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Learn everything you need to know about knee arthroscopy surgery in San Diego, CA, including the benefits, risks, recovery, and how to find the best surgeons. Knee Arthroscopy Surgeons: How to Find the Best Doctors in San Diego, CA If you are suffering from knee pain, stiffness,
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A proximal femoral fracture is a break in the upper part of the thighbone, also known as the femur. This type of fracture can be caused by a fall, a car accident, or a direct blow to the hip. Proximal femoral fractures are most common in older adults, especially those with osteoporosis. Symptoms
Fractures are common injuries that affect millions of people every year. A fracture is a break or crack in a bone that can cause pain, swelling, deformity and disability. Fractures can happen in any bone in the body, but some are more common than others. In this blog post, we will explain the
The humerus is the bone that connects your shoulder to your elbow. It can break due to various causes, such as falls, accidents, or osteoporosis. A humerus fracture can cause pain, swelling, bruising, and difficulty moving your arm. Depending on the location and severity of the break, you may need
Are you coping with an orthopedic injury? Discover practical tips and strategies for recovery and rehabilitation in this comprehensive blog post. From seeking medical attention to implementing rehabilitation exercises, managing pain, and maintaining a healthy lifestyle, learn how to effectively
Discover the crucial role of nutrition in orthopedic health and learn how to optimize your diet for stronger bones, healthier joints, and improved overall well-being. Explore the importance of calcium, vitamin D, omega-3 fatty acids, antioxidants, protein, and hydration in supporting your
Osteoporosis is a serious bone disease that can lead to fractures. This blog post provides a comprehensive guide to understanding, preventing, and treating osteoporosis. It covers topics such as the causes of osteoporosis, the symptoms of osteoporosis, the diagnosis of osteoporosis, the treatment
Arthritis is a condition that affects the joints in the body, leading to inflammation, pain, and stiffness. It can be a debilitating condition that can have a significant impact on your quality of life. Arthritis can be caused by a variety of factors, including aging, wear and tear, and autoimmune
Fig. 10.A. ANATOMICAL FEATURES The knee joint (Fig. 10.A) combines three
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
In practice, the primary area of interest of the orthopaedic surgeon is in the joints of the limbs and spine, and how well they function. The major part of most orthopaedic examinations is therefore centred on the joint that troubles the patient, but the examination must often be extended to
Tibial shaft fracture extending into the plafond—plate fixation Case description A 26-year-old man fell from a height of 3 m into a hole sustaining an injury to his right lower extremity. He was initially admitted to a hospital where
Advanced osteoarthritis bilaterally. Osteonecrosis and complete obliteration of the joint space on both sides. Bilateral simultaneous THA using monobloc acetabular all poly components (Mathys Vitamys) and ceramic heads
Testable Concepts‌ Section 1 Orthopaedic Tissues I.Bone Question 1 What do Haversian canals carry? Nerves and blood vessels Nutrients Oxygen Carbon dioxide Question 2 What do Volkmann canals do? They carry nerves and blood vessels
Basic concepts Definitions Biomechanics—science of forces, internal or external, on the living body Statics—action of forces on rigid bodies in a system in equilibrium Dynamics—bodies that are accelerating and the
Skeletal muscle anatomy ( Fig. 1.40) Cellular anatomy Sarcolemma: plasma membrane surrounding cell Extends into cell surrounding
Hemophilic arthropathy X-linked recessive defect of factor VIII (A) or IX (B); discussed further in Chapter 3, Pediatric Orthopaedics Decreased ROM and eventually ankylosis Pathophysiology Recurrent bleeds and chronic synovitis Synovial
Pseudogout Deposition of calcium pyrophosphate dehydrate (CPPD) crystals in joints Associated with lupus, renal dialysis, hemochromatosis, hyperparathyroidism, RA, Wilson disease Chondrocalcinosis Calcification within hyaline or
Crystal deposition arthropathy Pathology from accumulation of crystal formation or deposition in or around joints Gout: monosodium urate CPDD, also called pseudogout: calcium pyrophosphate Tumoral calcinosis: calcium
Other periarticular tissue Synovium Loose connective tissue rich in capillaries Lacks a basement membrane; no tight junctions Type A synovial cells—macrophage-like Involved in
Conditions of bone mineral density Bone mass is regulated by rates of deposition and withdrawal (Fig. 1.20). Osteoporosis Age-related decrease in bone mass Usually associated with estrogen loss in postmenopausal women (Fig.
