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Mastering the Management of Scaphoid Fractures: Understanding Classification, Treatment, and Complications
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Orthopedic MD Oral Examination:Management of Proximal Humerus Fracture
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Orthopedic MD Oral Examination: Diagnosis and Management of Humeral Shaft Fractures
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Scapula Fractures: Causes, Diagnosis and Treatment
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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
Tibial Plateau Fractures: Anatomy, Diagnosis, and Treatment
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Understanding Femoral Shaft Fractures: Anatomy, Diagnosis, and Treatment
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Biomechanics and Treatment of Femoral Shaft Fractures
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Diaphyseal Tibial Fractures: Diagnosis, Treatment, and Prognosis
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Acetabulum Fractures: Diagnosis, Treatment, and Prognosis
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Understanding Scaphoid Fracture: Diagnosis, Classification, and Treatment Options
Scaphoid fracture is the most common carpal bone fracture, which occurs when the wrist is forcefully dorsiflexed, pronated, and ulnarly deviated. It is most common in the third decade of life, and the waist of the scaphoid is the most common location for the fracture. The diagnosis of scaphoid
Lumbar Spine
examination of the lumbar spine may be seen as a continuation of the procedure already described for the cervical and the thoracic spine; the lumbar spine cannot be evaluated in isolation. Abnormalities of the lumbar spine may lead to compensatory or secondary abnormalities in other portions of
SCAPHOID FRACTURE
Scaphoid fracture is the most common carpal bone fracture, which occurs when the wrist is forcefully dorsiflexed, pronated, and ulnarly deviated. It is most common in the third decade of life, and the waist of the scaphoid is the most common location for the fracture. The diagnosis of
Revision Hip Arthroplasty Case Title: Acetabular Revision (Cup-Cage Techniques)
Demographics Age: 77 Sex: Female BMI: 32 Relevant Past Medical History Principal pathologies: Rheumatoid arthritis, hyperlipidaemia Previous surgical procedures: (1) Left primary total hip arthroplasty (THA) 25 years previously; (2) left revision
Revision Hip Arthroplasty Case Title: Acetabular Revision ‘Cup-Cage Techniques’
Demographics Age: 73 Sex: Female BMI: 23 Relevant Past Medical History Previous surgical procedures: Left hip—shelf arthroplasty 1962, THA 1985. Right hip THA 1989 Medication: Painkiller Other: Rehabilitation History of Presenting
Revision Hip Arthroplasty Case Title: Cup-Cage Reconstruction for Severe Acetabular Bone Loss
Demographics Age: 57 Sex: Female BMI: 28.7 Relevant Past Medical History Principal pathologies: Hypertension Previous surgical procedures: Right THR 1994 for mild hip dysplasia (type I) Medication: Amlodipine, Tylenol History of presenting
Case Title: Acetabular Revision Following Two-Stage Exchange Revision Hip Arthroplasty
Demographics Age: 71 years Sex: Male BMI: 26.2 Relevant Past Medical History Principal pathologies: Non-insulin-dependent diabetes, hypertension, deep venous thrombosis. Previous surgical procedures: Right total hip
Revision Hip Arthroplasty Case Title: The Use of Acetabular Augments for Revision Total Hip Arthroplasty
Case Title: The Use of Acetabular Augments for Revision Total Hip Arthroplasty Demographics Age: 71 years old Sex: Male BMI: 37 Relevant Past Medical History Principal pathologies: Osteolysis and mechanical failure of
Revision Hip Arthroplasty Case Title: Acetabular Augment for Acetabular Bone Deficiency
Case Title: Acetabular Augment for Acetabular Bone Deficiency Demographics Age: 80 years Sex: Female BMI: 27 Relevant Past Medical History Principal pathologies: Infected THA with femoral and acetabular bone loss. Previous
Revision Hip Arthroplasty Case Title: Revision of Paprosky IIIB Defect with Massive Bone Loss
Case Title: Revision of Paprosky IIIB Defect with Massive Bone Loss Demographics Age: 68 years old Sex: Female BMI: 32 Relevant Past Medical History Principal pathologies: Rheumatoid arthritis, non-insulin-dependent diabetes
