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Orthopedic rehabilitation is a type of therapy that helps people recover from injuries or surgeries that affect the musculoskeletal system. The musculoskeletal system is made up of bones, muscles, tendons, ligaments, and cartilage. Orthopedic rehabilitation can help improve range of motion,
Introduction Hutaif Orthopedic is a comprehensive website that provides a wide range of orthopedic information in Arabic, English, and Chinese. The website is specifically designed to help patients, healthcare professionals, students, and researchers in the field of
Fig. 10.A. ANATOMICAL FEATURES The knee joint (Fig. 10.A) combines three
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.
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
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
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
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
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:
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
Case Title: Resurfacing Primary Hip Arthroplasty Demographics Age: 52 years old Sex: Male BMI: 24.7 Relevant Past Medical History Principal pathologies: Hypercholesterolemia. Previous
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
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
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
Principles, Planning, and Decision Making Revision total hip arthroplasty is complex and demanding. The stakes are high. The risks of intraoperative and postoperative complications are increased compared to primary total joint arthroplasty. To maximize the chances
Periacetabular Osteotomy and Femoral Osteotomy THE BERNESE PERIACETABULAR OSTEOTOMY Developmental dysplasia of the hip (DDH) is associated with structural deformity of the acetabulum that creates mechanical dysfunction and has been recognized as a major
Arthroscopy for Structural Hip Problems INTRODUCTION The development and advancement of hip arthroscopy has facilitated the treatment of various conditions of the hip joint and surrounding structures through a minimally invasive approach. This
Hip Arthroscopy for Nonstructural Pathology INTRODUCTION Arthroscopy of the hip joint has become one of the fastest growing surgical procedures in the past decade. As the pursuit of addressing pathology of the hip joint via a minimally
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
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,
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
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
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 replacement surgery is a procedure that replaces the damaged or diseased hip joint with an artificial joint. It is a common surgery that is performed to relieve pain and improve function in people with arthritis, avascular necrosis, and other conditions that affect the hip
A 23-year-old male presents to the emergency department following a hard landing while skydiving. He is unable to ambulate secondary to pain in his right hip. He has pain with logroll and while conducting a straight leg raise. His leg is shortened and externally rotated. Pulses and
A 53-year-old male arrives in the trauma bay with a GCS 15 and hemodynamically stable following a high-speed motor vehicle crash. He is complaining of severe right hip pain and is unable to move his right lower extremity. You note that his leg is shortened, slightly flexed, internally
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 79-year-old female with a history of a left total hip replacement performed 10 years ago presents with worsening hip pain. The pain began 1 year ago when she noted progressive activity-related groin pain. She denies any trauma. The patient denies fever. She does not have night pain. A radiograph
A 64-year-old male with ankylosing spondylitis and history of prostate cancer undergoes THR for osteoarthritis (Fig. 7–13). He has a history of atrial fibrillation and is on Coumadin. His immediate postoperative course is uneventful, and he is discharged from hospital on postoperative
A 73-year-old man with a history of hypertension and hyperlipidemia presents to your office with right hip pain that he feels is a functional impairment and with radiographs demonstrating severe osteoarthritis of the right hip. During your discussion about total hip replacement, he states that
A 52-year-old postmenopausal female presents with progressive hip pain. She points to the pain in “C-clamp” distribution around the hip, mostly localized in her groin. She likes to run, but has not been able to do so over the last year. She describes start-up thigh pain and pain with
A 51-year-old male presents with a chief complaint of left hip pain that has been progressively worsening for the past 6 months. He has groin pain and describes radiation to his knee. He has been taking a nonsteroidal anti-inflammatory medication with some relief but continues to limp and
A 47 year old female with metastatic thyroid cancer has progressive left hip pain. X-rays are shown in Figure 8–34A–D. Figure 8–34 A–B Figure
