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Fractures are common injuries that affect the skeletal system and require appropriate management to restore function and prevent complications. Depending on the type, location, and severity of the fracture, different methods of treatment may be indicated. One of these methods is closed
Proximal femoral fractures, also known as hip fractures, are common injuries that affect older adults, especially women. These fractures involve the upper part of the femur, which includes the femoral head, the femoral neck, the intertrochanteric region, and the femoral shaft. The most common type
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8عوامل محفوفة بمخاطر الكسر في عظمة الورك، وتحتاج إلى التدخل الجراحي في غضون 24 ساعة. 1 رقة العظام وهشاشته، مع الإنخفاض في كتلة العضلات 2 الحركة الغير متوازنة،
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,
This 79-year-old woman fell in the street after getting off the bus, sustaining the above injury. Can you describe the radiograph, and how would you classify this fracture? This is an AP radiograph of both hips showing a displaced intracapsular hip fracture on the right side.
These are the radiographs for a 36yearold cyclist hit by a car. It is an isolated injury. Describe the xrays. These are AP and lateral radiographs of the left hip showing a displaced intracapsu lar fracture of the neck of the femur. Describe the blood supply to the femoral
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
Can you describe the radiographs? These are AP and lateral radiographs of the left hip. The subtrochanteric region extends from the lesser trochanter to 5 cm distal to the lesser trochanter. Therefore, these show a subtrochanteric hip fracture. There is no obvious evidence that this is
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
DR.MOHAMMAD HUTAIF, EMIAL Allograft prosthetic composite (APC) and endoprosthetic replacement of the proximal femur are surgical procedures used to treat severe bone loss in the hip. This article reviews the indications, contraindications, techniques, and outcomes of these
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
Thromboprophylaxis‌ Thromboembolic disease Common orthopaedic complication Thrombosis: clotting at improper site Embolism: clot that migrates Most clinically silent but can be
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.
PEDIATRIC HIP PEDIATRIC HIP FRACTURES Epidemiology Hip fractures are rare in children, occurring less than 1% as often as in adults. Anatomy Ossification (Fig. 47.1) Proximal femur: week 7 in
PEDIATRIC WRIST AND HAND INJURIES TO THE CARPUS Epidemiology Rare, although carpal injuries may be underappreciated owing to difficulties in examining an injured child and the limited ability of plain radiographs
FRACTURES OF THE MIDFOOT AND FOREFOOT MIDTARSAL (CHOPART) JOINT Epidemiology Injuries to the midfoot are relatively rare. The annual incidence of midfoot fractures is 3.6 per 100,000 population per
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
SUBTROCHANTERIC FRACTURES EPIDEMIOLOGY Subtrochanteric fractures account for approximately 10% to 30% of all hip fractures, and they can affect persons of all ages. There is a greater incidence of bimodal
INTERTROCHANTERIC FRACTURES EPIDEMIOLOGY Intertrochanteric fractures account for nearly 50% of all fractures of the proximal femur. There are approximately 150,000 intertrochanteric fractures annually in
FEMORAL NECK FRACTURES EPIDEMIOLOGY More than 250,000 hip fractures occur in the United States each year (50% involve the femoral neck). This number is projected to double by the year 2050. Eighty percent occur in women. This
HIP DISLOCATIONS EPIDEMIOLOGY Up to 50% of patients sustain concomitant fractures elsewhere at the time of hip dislocation. The majority of hip dislocations occur in 16- to 40-year-old males involved in motor vehicle
WRIST INJURIES EPIDEMIOLOGY The annual incidence of carpal fractures in the United States was reported at more than 678,000 in 1995. Seven percent of distal radius fractures have an associated carpal fracture. Carpal
DISTAL RADIUS FRACTURES EPIDEMIOLOGY Distal radius fractures are among the most common fractures of the upper extremity. More than 650,000 occur annually in the United States. Fractures of
PROXIMAL HUMERUS FRACTURES EPIDEMIOLOGY Proximal humerus fractures comprise 4% to 5% of all fractures and represent the most common humerus fracture (45%). The incidence is 300,000 per year (more common
INTRAOPERATIVE PATIENT POSITIONING AND FLUOROSCOPY FOR FRACTURE SURGERY: A SUGGESTED GUIDE TO OBTAINING THE QUALITY IMAGES Optimal patient position and placement of the image intensifier aids the surgeon in obtaining accurate, real-time radiographs during
PRINCIPLES OF CLOSED REDUCTION Displaced fractures, including those that will undergo internal fixation, should be reduced to minimize soft tissue trauma and provide patient comfort. Splints should respect the soft tissues. Pad all bony prominences. Allow for
A 34-year-old, male bull rider is brought to the emergency department after being bucked from his bull. He has abrasions over his left upper and lower extremities with exquisite tenderness over his left hip, pain with longroll, and tenderness in his left groin. An AP pelvis radiograph is shown