Revision Hip Arthroplasty Case Title: Acetabular Augment for a Paprosky Type IIIA Acetabular Defect
Case Title: Acetabular Augment for a Paprosky Type IIIA Acetabular Defect Demographics Age: 67 years Sex: Male BMI: 23.4 Relevant Past Medical History Principal pathologies: Bilateral developmental hip dysplasia. Previous surgical procedures:
Revision Hip Arthroplasty Case Title: Revision THA Acetabulum Paprosky Type IIIA. ARMD with Metallosis with Severe Periacetabular Osteolysis and Co-Cr Levels >7 μg/L
Revision THA Acetabulum Paprosky Type IIIA. ARMD with Metallosis with Severe Periacetabular Osteolysis and Co-Cr Levels >7 μg/L Demographics Age: 79 Sex: Male BMI: 28 Relevant Past Medical
Revision Hip Arthroplasty Case Title: Acetabular Impaction Grafting
Case Title: Acetabular Impaction Grafting Demographics Age: 78 Sex: female BMI: 28 Relevant Past Medical History Principal pathologies: high blood pressure. Previous surgical procedures: cemented total hip
Revision Hip Arthroplasty Case Title: Acetabular Impaction Grafting
Case Title: Acetabular Impaction Grafting Demographics Age: 79 Sex: female BMI: 22 Relevant Past Medical History Principal pathologies: hip ankylosis in 1954 due to DDH (Fig. 18.5). Previous surgical procedures: primary and
Revision Hip Arthroplasty Case Title: Revision THA Using Impaction Bone Grafting for the Socket and Stem for Aseptic Loosening
Case Title: Revision THA Using Impaction Bone Grafting for the Socket and Stem for Aseptic Loosening Polyethylene-induced osteolysis with severe socket bone loss Paprosky type 2B and femoral bone loss Paprosky 3A. There is also proximal femoral dilatation and ballooning thinning the
Primary Hip Arthroplasty Case Title: Resurfacing Primary Hip Arthroplasty
Case Title: Resurfacing Primary Hip Arthroplasty Demographics Age: 52 years old Sex: Male BMI: 24.7 Relevant Past Medical History Principal pathologies: Hypercholesterolemia. Previous
Primary Hip Arthroplasty Case Title: Hemiresurfacing for Hip Osteonecrosis in Active Young Patients
Case Title: Hemiresurfacing for Hip Osteonecrosis in Active Young Patients Demographics Age: 32 Sex: Male BMI: 29.1 Relevant Past Medical History Principal pathologies: Bilateral
Primary Hip Arthroplasty Case Title: Hybrid Primary Total Hip Arthroplasty
Case Title: Hybrid Primary Total Hip Arthroplasty Demographics Age: 86 Sex: Female BMI: 25 Relevant Past Medical History Principal pathologies: Gorham’s ‘vanishing bone’
Primary Hip Arthroplasty Case Title: Uncemented Primary Total Hip Arthroplasty (Using an Extensively Porous-Coated [Anatomic Medullary Locking, AML] Stem)
Case Title: Uncemented Primary Total Hip Arthroplasty (Using an Extensively Porous-Coated [Anatomic Medullary Locking, AML] Stem) Demographics Age: 61 Sex: Female BMI: 34.1 Relevant Past Medical
Primary Hip Arthroplasty Case Title: Hybrid Primary Hip Arthroplasty
Case Title: Hybrid Primary Hip Arthroplasty Demographics Age: 76 Sex: Female. BMI: 26 Relevant Past Medical History Principal pathologies: Mild cognitive impairment, osteoporosis and
Primary Hip Arthroplasty Case Title: Ceramic on Monobloc Vitamin E Enhanced HXLP Titanium Spray Coated: THA with Impaction Autografting of the Acetabulum
Demographics Age: 69 Sex: Male BMI: 28 Relevant Past Medical History Principal pathologies: Hyperuricemia. Previous surgical procedures: Appendectomy 40 years ago. Medication: Allopurinol. History of presenting complaint: Pain due to
Primary Hip Arthroplasty Case Title: Uncemented Primary Total Hip Arthroplasty Metal Back Socket
Demographics Age: 69 Sex: Female Relevant Past Medical History Principal pathologies: None. History of presenting complaint: Pain of the right hip worsen in the last months. Preoperative
Primary Hip Arthroplasty Case Title: Bilateral Simultaneous THAs Using Uncemented Monobloc All HXLP Acetabular Components
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
Primary Hip Arthroplasty Case Title: Direct Superior Approach
The skin incision is made 45° backward and upward from the tip of the greater trochanter (Fig. 2.1a). The tip area is divided into thirds, and the incision is made between the 2nd and 3rd thirds (Fig. 2.1b, c). The short rotators are tagged with Ethibond suture size 5 and
Conservative Hip Surgery Case Title: Bilateral Symptomatic Hip Dysplasia
Demographics Age: 47 years Sex: Female BMI: 20.5 Relevant Past Medical History Principal pathologies: Leiden Factor 5 thrombo-philia, heterozygote Previous surgical procedures: 2005, appendicitis acuta; 2001, 1998, and 1995, child