A 49-year-old female with stage IV breast cancer presents to your office with worsening left hip pain. A recent bone scan ordered by her oncologist identifies multiple lesions in the spine, right humeral shaft, left clavicle, right ilium, and left proximal femur. She recently underwent radiation to
A 59-year-old male who has not seen a physician in 10 years reports to your office for ambulatory dysfunction secondary to right hip pain. It is related to activity and has been progressive for the past 4 months, to the point where it hurts whenever he walks. He is afraid he is developing
A 45-year-old male presents to your office with right hip pain. The pain worsens with activity
A 61-year-old female with progressive functional right hip pain is brought to your office by her daughter. She has recently received the diagnosis of multiple myeloma and is seeing a medical oncologist for chemotherapy and radiation to multiple lesions throughout her skeleton. She has a known
A 47-year old woman presents with 2 years of atraumatic hindfoot pain. She has noticed the gradual onset of pain that is worse in the morning and when first standing after sitting for long periods. Her review of systems is remarkable for episodic hip pain and diffuse morning stiffness. On
CASE 6
Background Intertrochanteric fractures of the femur are common injuries in elderly patients, and most are treated successfully using internal
Introduction Juvenile chronic arthritis was first described by George Still in 1897 to be separate from adult rheumatoid arthritis.1 The International League
Introduction Protrusio acetabuli, also known as arthrokatadysis, was first described by the German pathologist Otto1 in 1824 as a result of remodeling of
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
Introduction The soft tissue envelope that surrounds the hip acts as a constraint that prevents the femoral head from subluxating or dislocating out of the
Introduction Total hip replacement (THR) is widely considered as one of the most successful orthopedic procedures in terms of quality of life and
(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
(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
DEFINITION Estimates indicate that by the year 2030, the volume of primary total knee arthroplasty (TKA) cases will increase to 3,480,000 and the number of revision procedures is expected to rise to 268,200 per year.1 Indications for removing well-fixed total knee components include
DEFINITION Hip arthroscopy is a minimally invasive technique to address a variety of painful hip conditions in the athletic and prearthritic population. A surge in technologic development since the mid-1990s has allowed surgeons to effectively and reliably treat a variety of painful hip
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 Femoroacetabular impingement (FAI) is a common cause of hip pain and hip osteoarthritis in the young adult.5 FAI is a dynamic pathologic condition that occurs when an abnormally shaped femoral head-neck and/or an overcovered acetabulum abut each other under physiologic range of
DEFINITION Resection arthroplasty and insertion of a spacer is used for the management of chronic deep periprosthetic infection of the hip. This chapter discusses the diagnosis and management of late chronic infections. Acute infections, described in the following text, have a different
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 A fluted femoral stem is designed to provide diaphyseal rotational stability through multiple longitudinally oriented flutes with varying numbers and positions, depending on the manufacturer. These fluted stems may be a useful reconstructive option in one or more of the following
DEFINITION For the past 50 years, cemented total hip arthroplasty (THA) has been a highly successful surgical solution for end-stage hip disease. Although cementless fixation has grown in popularity and now dominates North American practice, cemented THA remains an evidence-based and
DEFINITION Total hip arthroplasty (THA) is successfully performed around the world for the treatment of arthritis, osteonecrosis, and femoral neck fracture, with predictably excellent results. The criteria for successful THA are no different today than they were 50 years ago: The procedure
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
4 P ITFALLS Absolute contraindications Hip pain referred from other sources, such as a compression fracture of the lumbar spine Osteonecrosis or synovitis in the absence of mechanical
6‌ Scope for Femoroacetabular Impingement DEFINITION Femoroacetabular impingement (FAI) is the result of abnormal contact between the proximal femur and the acetabular
DEFINITION Hip arthroscopy is a minimally invasive technique to address a variety of painful hip conditions in the athletic and prearthritic
Hip Arthroscopy: The Basics‌ 3 DEFINITION The hip is increasingly recognized as a source of pain owing to heightened awareness of pathologies, recent research, enhanced imaging techniques, and
DEFINITION The periarticular sources of pain around the hip joint include, but are not limited to, disorders of Peritrochanteric space (trochanteric bursitis, external coxa saltans, and abductor tears) Iliopsoas