Nutritional rickets (see Table 1.16) Vitamin D–deficiency rickets Rare after addition of vitamin D to milk, except in the following populations: Asian immigrants Patients with dietary
Normal bone metabolism □ Calcium Helps prevent heterotopic ossification after THA in patients at high risk for this development Incidence of heterotopic ossification after THA among patients with Paget disease is approximately 50%. Important in muscle
Bone grafting ( Table 1.10) Graft properties Osteoconductive matrix: acts as a scaffold or framework for bone growth Osteoinductive factors: growth factors (BMP) that stimulate bone formation Osteogenic cells: primitive
Types of bone formation Enchondral Examples: Embryonic formation of long bones Longitudinal growth (physis) Fracture callus Bone formed with demineralized bone matrix Undifferentiated cells secrete
In contrast, IL-10 suppresses osteoclasts. Organic components: 40% of dry weight of bone Collagen (90% of organic components) Primarily type I (mnemonic: bone contains the word one) Type I collagen provides
Cellular biology of bone (Fig. 1.2) Osteoblasts Appear as cuboid cells aligned in layers along immature osteoid Are derived from undifferentiated mesenchymal stem cells These stem cells line haversian canals, endosteum, and
DISTAL FEMUR Fractures EPIDEMIOLOGY Distal femoral fractures account for about 7% of all femur fractures. If hip fractures are excluded, one-third of femur fractures involve the distal portion. A bimodal age
PATHOLOGIC FRACTURES DEFINITION A pathologic fracture is one that occurs when the normal integrity and strength of bone have been compromised by invasive disease or destructive processes. Causes include neoplasm (primary tumor or
MULTIPLE TRAUMA INTRODUCTION High-velocity trauma is the number one cause of death in the 18- to 44-year-old age group worldwide. The cost to the healthcare system for blunt trauma is greater than any other disease. There is no
You review a 67-year-old woman in the fracture clinic. She has had a distal radius fracture after a fall. The fracture is in a good position and you have agreed that she will be treated in a cast. She asks if she should be taking something for ‘weak bones’. What advice
A 45-year-old, right-hand-dominant, male plumber presents with elbow pain of insidious onset. He denies any injury or trauma. He has lateral elbow pain with repetitive movements of the wrist at work. Examination of the shoulder and wrist is normal. He has tenderness to palpation about the elbow at
A 44-year-old, right-hand-dominant male with well-controlled diabetes and hypertension presents to clinic with left shoulder pain. The patient denies a history of trauma or injury. He localizes his pain over the superolateral aspect of the shoulder, and it radiates to the deltoid insertion. He has
A 55-year-old female with a history of rheumatoid arthritis diagnosed at age 40 presents to your clinic complaining of 3 years of right shoulder pain acutely worsening over the past week to the point that she is unable to reach for objects from high shelves and needs help getting dressed in the
A 72-year-old female presents with progressive bilateral hip and pelvic soreness as well as back pain and headaches. X-rays of the pelvis and biopsy specimen are shown in Figure 8–35A and B. Figure
A 30-year-old female presents to your office with a chief complaint of episodic right knee pain, swelling, and stiffness. She reports that over the past 6 months, she has been walking 3 miles per day as part of a new exercise program but does not report any history of acute trauma to the knee. Over
A 71-year-old male with back pain has been referred to your office. His primary care physician ordered x-rays of the thoracic and lumbar spine, which revealed multiple compression fractures. An MRI was subsequently ordered, which was concerning for metastatic processes within the vertebral bodies.