Conservative Hip Surgery Case Title: Open Surgical Dislocation of the Hip
Demographics Age: 25 Sex: Female BMI: 22 Relevant Past Medical History Principal pathologies: Crohn’s disease, obsessive-compulsive disorder Previous surgical procedures: None Medication: Celexa, Klaron, Remicade,
Conservative Hip Surgery Case Title: Periacetabular Osteotomy
Demographics Age: 28 Sex: Female BMI: 29 Relevant Past Medical History Principal pathologies: None Previous surgical procedures: None Medication: None History of presenting complaint: A 28-year-old female presented with
Conservative Hip Surgery Case Title: Arthroscopic Excision of Intra-articular Osteoid Osteoma of the Femoral Neck
Demographics Age: 22 Sex: Male BMI: 23.7 Relevant Past Medical History Principal pathologies: Intra-articular osteoid osteoma Previous surgical procedures: None Medication: None Other: No known drug allergies History of presenting
Conservative Hip Surgery Case Title: Subcapital Realignment in Unstable SCFE
Demographics Age: 12 years Sex: Female BMI: 19 Relevant Past Medical History Principal pathologies: Inconspicuous anamnesis Previous surgical procedures: None Medication: None Other: None History of presenting
Conservative Hip Surgery Case Title: Surgical Hip Dislocation as First Step for Revision of Instability from Arthroscopy
Demographics Age: 33 years Sex: female BMI: 24 Relevant Past Medical History Principal pathologies: Residual anterolateral acetabular dysplasia and high femoral anteversion. Anterolateral loss of the joint cartilage Previous
Conservative Hip Surgery Case Title: Femoral Head Reduction Osteotomy
Demographics Age: 15 years Sex: Male BMI: 20.5 Relevant Past Medical History Principal pathologies: Complex deformity after Perthes disease Previous surgical procedures: None Medication: NSAR, physical therapy Other:
Conservative Hip Surgery Case Title: Bernese Periacetabular Osteotomy for Residual Acetabular Dysplasia
Demographics Age: 21 years Sex: Female BMI: 22 Relevant Past Medical History Principal pathologies: Hip dysplasia with lateral uncoverage and labral tear Previous surgical procedures: None Medication: NSAR and physical
Implant Selection in Total Hip Arthroplasty
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
Lesser Toe Plantar Plate Repair
DEFINITION The plantar plate is a fibrocartilaginous structure that provides metatarsophalangeal (MTP) joint stability.15 The progressive instability of the MTP joint can result from different patterns of plantar plate tears.12 Each type of plantar plate tear has a particular treatment
Capsular Interpositional Arthroplasty
DEFINITION Hallux rigidus refers to degenerative arthritis of the first metatarsophalangeal (MTP) joint that is characterized by pain, decreased range of motion (ROM), and proliferative osteophyte formation. ANATOMY The first MTP joint is composed of the
Dorsal Cheilectomy, Extensive Plantar Release, and Microfracture Technique
DEFINITION Hallux rigidus, osteoarthrosis of the first metatarsophalangeal (MTP) joint, was first described by Cotterill8 and Davies-Colley12 in 1887. Pain and restriction in range of motion (ROM) in the first MTP joint are the major characteristics of hallux rigidus.41 After
Dorsal Cheilectomy for Hallux Rigidus
DEFINITION Hallux rigidus refers to limited dorsiflexion of the first metatarsophalangeal (MTP) joint as a result of dorsal osteophyte impingement. Plantarflexion is typically not limited but may be restricted if a large dorsal osteophyte is present. In advanced stages, global arthrosis of
The Minimally Invasive Hallux Valgus Correction (SERI)
DEFINITION Hallux valgus is a deformity of the forefoot characterized by progressive lateral subluxation of the proximal phalanx of the first toe on the first metatarsal head. It is considered pathologic when the patient experiences symptoms associated with a valgus deviation (hallux valgus
Biplanar Distal Chevron Osteotomy
DEFINITION Hallux valgus is a common condition that can affect both adults and adolescents.2,7 Patients complain of pain and restriction with activities of daily living because of the lateral deviation of the great toe, the medial deviation of the first metatarsal, and the onset of
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
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