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 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 Femoroacetabular impingement (FAI) is the result of abnormal contact between the proximal femur and the acetabular rim. Abnormalities can be identified on either the femoral or acetabular side but are more commonly seen on both sides. This abnormal contact can lead to acetabular
s DEFINITION Hip cartilage injuries are common and have been reported to be as high as 50% of all intra-articular hip pathology in a series of athletes.5 Focal cartilage defects in the hip present a challenge to the surgeon, although cartilage repair and joint
DEFINITION The periarticular sources of pain around the hip joint include, but are not limited to, disorders of Peritrochanteric space (trochanteric bursitis, external coxa saltans, and abductor tears) Iliopsoas musculotendinous unit (internal coxa saltans) Rectus abdominis/pubic
DEFINITION The hip is increasingly recognized as a source of pain owing to heightened awareness of pathologies, recent research, enhanced imaging techniques, and greater popularity of hip arthroscopy as a diagnostic and therapeutic tool. Hip arthroscopy first was performed on a cadaver in the
Hip Arthroscopy DEFINITION Hip arthroscopy is a minimally invasive technique to address a variety of painful hip conditions in the athletic and prearthritic population. A surge in technologic
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
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 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 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 H2D 2685. (3157) Q6-3976: Which of the following serves as the best landmark for proper screw entry into the lumbar pedicle: 1) The junction of the transverse process and inferior facet 3) The articulating interface of the superior and
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 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 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)
Prosthetic placement in a cement-filled canal creates highest peak elevations in pressure when: 1) Using a cement restrictor 3) Using mechanical pressurization 2) Using a retrograde filling 5) Inserting the prosthesis early, while the cement is extremely soft 4) Inserting the
Surgical Dislocation of the Hip DEFINITION Surgical dislocation of the hip can be done safely to treat a number of conditions, including femoroacetabular impingement (FAI), labral tears, chondral injuries, reduction of femoral neck fractures, femoral
Labral Support (Shelf) Procedure for Perthes Disease DEFINITION The labral support (shelf) procedure has been used in patients with Legg-Calvé-Perthes disease (or Perthes disease) in Waldenström stages of necrosis or fragmentation
Pericapsular Osteotomies of Pemberton and Dega r DEFINITION The Pemberton7 ( FIG 1) and Dega1, 2 ( FIG 2) osteotomies are performed for acetabular dysplasia that is either part of a developmental disorder or an
Percutaneous Distal Femoral or Proximal Tibial Epiphysiodesis for Leg Length Discrepancy DEFINITION Epiphysiodesis involves manipulation of a physis (growth plate) to cause temporary or permanent, partial or complete growth inhibition to
(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture? Hip
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
2023 Graduate Professional Examination of Note to candidates: all answers must be answered on the answer sheet and marked with the question number. All answers on the test sheet are invalid;
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
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
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
SPINE A 79-year old man falls sustaining a hyperextension injury to his neck. A lateral radiograph, CT scan and MRI are seen in Figures A through C. On motor examination, he has 3/5 strength in his deltoids, elbow and wrist flexors and extensors. He has 4/5 strength in his hip flexors,
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
Chapter 76 Surgical Dislocation of the Hip John Frino and Young-Jo Kim DEFINITION Surgical dislocation of the hip can be done safely to treat a number of conditions, including femoroacetabular impingement (FAI), labral tears, chondral
Chapter 72 Labral Support (Shelf) Procedure for Perthes Disease J. Richard Bowen DEFINITION The labral support (shelf) procedure has been used in patients with Legg-Calvé-Perthes disease (or Perthes disease) in Waldenström’s
Chapter 71 Pericapsular Osteotomies of Pemberton and Dega Tim Schrader and J. Anthony Gonzales, Jr. DEFINITION The Pemberton8 (FIG 1A–C) and Dega1,2 (FIG 1D–F) osteotomies are performed for acetabular dysplasia that is
HIP EXAMINATION SPECIAL TESTS CHAPTER 5 HIP‌ ●A ARTICULAR TESTS 152 FAIR test 152 McCarthy test 156 FABER test 160 Torque test 163 Active straight leg raise (SLR)
ORTHOPEDIC MCQS ONLINE OB PATHOLOGY 1A A 13-year-old boy is diagnosed with osteosarcoma of his distal femur. The treating surgeon samples the bone marrow from the resection margin of the femur during definitive limb salvage surgery and finds microscopic evidence of tumor. Assuming no