What are the indications for the anterior approach to the hip? This approach is predominantly used for irrigation and debridement of a septic arthritis of a native hip, or for reduction of displaced intracapsular hip fractures in the young. Other uses for
A 64-year-old patient with rheumatoid arthritis and seizure disorder presents to you for evaluation of a painful, dislocating LEFT total hip replacement. She reports that 3 days after her initial surgery performed 6 months prior, she fell due to a seizure and sustained a fracture dislocation of the
A 25-year-old, right-hand-dominant man presents to the clinic with right shoulder pain. He is a professional football player and plays as an offensive lineman. Three days ago, he was blocking with his hands with his right elbow fully extended and his shoulder flexed, adducted, and internally
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
Background Intertrochanteric fractures of the femur are common injuries in elderly patients, and most are treated successfully using internal
Introduction Hip fractures in the elderly are associated with impaired mobility, excess morbidity and mortality, and loss of independence. With the trend towards
Introduction Primary total hip replacement (THR) is a highly successful operation to relieve pain from a degenerative hip. Bone defects can be encountered both in
Introduction Cemented Total Hip Arthroplasty (THA) is an extremely successful procedure with unsurpassed success. Recent data from multiple national joint registries show that cemented stems have superior long-term survival across all patient groups; long-term survival rates above 90 to 95% for
Introduction Total hip replacement has been termed as “Operation of Century” as it has revolutionized the treatment of patients with advanced hip
(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
(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
Controversies We prefer the posterior approach, irrespective of the previous approach(s). In revision of a previous lateral approach, it avoids further damage to the gluteus medius and minimus, which have often not healed (see Fig. 2). It allows extensile exposure of
DEFINITION Femoroacetabular impingement (FAI) is a mechanical hip disorder defined as abnormal abutment between the femoral head or the femoral head-neck junction and the acetabulum. It was initially described as a distinct physiologic entity by Myers et al,28 who noted abnormal contact
DEFINITION This chapter's focus is the use of pelvic osteotomies for acetabular reorientation for the treatment of symptomatic acetabular dysplasia, including acetabular retroversion. The Bernese periacetabular osteotomy (PAO) is a major progression from previously described triple
DEFINITION Femoral neck fractures are classified according to the Garden classification (Table 1).9 This classification divides these fractures into displaced or nondisplaced fractures. Guidelines for treatment of nondisplaced femoral neck fractures are beyond the scope of this
DEFINITION Total hip arthroplasty (THA) is one of the most successful operations performed today.3 This elective procedure provides significant pain relief and improved functional status to millions of patients globally every year. Due to its elective nature, careful preoperative
BACKGROUND J The proximal and midfemur are common sites for primary bone sarcomas and metastatic tumors. Patients who were candidates for extensive femoral resection because of malignant tumor had long been considered a high-risk group for limb-sparing procedures
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
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
DEFINITION Retrograde femoral nailing can be defined as any femoral nailing technique with a distal entry from the condyles or through an intercondylar, intra-articular starting point. For this chapter, retrograde femoral nailing will refer to nails with an intercondylar starting
DEFINITION Periprosthetic fractures about a total hip arthroplasty are fractures which occur in the femur or acetabulum adjacent to either the femoral or acetabular component, respectively. These fractures can occur intraoperatively or postoperatively. The focus of this chapter will be
DEFINITION Peritrochanteric hip fractures are defined as extracapsular hip fractures, always involving the trochanter and frequently with extension into the subtrochanteric region. Medicare data indicates that as management of osteoporosis has improved, individual risk of sustaining a
DEFINITION Fractures of the proximal femur are usually grouped into four major types reflecting differences in the anatomic and physiologic character of these regions: Femoral head fractures Intracapsular femoral neck fractures Pertrochanteric fractures (also referred to
n DEFINITION Femoral neck fractures occur in two patient populations. Most commonly, they happen in older osteopenic patients after low-energy trauma, such as falls. When they occur in younger patients with normal bone, they are
DEFINITION Fractures of the femoral head are rare and occur almost exclusively with associated high-energy hip dislocations, where they may be seen in 5% to 15% of cases. Associated injuries to the femur, acetabulum, or acetabular labrum can affect treatment