An 80-year-old female presents to your office with newly diagnosed lung cancer. She has multiple skeletal metastases. She complains of pain in the thoracic and lumbar spine as well as in the left tibia; she has several lytic lesions in these areas. She also complains of abdominal pain and some
A left-hand-dominant, 66-year-old female is sent to your office for shoulder pain, possibly a rotator cuff tear. She has pain in her left shoulder and upper arm that is limiting her ability to use the extremity. It is exacerbated by weight bearing, although it does hurt her at night when she tries
A 59-year-old female with a longstanding history of bilateral foot pain presents with a recurrent painful callus on her feet and difficulty with ambulation. She describes a history of multiple orthopaedic surgeries in the past addressing her hands, hip, knee, and spine. Weight-bearing radiographs
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CASE 1 A 28-year-old, right-hand-dominant male caught big air going off a jump while snowboarding for the first time. He landed awkwardly on his non-dominant left hand and immediately developed pain. Radiographs were obtained at the slope side indicating multiple fractures in the
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CASE 1 A 14-year-old patient presents with pain in the wrist after a fall. Examination reveals tenderness over the anatomical snuff box. X-ray picture is shown below (Fig. 3–1). What is the next course of treatment? Analgesia only No further
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CASE 1 A 76-year-old, right-hand-dominant man presents to clinic complaining of right shoulder pain. The pain started several months ago, has gotten progressively worse, and is located diffusely over his deltoid region. He has night pain and pain with overhead activity. On
Primary total knee replacement‌‌ 279 Distal femoral osteotomy 309 Revision total knee replacement‌ 293 Proximal tibial
Radial head replacement‌ 113 Elbow aspiration/injection 152 Total elbow arthroplasty‌ 123 Elbow
Introduction Deep infection (Fig. 40.1) following total hip replacement is a challenging complication for both the patient and the surgeon. The reported risk of
Introduction For the possible concept of anatomical primary hip replacement various types of prosthesis have been described within the last decades. One possible
Introduction Facing increasing life expectancy and numbers of young and active patients undergoing joint replacement, revisions after total hip replacement later
Introduction Short stem designs offer a conservative option for total hip arthroplasty which is bone and soft tissue preserving, in young and active patients with
Implant selection in total hip arthroplasty is the prerogative of the operating surgeon and is usually based on patient age, bone quality, local anatomy, experience of the surgeon and scientific evidence. The ideal implant must achieve adequate fixation both in short and long term, must
DEFINITION The term insertional Achilles tendinitis (IAT) is actually a misnomer. The condition is more typically a degenerative process, and the nomenclature should reflect this condition, more appropriately, as a tendinosis or tendinopathy.5,7,9,10,16 As the name suggests, IAT is
Enhance your orthopedic knowledge and prepare for exams with our online MCQs bank. Our interactive platform offers a diverse range of questions to test your skills. Start practicing today! Interactive MCQs * { box-sizing: border-box; }
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
DEFINITION Adult scoliosis is a coronal deformity of the spine, typically also involving axial and sagittal plane abnormalities. Adult scoliosis can be categorized by patient presentation.11 One group, predominantly defined by lumbar stenosis and neurogenic claudication with degenerative
PREFERRED RESPONSE 3 Improved medical management has changed musculoskeletal outcomes for individuals with hemophilia. Patients with severe hemophilia receiving prophylactic administration of factor VIII may never develop a target joint that requires further orthopaedic intervention.
(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
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
(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
(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
(OBQ15.201) A 52-year-old, right hand dominant man comes for evaluation of right shoulder pain that has been intermittently bothering him for three months. The pain is worse with overhead activities. He denies any history of trauma. His range of forward elevation in the plane of the scapula is
DEFINITION Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory condition of unknown etiology affecting 1% to 2% of the population. It affects females two to three times as frequently as males, and the incidence increases with age, typically peaking between 35 and 50 years of