Revision Total Knee Arthroplasty With Removal of Well-fixed Components DEFINITION Estimates indicate that by the year 2030 the volume of primary total knee arthroplasty cases will have increased to 3,480,000, and the number of revision
DEFINITION Anterior femoroacetabular impingement encompasses a category of structural hip disorders that are characterized by abnormal abutment of the anterolateral femoral head–neck junction against the acetabular rim–labral
Chapter 13‌ Periacetabular Osteotomy Marco Teloken, David Gusmao, and Marcus Crestani DEFINITION According to the prefix peri (meaning “around”), a periacetabular osteotomy (PAO) is defined as an
DEFINITION Resection arthroplasty and insertion of a spacer is used for the management of chronic deep periprosthetic infection of the hip. The discussion in this chapter pertains to the diagnosis and management of late chronic infection. Acute
DEFINITION Proximal femur replacement is a salvage limb-sparing surgery for nononcologic and ongologic indications that in the past were treated with a major amputation. During the past decade remarkable advances in the field of revision hip
DEFINITION A fluted stem can be used to revise a loose femoral implant with one or more of the following: Cavitary or segmental defects Femoral malalignment Periprosthetic fracture Stress-shielded or sclerotic bone
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
DEFINITION For the past 40 years, cemented total hip arthroplasty (THA) has been the most successful surgical solution for end-stage hip disease. Cemented THA is appropriate for treatment of hip pathology caused by a variety of degenerative,
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
Periacetabular Osteotomy DEFINITION According to the prefix peri (meaning “around”), a periacetabular osteotomy (PAO) is defined as an osteotomy that involves dislodging the hip socket from its bony bed in the pelvis without distorting the normal pelvic anatomy. The
Chapter 26 Arthroscopic Management of Femoroacetabular Impingement Christopher M. Larson and Rebecca M. Stone DEFINITION Femoroacetabular impingement (FAI) is the result of abnormal contact between the proximal femur and the acetabular
Chapter 24‌ Hip Arthroscopy: The Basics Marc Safran and Matthew A. Stanich DEFINITION The hip is increasingly recognized as a source of pain owing to heightened awareness of pathologies, recent research, enhanced imaging techniques, and
Chapter 25 Arthroscopy for Soft Tissue Pathology of the Hip J. W. Thomas Byrd and MaCalus V. Hogan DEFINITION Soft tissue pathology of the hip includes labral tears, articular damage, and lesions of the ligamentum teres, all of which share
ORTHOPEDIC MCQS ONLINE OB 20 1D RECONSTRUCTION A 77-year-old man who had right total knee replacement surgery 2½ years ago has had knee pain since surgery. The pain is diffuse, constant, and made worse with activity. He notes warmth and swelling in his knee. Examination shows
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 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 ONLINE Your Source for Lifelong Orthopaedic Learning Question 1 What is the most common maxillofacial/dental injury in ice hockey? Temporomandibular Lip laceration Tooth avulsion Crown fracture Mandible
ORTHOPEDIC MCQS 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 011 PATHOLOGY 2011 Musculoskeletal Tumors Self-Assessment Exam by Dr.Dhahirortho 1 Question 1 A 30-year-old man has a
ORTHOPEDIC MCQS O11 ANATOMY IMAGING Online 2011 Anatomy-Imaging Self-Assessment Examination by Dr.Dhahirortho 1 Q 1 1a 1b 1c 1d 1e A 43-year-old
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 SPORTS 2013 Sports Medicine Self-Assessment Examination by Dr.Dhahirortho 1 Question 1Figure 1 is
ORTHOPEDIC MCQS Adult Reconstructive Surgery of the Hip and Knee013 2013 Adult Reconstructive Surgery of the Hip and Knee Self-Assessment Examination by
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ORTHOPEDIC MCQS ONLINE 015 TRAUMA CLINICAL SITUATION FOR QUESTIONS 1 THROUGH 3 1a 1b Figures 1a and 1b are the radiographs of a
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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
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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 04 Q 1 1a 1b 1c 1d 1e A 43-year-old female factory worker has had a 6-month history of right plantar and lateral foot pain. She has pain with weight bearing and has difficulty standing at work. Management consisting of physical therapy, time off of work, and fracture
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 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
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 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 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
Which of the following is the most accurate definition of stress shielding? The decrease in physiologic stress in bone due to a stiffer structure sharing load Electrochemical potential created between two metals in physical contact and immersed in a conductive
ORTHOPEDIC MCQS BANK WITH ANSWER 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 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.