DEFINITION The pubic symphysis comprises a fibrocartilaginous disc between the bodies of the two pubic bones. A diastasis of the pubic symphysis indicates a disruption of the pelvic ring and an unstable pelvis. The symphysis is disrupted in anterior-posterior compression (APC) injuries as
DEFINITION The distal ulna is the fixed point7 around which the radius and the hand function ( FIG 1A). Fractures of the distal ulna are often inadequately treated in comparison to its larger counterpart, the radius (FIG 1B,C). Recent literature has devoted increased attention to
Open Reduction and Internal Fixation of Ulnar Styloid, Head, and Metadiaphyseal Fractures DEFINITION The distal ulna is the fixed point7 around which the radius and the hand function (FIG 1A). Fractures of the distal ulna are often inadequately
Treatment of Anterior Femoroacetabular Impingement through Mini-Open Anterior Approach DEFINITION Femoroacetabular impingement (FAI) is a mechanical hip disorder defined as abnormal abutment between the femoral head or the femoral head-neck
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 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 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 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
ORTHOPEDIC MCQS ONLINE QUESTION BANK HIA Slide 1 What is the most likely mechanism of failure for the patellar component shown: 1) Fatigue 3) Tension 2) Shear 5) Delamination 4)
Approaches to the Femur The Femur Lateral Approach Posterolateral Approach Anteromedial Approach to the Distal Two-thirds of the Femur Posterior Approach Minimally Invasive Approach to the
(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture? Hip
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
Chapter 22 Pediatric Hip Fractures Ernest L. Sink Benjamin F. Ricciardi DEFINITION Pediatric hip fractures comprise less than 1% of all pediatric fractures; however, appropriate management of these injuries is essential to avoid proximal femoral deformity and maintain
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
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 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 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
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
Chapter 10 Pediatric Hip Fractures R. Dale Blasier DEFINITION Hip fractures in children may be intra-articular, involving the physis or femoral neck, or extra-articular, involving the intertrochanteric or subtrochanteric
Hemiarthroplasty of the Hip Hari P. Bezwada, Robert H. Cho, and David G. Nazarian DEFINITION Femoral neck fractures are classified according to the Garden classification11 (Table 1). Further simplification of this
Chapter 11 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
Chapter 9 Retrograde Intramedullary Nailing of the Femur Laura S. Phieffer and Ronald Lakatos DEFINITION Retrograde femoral nailing can be defined as any femoral nailing technique with a distal entry from the condyles or through an
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
Cephalomedullary Nailing of the Proximal Femur The proximal femur has a variety of fractures that can occur. While some can be managed with minimal damage, others can have very serious and longterm consequences. The Cephalomedullary nail is a surgical procedure that has been shown to be
Chapter 8 Open Reduction and Internal Fixation of Peritrochanteric Hip Fractures Matthew E. Oetgen and Michael R. Baumgaertner DEFINITION Peritrochanteric hip fractures are defined as extracapsular hip fractures, always involving the trochanter and
Chapter 6 Open Reduction and Internal Fixation and Closed Reduction and Percutaneous Fixation of Femoral Neck Fractures Brian Mullis and Jeff Anglen DEFINITION Femoral neck fractures occur in two patient populations. Most commonly, they
Chapter 5 Open Reduction and Internal Fixation of Femoral Head Fractures Darin Friess and Thomas Ellis DEFINITION Fractures of the femoral head are rare, and occur almost exclusively with associated high-energy hip dislocations, where they may be seen in
Chapter 2 Open Reduction and Internal Fixation of the Symphysis Michael S. H. Kain and Paul Tornetta III DEFINITION The pubic symphysis comprises a fibrocartilaginous disc between the bodies of the two pubic bones. A diastasis of the
Open Reduction and Internal Fixation of the Distal Femur A 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
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 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 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 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
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 ONLINE 20 OB TRAUMA 1C Figure A Buttress plating is most appropriate in which of the following clinical
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 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 010 PEDIATRIC 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
ORTHOPEDIC MCQS 010 Adult Reconstructive Surgery of the Hip and Knee Examination 7 2010 Adult Reconstructive Surgery of the Hip and Knee Examination Answer Book • 7 Question 1 During the course of a revision total knee arthroplasty via a medial parapatellar exposure,
ORTHOPEDIC MCQS 011 Reconstruction Online 2011 Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1Which of the following methods of