DEFINITION Glenohumeral arthritis represents the loss of articular cartilage and joint space, often with associated osteophyte and cyst formation, bone erosion, and soft tissue contractures. It can result from degeneration, inflammatory pathology, trauma, cuff deficiency, or can be
DEFINITION High tibial osteotomy (HTO) is realignment surgery, which has developed for treating medial compartment osteoarthritis (OA) of the knee.7 One of the main etiologic factors of knee OA is excessive biomechanical stress loaded on a focal area due to varus deformity of the lower limb
DEFINITION Metastatic bone disease (MBD) afflicts more than half of the 1.2 million patients newly diagnosed with cancer annually.4,8 Bony involvement can be a major source of morbidity and mortality if not treated appropriately. The femur is the long bone most commonly affected, with 25%
BACKGROUND The pelvis is a relatively common anatomic location for metastatic and primary musculoskeletal tumors. Surgical resection is more challenging in the pelvis than in other locations because of the complex anatomy and the proximity to vital abdominal
BACKGROUND The skeleton, after the lungs and liver, is the third most common site of metastatic disease.4,11 Prostate, breast, lung, kidney, and thyroid cancers account for 80% of skeletal metastases.4,11 The prolonged survival with disease of more cancer
BACKGROUND An understanding of the basic biology and pathology of bone and soft tissue tumors is essential for appropriate planning of their treatment. This chapter reviews the unique biologic behavior of soft tissue and bone sarcomas, which provides the basis
DEFINITION Dupuytren disease (DD) is a fibroproliferative disorder that affects primarily the palmar fascia of the hand, with occasional secondary involvement of other areas in the hand as well as remote tissues. DD has a strong genetic origin that is suggested not only by
DEFINITION Dupuytren disease (DD) is a benign, generally painless, fibroproliferative disorder affecting the palmar fascia that often leads to progressive contractures of the fingers and thumb (FIG 1). These contractures can be severe having a significant impact
Chapter 127 DEFINITION Vasospastic and vaso-occlusive diseases of the hands include a wide range of disorders that cause decreased or limited blood flow to the digits, resulting in chronic ulcerations and potentially loss of digits. Vasospastic disorders result from
DEFINITION Compartment syndrome remains one of the most devastating orthopaedic conditions if not treated appropriately. The potential clinical sequelae and medicolegal implications of possible missed compartment syndrome make it one of the most important entities in all of orthopaedic
DEFINITION Tibial plateau fractures are intra-articular fractures that may result in a malalignment of the articular surface and bear the risk of subsequent arthritis. ANATOMY The tibial plateau consists of three osseous structures: the lateral plateau, the
DEFINITION Distal femur fractures are difficult, complex injuries that can result in devastating outcomes. The distal part of the femur is considered the most distal 9 to 15 cm of the femur and can involve the articular surface. The intra-articular injury can vary from a simple split to
DEFINITION A femoral shaft fracture is any fracture of the femoral diaphysis from 5 cm below the lesser trochanter to within 6 to 8 cm of the distal femoral articular surface. Some fracture lines extend proximal or distal to the shaft and are therefore not considered shaft fractures. This
n DEFINITION A posterior wall fracture is one of the elementary fracture types as described by Letournel and Judet.6 It is a fracture of the posterior rim of the socket portion of the ball-and-socket joint of the hip
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,
DEFINITION The term insertional Achilles tendinitis (IAT) is actually a misnomer. The condition is more typically a degenerative process, and the nomenclature should reflect this condition, more appropriately, as a tendinosis or tendinopathy.5,7,9,10,16 As the name suggests, IAT is
DEFINITION Arthroscopic surgical techniques in sports medicine have significantly advanced as a result of the development of various implants to repair ligaments, tendons, and meniscus cartilage. These anchoring devices are currently combined with ultra-high-molecular-weight polyethylene
DEFINITION High tibial osteotomy (HTO) is realignment surgery, which has developed for treating medial compartment osteoarthritis (OA) of the knee.7 One of the main etiologic factors of knee OA is excessive biomechanical stress loaded on a focal area due to varus deformity of the lower limb
DEFINITION A meniscus tear results in mechanical disruption of the gross structure of the medial or lateral meniscus or both. The goals of meniscus repair are to preserve and optimize meniscus function and to restore joint biomechanics, ultimately resulting in protection and preservation of
DEFINITION Synovial-based disorders about the hip are relatively rare entities. Synovial chondromatosis and pigmented villonodular synovitis (PVNS) have been increasingly of interest to hip arthroscopists and will be the primary focus of this chapter. Inflammatory arthropathies and septic