Distal Biceps Tendon Disruptions: Acute and Delayed Reconstruction and One- and Two-Incision Techniques
ANATOMY Matt Noyes Edwin E. Spencer, Jr. Mean length of the distal biceps insertion is 22 to 24 mm and the mean width is 15 to 19 mm on the proximal radius. The biceps tendon inserts like a ribbon on the ulnar aspect of radial tuberosity. Left tendon spirals
Intramedullary Fixation of Humeral Shaft Fractures
r DEFINITION Incidence: 3% to 5% of all fractures12 The AO/ASIF classification of humeral shaft fractures is based on increasing fracture comminution and is divided into three types according to the contact between the two
Intramedullary Fixation of Humeral Shaft Fractures
r DEFINITION Incidence: 3% to 5% of all fractures12 The AO/ASIF classification of humeral shaft fractures is based on increasing fracture comminution and is divided into three types according to the contact between the two
Arthroscopic Treatment of Rotator Cuff Tears
Arthroscopic Treatment of Rotator Cuff Tears DEFINITION Rotator cuff disease encompasses a spectrum of disorders ranging from tendinitis to partial and fullthickness tendon tears. It is the most common shoulder disorder treated by an
Percutaneous In Situ Cannulated Screw Fixation of the Slipped Capital Femoral Epiphysis S
Percutaneous In Situ Cannulated Screw Fixation of the Slipped Capital Femoral Epiphysis DEFINITION Slipped capital femoral epiphysis (SCFE) is a common hip disorder in adolescents in which the neck and femur displace anterolaterally (most commonly into
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2B
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 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
Percutaneous In Situ Cannulated Screw Fixation of the Slipped Capital Femoral Epiphysis
Chapter 79 Percutaneous In Situ Cannulated Screw Fixation of the Slipped Capital Femoral Epiphysis Richard S. Davidson and Michelle S. Caird DEFINITION Slipped capital femoral epiphysis (SCFE) is a common hip disorder in adolescents in which the neck and
ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1A
ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1A © A 24-year-old avid volleyball player has noted gradual onset of shoulder fatigue and weakness limiting his game. Radiographs done by his primary care physician were normal and he has failed to improve with 6 weeks of
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 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 ONLINE 015 FOOT AND ANKLE e
ORTHOPEDIC MCQS ONLINE 015FOOT and Ankle CLINICAL SITUATION FOR QUESTIONS 1 THROUGH 4 A B Figures 1a and 1b are the radiographs of a
ORTHOPEDIC MCQS OB 20 BASIC7
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 SHOULDER AND ELBOW3
ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW3 58) A 50-year-old male laborer has persistent pain in the right elbow and has been having difficulty with some activities of daily living over the last year. He has not seen any progress after 3 months of using the extension splint from his ulnar nerve
ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW 2
ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW 2 57) A 21-year old minor league pitcher returns to your office with persistent posteromedial pain in his throwing elbow that worsens after ball release and follow-through. His exam shows full range of motion and some tenderness to palpation over the
ONLINE ORTHOPEDIC MCQS TRAUMA 9
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
Orthopedic MCQS online sports Medicine
Orthopedic MCQS online Sport Medicine 1- A 38-year-old man has increasing left knee pain and occasional instability. Several years earlier he sustained a noncontact twisting injury to his knee. He had initial soreness and pain but was able to resume his normal activities while
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
Foot and Ankle Surgery
Foot and Ankle Surgery General Principles 1 Biomechanics Take-Home Message • The complex bony and ligamentous anatomy of the foot and ankle allows multiple foot
Orthopaedic Trauma
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Basic Sciences
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
Scapula Fractures
Scapula Fractures overview. Summary Scapula Fractures are uncommon fractures to the shoulder girdle caused by high energy trauma and associated with pulmonary injury, head injury, and increased injury severity scores. Diagnosis can be made with plain radiographs and CT studies