ORTHOPEDIC MCQS ONLINE 012 TRAUMA 2012 Musculoskeletal Trauma Self-Assessment Examination by
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
ORTHOPEDIC MCQS ONLINE 013 BASIC 2013 Orthopaedic Basic Science Self-Assessment Examination by Dr.Dhahirortho 1 Question 1A 70-year-old man is experiencing neck pain, progressive
ORTHOPEDIC MCQS ONLINE 015 TRAUMA CLINICAL SITUATION FOR QUESTIONS 1 THROUGH 3 1a 1b Figures 1a and 1b are the radiographs of a
ORTHOPEDIC MCQS ONLINE RECONSTRUCTION 016 NEW 2016 Adult Reconstructive Surgery of the Hip and Knee Self-Assessment Examination للاب
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 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
ORTHO MCQS 011 FREE BANK 02 Question 101A 60-year-old woman with a long-standing history of diabetes mellitus with documented peripheral neuropathy has a plantar ulcer. The ulcer has been present for 3 months. Her primary care physician has treated her with saline dressing changes with
Orthopedic MCQS online Hip and knee ADULT RECONSTRUCTION Question 1 During the course of a revision total knee arthroplasty via a medial parapatellar exposure, the surgeon does a complete intra-articular release and synovectomy but exposure is still
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 BASIC7 FOR ALL MCQS CLICK THE LINK ORTHO MCQ BANK A 25-year-old female presents to the emergency room within increasing left shoulder pain after walking into a door 5 months ago. She previously sustained a femoral fracture 2
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
ORTHOPEDIC MCQS BANK WITH ANSWER HIP 01 1. Figure 1 shows the radiograph of a 68-year-old man who underwent revision hip arthroplasty with impaction grafting of the femur and cementing of a tapered component into the graft 2 years
ORTHOPEDIC MCQS BANK WITH ANSWER PEDS 01 1. The inheritance of the deformity shown in Figure 1 is most commonly 1-
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 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
ORTHOPEDIC MCQS WITH ANSWER TUMOR/ONCOLOGY 05 1. A 10-year-old child has leg discomfort with activity. A radiograph, bone scan, and biopsy specimen are shown in Figures 1a through 1c. What is the most likely
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
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?
ORTHOPEDIC MCQS ONLINE HIP AND KNEE RECON 07 1. A patient is scheduled to undergo total knee arthroplasty (TKA) following failure of nonsurgical management. History reveals that she underwent a patellectomy as a teenager as the result of a motor vehicle
ONLINE ORTHOPEDIC MCQS ONCOLOGY/TUMOR08 1. A 13-year-old girl has had increasing left hip pain for the past 4 months. A radiograph, bone scan, MRI scan, and photomicrograph are shown in Figures 1a through 1d. Which of the following
ONLINE ORTHOPEDIC MCQS ANATOMY08 1. During a retroperitoneal approach to the L4-5 disk, what structure must be ligated to safely mobilize the common iliac vessels toward the midline from laterally and gain
ONLINE ORTHOPEDIC MCQS SPINE0 9 1. Which is the best initial study for the diagnostic evaluation of diskogenic low back pain? 1- MRI 2-
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
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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
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:
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 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 301-350 301. (2001) Q1-2417: Staphylococcus epidermidis adheres: 1) More strongly to polyethylene 3) Similarly to both polyethylene and alumina ceramic 2) More strongly to alumina ceramic 5) More strongly to polymethylmethacrylate 4) This
Minimally Invasive Approach to the Proximal Femur for Intramedullary Nailing‌ The minimally invasive approach to the proximal femur is used for the insertion of intramedullary nails for the treatment of the following: Acute femoral shaft
Lateral Approach to the Femur‌ The lateral approach is the incision used most often for gaining access to the upper third of the femur. It also can be extended inferiorly to expose virtually the whole length of the bone. Although it is an extremely quick and easy approach, it involves
Bone Fractures-Broken Bones Bone fractures are a very common injury and can affect anyone at any age. If you’re older than 50 or have a family history of osteoporosis, talk to your provider about a bone density screening. We treat all types of fractures , throughout all stages of
Cephalomedullary Nailing of the Proximal Femur DEFINITION ■Fractures of the proximal femur are usually grouped into four major types reflecting differences in the anatomic and physiologic character of these regions: ■Femoral head fractures ■Intracapsular femoral
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
Introduction A fractured neck of femur (NOF) is a very common orthopaedic presentation. Over 65,000 hip fractures each year are recorded in the UK and they are becoming increasingly frequent due to an aging population. The mortality of a
Open Reduction and Internal Fixation and Closed Reduction and Percutaneous Fixation of Femoral Neck Fractures DEFINITION ■ Femoral neck fractures occur in two patient populations. ■
DEFINITIONChapter2 Open Reduction and Internal Fixation of the Symphysis Michael S. H. Kain and Paul Tornetta