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
DEFINITION Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory condition of unknown etiology affecting 1% to 2% of the population. It affects females two to three times as frequently as males, and the incidence increases with age, typically peaking between 35
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
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
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
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 H3D 3930. (3857) Q9-7640: Which of the following describes the histologic appearance of a schwannoma: 1) Herringbone pattern of fibroblasts and collagen 3) Storiform pattern of spindle cells and giant cells 2) Areas of cellular twisted
ORTHOPEDIC MCQS ONLINE QUESTION BANK H3C Slide 1 Slide 2 Slide 3 Slide 4 Slide 5 A
ORTHOPEDIC MCQS ONLINE QUESTION BANK H3B Figure 1 Figure 2 A 10-year-old boy has immediate pain after throwing a baseball. He is unable to elevate his arm due to pain. The child has no medical problems. An anteroposterior radiograph of the shoulder is shown in Figure 1. The
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 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 H2C 2379. (3838) Q5-7621: An 18-month-old patient is suspected of X-linked hypophosphatemic rickets. The clinical findings are most likely to include all of the following except: 1) Below average stature 3) Dental abscesses or caries 2)
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2A 2072. (2226) Q5-2654: The protein neurofibromin normally acts in which of the following ways: 1) Inhibits fibroblast growth factor 3) Downregulates Ras protein 2) Promotes proteoglycan assembly 5) Promotes tumor formation 4)
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2D A 4-year-old girl is brought in for examination by her mother because of a bump on the lateral side of her elbow. The girl is unable to extend her elbow. She falls as much as any child, but no particular injury to the elbow is recalled. Radiographs show a
ORTHOPEDIC MCQS ONLINE QUESTION BANK H1D 1132. (1414) Q3-1787: A foot is maximally dorsiflexed during this point of the gait cycle: 1) Midswing 3) Toe off 2) Midstance 5) First one-third of stance 4) Heelstrike During gait, a foot is dorsiflexed during
ORTHOPEDIC MCQS ONLINE QUESTION BANK H1D Which of the following is a significant risk factor for a motor nerve palsy following a primary hip replacement: 1) Age <50 years 3) Prior hip surgery 2) Female sex 5) Developmental dysplasia 4) Body mass index
ORTHOPEDIC MCQS ONLINE QUESTION BANK H1C Which of the following fractures occurs through a single application of force: 1) A minimally displaced femoral neck fracture in a long distance runner 3) A fifth rib fracture in a collegiate rower 2) A second metatarsal fracture in a Naval Academy
APPROACHES TO THE The Tibia and Fibula The Tibia and Fibula Anterolateral Approach to the Lateral Tibial Plateau Posteromedial Approach to the Proximal Tibia Posterolateral Approach to the Tibial Plateau
Spinal Fusion for Neuromuscular Scoliosis DEFINITION Neuromuscular diseases are heterogeneous between and within diseases and are due to a vast number of pathologies involving the brain, spinal cord, peripheral nervous system, and
Posterior Osteotomies of the Spine DEFINITION Spinal osteotomies encompass a range of techniques involving resection of bone from the spinal column to induce flexibility and correct rigid pediatric spinal deformity. These osteotomies can resect the
Operative Management of Unicameral Bone Cyst, Aneurysmal Bone Cyst, and Nonossifying Fibroma UNICAMERAL BONE CYST DEFINITION Unicameral bone cyst (UBC) or simple bone cyst is a benign, active or latent, solitary fluid-filled
(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture? Hip
Chapter 38 Fasciotomy of the Leg for Acute Compartment Syndrome George Partal Andrew Furey Robert V. O'Toole DEFINITION Compartment syndrome remains one of the most devastating orthopaedic conditions if not treated appropriately. The potential clinical
Chapter 29 Open Reduction and Internal Fixation of the Distal Femur Animesh Agarwal DEFINITION Distal femur fractures are difficult, complex injuries that can result in devastating outcomes. The distal part of the femur is considered the most distal 9 to
ARAB BOARD ORTHOPEDIC MCQS ONLINE BANK PREFACE Much effort has been put in this book, as every question was reviewed, analyzed and evaluated concerning the benefit, and information given to the student or Orthopedic Resident, that would allow one to realize his weak
Graduate Exam Question 2018 First, single-choice questions (1 point per question, 20 points) 1. The best treatment for liver
Examination questions for
ORTHOPEDIC MCQS ONLINE BANK OITE 14B Answer 04.50 # 2 In
1.04 A 32-year old man sustained a closed tarsometatarsal fracture-dislocation, and a closed reduction is performed. Postreduction radiographs reveal a 3 mm offset at the first metatarsocuneiform joint. Management should not consist of: A light dressing and immediate range of
