaphyseal Nonunions DEFINITION ■    A diaphyseal forearm fracture is generally considered to be a nonunion if healing has not taken place within 6 months. ■    Nonunions  are generally classified as 

Sequelae of surgery of proximal humerus fractures: Boileau classification

Sequelae of surgery of proximal humerus fractures: Boileau classification Boileau et al, JSES,10: 299-308, 2001   Type 1: Humeral head collapse or necrosis, minimal tuberosity malunion Type 2: locked dislocations of fracture dislocations Type 3: surgical neck

The shoulder girdle and humerus Fractures of the clavicle

1 Clavicular injuries: mechanism of injury: Most (94%) clavicular injuries result from a direct blow on the point of the shoulder, generally from a fall on the side (A). Less commonly, force may be transmitted up the arm from a fall on the outstretched hand (B). Under the age of

Aftercare Complications The wrist and hand

  32 Aftercare (a): The patient is seen the next day and the fingers examined for adequacy of the circulation and the degree of swelling (1). The palm, fingers, thumb and elbow are checked for constriction caused by bandaging or elbow flexion, and any

Fracture patterns and their significance: Hair-line fractures

Fracture patterns and their significance: Hair-line fractures 12 Pathological fractures (b): Pathological fractures may also occur at the site of simple tumours, e.g. a fracture of the humerus (a) in a child with a simple bone cyst (b). The commonest causes of

FACTORS AFFECTING THE RATE OF HEALING OF A FRACTURE 1 TYPE OF BONE Cancellous bone (spongy bone) Healing in cancellous bone is generally well advanced 6 weeks from the time of the injury, and protection of the fracture can almost

COMPLICATIONS OF FRACTURES

COMPLICATIONS OF FRACTURES Complications which may occur in a patient who has suffered a fracture or dislocation may be grouped in the following way: 1 COMPLICATIONS OF MAJOR TRAUMA These include: 1 Internal and external haemorrhage, oligaemic