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 HIP 04 1. During primary total knee arthroplasty, what is the maximum distance the joint line can be raised or lowered before poor motion, joint instability, and increased chance of revision
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 SPORT 04 1. A 21-year-old collegiate wrestler sustains a blow to his right eye during a match. Examination reveals anisocoria with a dilated right pupil. The globe is properly formed, and extra-occular movements and the
ORTHOPEDIC MCQS WITH ANSWER ANATOMY 05 1. A 65-year-old man with ankylosing spondylitis sustains an extension injury to his cervical spine. Two days later, a progressive neurologic deficit develops at the C6 level. An MRI scan
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 PEDIATRICS 07 1. A pediatric orthopaedic surgeon refers a child to a neurologist. The neurologist’s office requests the office records of the pediatric orthopaedic surgeon. To maintain Health Insurance Portability and
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
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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
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
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Structured Oral Hip Examination Question 7 EXAMINER: This is a radiograph of a 68-year-old woman who has been referred up to the orthopaedic clinic by the physiotherapist-led musculoskeletal clinic with an 18-month history of left hip pain and difficulty walking. (Figure 2.12.) CANDIDATE:
Structured Oral Hip Examination Question 4 EXAMINER: These are the radiographs of a 78-year-old lady who has been referred to the orthopaedic clinic by her GP because of increasing pain in her right hip. Would you care to comment on the radiographs? (Figure 2.7.) CANDIDATE: This is an AP
Structured Oral Hip Examination Question 3 EXAMINER: This is an anteroposterior (AP) radiograph of a 78-year-old man presenting with increasing right hip pain. He had a THA performed 17 years ago. CANDIDATE: The AP radiograph demonstrates severe osteolysis of both femoral and acetabular
Structured Hip Oral Examination Question 2 EXAMINER: This is an anteroposterior (AP) radiograph of a 52-year-old woman who presents to your clinic with non-specific right hip pain. She had a right metal-on-metal hip resurfacing procedure performed 3 years ago. (Figure 2.4.) CANDIDATE: The
Hip structured oral questions Structured Hip oral examination question 1 EXAMINER: This is a radiograph of a 77-year-old woman who sustained a displaced intracapsular fractured neck of femur 3 years earlier managed with a hemiarthroplasty of the hip (see Figure 2.1). She was
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
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
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
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 1851-1900. 1851. (813) Q5-1074: What percentage of the human genome represents the actual genes: 1) 80% 3) 50% 2) 66% 5) 5% 4) 20% The percentage of the genome that represents the sequence of our genes is approximately 5%. The rest of
FREE Orthopedics MCQS 2022 1751-1850.. 1801. (686) Q5-945: Which of the following statements is true regarding the growth plates around the ankle: 1) The distal fibula grows more than the distal tibia. 3) The anterolateral portion of the tibial physis ceases growing first. 2)
FREE Orthopedics MCQS 2022 1751-1800.. 1751. (585) Q5-821: A 15-year-old basketball player has mild scoliosis, pes planus, pectus carinatum, and long slender fingers. In order to help determine if he has Marfan syndrome and should be allowed to continue playing basketball, it is most
ORTHOPEDICS HYPERGUIDE MCQ 401-450 401. (3244) Q1-4067: In patients with sickle cell disease, what are the most commonly affected locations for osteonecrosis: 1) Distal radial and distal humerus 3) Distal femur and proximal tibia 2) Head of femur and head of
ORTHOPEDICS HYPERGUIDE MCQ 101-150 101. (1651) Q1-2046: After removing a femoral stem, the best way to prevent fracture of the femur is: 1) Debulk the metaphyseal cement 3) TrochanteriCosteotomy 2) Debulk the diaphyseal cement 5) Use a quarter-inch osteotome 4) Remove
Applied Surgical Anatomy of the Medial Approach Overview The anatomy of this approach is the anatomy of the adductor compartment of the thigh. The adductors do not cover the hip joint, since they all originate below the level of the joint itself. The adductor compartment of the thigh
Approaches to the Hip click the link below Anterior Approach to the Hip Minimally Invasive Anterior Approach to the Hip Anterolateral Approach to the Hip Lateral Approach to the Hip Applied Surgical Anatomy of the Anterior, Lateral, and
Developmental Dislocation (Dysplasia) of the Hip (DDH)-Symptoms-Doctor Examination-DIFFERENTIAL DIAGNOSIS Some babies born with a dislocated hip will show no outward signs. PATIENT HISTORY AND PHYSICAL FINDINGS ■ Hip dysplasia can be diagnosed clinically in newborns