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 1213 2013 & 2012 OITE Study Guide © 2012 American Academy of Orthopaedic Surgeons 2012 Orthopaedic In-Training
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 BANK ONLINE OITE 21 For OITE 21 FIGURES CLICK OITE21FIG 01.1 A 49-year-old man has a persistent Trendelenburg gait after undergoing open reduction and internal fixation of a posterior wall acetabular fracture 6 months ago. The radiographs reveal a normal
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 ONLINE BANK OITE 97 97.1 A 55-year-old woman reports a spontaneous onset of severe pain in her ribs. AP and lateral chest radiographs show severe osteopenia, two rib fractures, and three vertebral compression fractures. Laboratory studies show a hemoglobin level of 9.0
ORTHOPEDIC MCQS BANK OITE 96 96.1 A 4‑year‑old girl has had increasing left hip pain over the past 48 hours and has stopped walking. Her temperature is 38°C (100.4°F). Hip range of motion is limited. Aspiration of the hip reveals a WBC of 68,000/mm' and
ORTHOPEDIC MCQS BANK OUTE 99 99.1 Examination of a 60-year-old man who has a painful flatfoot deformity reveals no demonstrable function of the posterior tibial tendon. Neither the hindfoot valgus nor the forefoot pronation is passively correctable, and management consisting of shoe
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
Graduation exams One, single-choice question (1 x 6 points) 1. Esophageal in situ cancer means (a) A limited to the mucous membrane B limited to intramuscular C Uninvaded and esophagus whole layer D not invaded the esophagus wall for a week E over the lower mucous membrane
Chapter 61 Unit Rod Instrumentation for Neuromuscular Scoliosis Kirk W. Dabney and Freeman Miller DEFINITION Neuromuscular spinal deformity is a result of an abnormal neuromuscular system in childhood, as in cerebral palsy, muscular dystrophy,
Chapter 46‌ Benign Bone Cysts Alexandre Arkader and John P. Dormans DEFINITION Unicameral bone cyst (UBC) Also known as a simple bone cyst, a UBC is a benign, active or latent, solitary cystic lesion that usually
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
DEFINITION Metastatic bone disease (MBD) afflicts more than half of the 1.2 million patients newly diagnosed with cancer annually.3,5 Bony involvement can be a major source of morbidity and mortality if not treated appropriately. The femur is the long
DEFINITION An intra-articular calcaneus fracture is an injury that involves the joint surfaces of the calcaneus, usually with displacement. A fracture-dislocation of the calcaneus occurs when the posterior facet dislocates from beneath the talus and
Chapter 17 Fasciotomy of the Leg for Acute Compartment Syndrome George Partal, Andrew Furey, and Robert O’Toole DEFINITION Compartment syndrome remains one of the most devastating orthopedic conditions. The potential clinical sequelae and
DEFINITION Tibial plateau fractures are intra-articular fractures that may result in a malalignment of the articular surface and bear the risk of subsequent arthritis. ANATOMY The tibial plateau consists of three osseous structures: the lateral
Chapter 10 Anterograde Intramedullary Nailing of the Femur Bruce H. Ziran, Natalie L. Talboo, and Navid M. Ziran DEFINITION A femoral shaft fracture is any fracture of the femoral diaphysis from 5 cm below the lesser trochanter to within 6 to 8
Chapter 4 Open Reduction and Internal Fixation of the Posterior Wall of the Acetabulum Jodi Siegel and David C. Templeman DEFINITION A posterior wall fracture is one of the elementary fracture types as described by Letournel.6 It is a fracture of
Anterograde Intramedullary Nailing of the Femur Anterograde Intramedullary Nailing of the Femur DEFINITION A femoral shaft fracture is any fracture of the femoral diaphysis from 5 cm below the lesser trochanter to within 6 to 8 cm of the distal femoral articular surface. Some
ORTHOPEDIC MCQS ONLINE RECON OB 20 1C 2020 A 72-year-old female presents with progressive left thigh and knee pain for the last year. 5 years ago she
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 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 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 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
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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
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ORTHOPEDIC MCQS ONLINE 013 PEDIATRIC 2013 Pediatric Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1-Figure 1 is the radiograph of a child who has pain in his
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ORTHO MCQS PEDS 10 2010 Pediatric Orthopaedic Examination Answer Book • 7 Figure la Figure lb Question 1 A 5-year-old boy has had a limp for the past 4 weeks with intermittent pain at the foot. He remains normally active and has no
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ORTHO MCQS BANK 011 FREE 03 Question 2..On MRI, what nerve is most likely to demonstrate increased signal intensity about the elbow in asymptomatic patients? 1- Ulnar 2- Radial 3- Median 4- Anterior interosseous 5- Musculocutaneous DISCUSSION: The ulnar nerve has been shown to have
ORTHO MCQS 011 FREE BANK 01 Question 1Which of the following methods of treating a vertically oriented (eg, Pauwels III) femoral neck fracture is mechanically optimal? 1- Two parallel fully threaded screws 2- Three parallel partially threaded screws 3- Three parallel fully
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
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ORTHOPEDIC MCQS OB 20 BASIC7 What method of spinal fixation requires the largest force to disrupt the bone-implant interface? Sublaminar cables Laminar hooks Pedicle hooks Pedicle screws CORRECT answer: 4 Pedicle screws have been
ORTHOPEDIC MCQS OB 20 BASIC 6 A college athlete on a scholarship has a medical condition that you feel presents a life-threatening risk to him with participation in athletics. Because of the gravity of this decision and the potential effect it can have on the
ORTHOPEDIC MCQS OB 20 BASIC 44 Which of the following is a function of siRNA (small interfering RNA)? Identifies proteins Blocks transcription of DNA Separates DNA based on size Blocks translation of mRNA Identifies DNA
ORTHOPEDIC MCQS OB 20 BASIC 4 A 64-year-old female with rheumatoid arthritis has decreased functional use of the left hand for activities of daily living. On physical examination she has fixed deformities of the metacarpophalangeal (MCP) joints as demonstrated in Figure
ORTHOPEDIC MCQS OB 20 BASIC 3 A type IV (delayed-type hypersensitivity reaction) can be seen in which of the following scenarios? Packed red blood cell transfusion Platelet transfusion Immune inert scaffold placement Metal plate and screw placement for fracture Red man
ORTHOPEDIC MCQS OB 20 BASIC 2 Which of the following exhibits osteoinductive and osteoconductive properties when treating the injury shown in Figure A? Corrent answer: 2 Neutrophils are
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ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01 1. An 18-year-old high school football player sustains a thigh injury that results in the findings shown in Figure 1. Initial management should consist
ORTHOPEDIC MCQS BANK WITH ANSWER ANATOMY 02 1. A patient has right shoulder pain. Figure 1a shows a gadolinium-enhanced transverse MRI scan at the level of the coracoid. Figure 1b shows an arthroscopic view of the anterior structures
ORTHOPEDIC MCQS BANK WITH ANSWER PATHOLOGY 02 1. A 16-year-old boy has had thigh pain for the past several months. He denies any history of trauma. Examination reveals a large, deeply fixed, soft-tissue mass in the thigh.
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ORTHOPEDIC MCQS WITH ANSWER PEDS 04 1. An 8-year-old boy sustains nondisplaced midshaft fractures of the tibia and fibula after being struck by a car while he was riding his bicycle. No other injuries are noted, but the patient reports pain
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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
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ORTHOPEDIC MCQS with Answers ONLINE BASIC 06 1. A 20-year-old woman with a history of subtotal meniscectomy has a painful knee. What associated condition is a contraindication to proceeding with a meniscal allograft?
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ONLINE ORTHOPEDIC MCQS TRAUMA 9 1. A 26-year-old woman sustained a nondisplaced femoral neck fracture and treatment consisted of use of percutaneous cannulated screws. At her 3-month follow-up visit, she reports hip pain and is unable to
online orthopedic mcqs HAND AND WRIST 1- Figures 1 through 3 are the radiographs of a 40-year-old woman who sustained a minor injury to her left ring finger. Prior to this injury she was asymptomatic, but she now notes pain and swelling. What is the best course of
Shoulder and elbow structured oral examination question4 EXAMINER: This is a radiograph of a 63-year-old gentleman’s right shoulder. Proceed. CANDIDATE: This plain AP radiograph shows normal glenohumeral joint and acromioclavicular joint, wellmaintained subacromial space but the
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
The basic science oral Basic science oral core topics Embryology Limb embryology At 3 weeks in utero (wiu) Gastrulation occurs, i.e. the formation of ectodermal and endodermal plates. The primitive streak forms, and mesenchymal tissue gives rise to mesoderm. The notochord is
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
The basic science oral Basic science oral core topics Introduction The FRCS Orth examination will definitely test you on aspects of basic science – in the past there has commonly been a surgical approach question in the written paper, and although the format is changing it
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Basic Sciences Tissues 1 Bone Take-Home Message • Bone regeneration depends on an osteoinductive stimulus, osteoconduc-tive matrix, source of responding cells, and suffi cient
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
Pediatric Orthopaedic MCQS Self-Assessment Examination 2020 Question 1 of 100 Figures 1 and 2 are the radiographs of an 11-year-old girl who is having right elbow pain after “trying to beat up a
Self-Assessment Examination 2020 Adult Spine MCQS Question 1 of 100 Figures 1 and 2 are the MRI scans of the spine of a 20-year-old college football player who complains of severe right arm pain after making a tackle. He has numbness of the right thumb and index finger but has
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:
FREE Orthopedics MCQS 2022 1901.-1950. 1901. (886) Q5-1154: Which of the following statements correctly represents the definitions of C hiari I and C hiari II malformations: 1) A C hiari I malformation is displacement of the brainstem through the foramen magnum; a C hiari II
FREE Orthopedics MCQS 2022 1401-1450 1401. (1755) Q4-2152: Prolonged nonsteroidal anti-inflammatory drugs (NSAIDs) cure which of the following lesions: 1) Osteosarcoma 3) Osteoblastoma 2) Osteoid osteoma 5) None of the above 4) Osteochondroma An average
ORTHOPEDICS HYPERGUIDE MCQ 951-1000 951. (3530) Q2-4484: The mechanism of action of nitrogen-containing bisphosphonates is: 1) Osteoblast activation 3) Osteoclast apoptosis 2) Osteocyte activation 5) Increased production of osteoprotegerin 4) Decreased
ORTHOPEDICS HYPERGUIDE MCQ 901-950 901. (3289) Q2-4133: The receptor activator of nuclear factor-kB ligand (RANKL) is expressed on the surface of which of the following cells: 1) Osteoclasts 3) Platelets 2) Osteoblasts and marrow stromal cells 5) Vascular endothelial
ORTHOPEDICS HYPERGUIDE MCQ 851-900 851. (3026) Q2-3532: A man has an X-linked dominant condition and marries a woman who does not carry the abnormal gene. Which of the following is true concerning the offspring: 1) 50% of the daughters will be affected 3) 50% of the
FASCIOTOMY OF THE LEG FOR ACUTE COMPARTMENT SYNDROME DEFINITION ■ Compartment syndrome remains one of the most devastating orthopedic conditions. The potential clinical
ORTHOPEDICS HYPERGUIDE MCQ 751-800 751. (1926) Q2-2336: Osteoclasts have receptors for which of the following: 1) 1,25 dihydroxyvitamin D3 3) Osteoprotegerin 2) Parathyroid hormone 5) Calcitonin 4) Receptor activator of nuclear factor
ORTHOPEDICS HYPERGUIDE MCQ 701-750 701. (1068) Q2-1375: The skin over the anterior distal thigh above the patella is innervated by which of the following sensory segmental levels: 1) T12 3) L2 2) L1 5) L4 4) L3 The skin over the thigh is innervated by
ORTHOPEDICS HYPERGUIDE MCQ 651-700 651. (784) Q2-1045: Hydroxylation of vitamin D to 25-hydroxyvitamin D occurs in the: 1) Liver 3) Thyroid 2) Kidney 5) Small intestine 4) Parathyroid hormone Vitamin D is hydroxylated to 25-hydroxyvitamin D in the liver. The
ORTHOPEDICS HYPERGUIDE MCQ 601-650 601. (734) Q2-995: Which of the following collagens stabilizes the collagen network by linking the type II collagen fibrils: 1) Type I 3) Type IX 2) Type III 5) Type XII 4) Type X The strength of articular cartilage comes in part
ORTHOPEDICS HYPERGUIDE MCQ 551-600 551. (70) Q2-110: Which of the following statements concerning the medial and lateral menisci is correct: 1) The medial meniscus is more mobile than the lateral meniscus 3) The menisci transmit 50% of the joint forces with the knee in
Distal Radius Fractures (Broken Wrist) PATIENT EDUCATIONS A fracture of the distal radius occurs when the radius — one of the two long bones in the forearm — breaks close to the wrist. Distal radius fractures are very common. In fact, the radius is the most
Fasciotomy of the Leg for Acute Compartment Syndrome DEFINITION ■ Compartment syndrome remains one of the most devastating orthopedic conditions. The potential clinical sequelae and medicolegal implications of a possible missed compartment syndrome
Anterograde Intramedullary Nailing of the Femur DEFINITION ■ A femoral shaft fracture is any fracture of the femoral diaphysis from 5 cm below the lesser trochanter to within 6 to 8 cm of the distal femoral articular surface. ■ Some
Shoulder osteoarthritis-Treatment Nonsurgical Treatment As with other arthritic conditions, initial treatment of arthritis of the shoulder is nonsurgical. Your doctor may recommend the following: Rest or change in activities. You may need to change the way you move
Shoulder osteoarthritis-Doctor Examination Medical History and Physical Examination After discussing your symptoms and medical history, your doctor will examine your shoulder. During the physical examination, your doctor will look for: Weakness (atrophy) in the
Description-Shoulder osteoarthritis Five major types of arthritis typically affect the shoulder. Osteoarthritis Also known as "wear-and-tear" arthritis, osteoarthritis is a condition that destroys the smooth outer covering (articular cartilage) of bone. As the articular