intertrochanteric fracture

Fracture Healing: Understanding the Key Stages and Treatments

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Promoting Transparency and Trust: Sharing MCQ Questions and Typical Answers

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$What is the difference between a subcapital and intertrochanteric fracture?$

What is the difference between a subcapital and intertrochanteric fracture?

A subcapital fracture is a break in the neck of the femur, which is the part of the bone that connects the head of the femur to the shaft of the femur. An intertrochanteric fracture is a break in the trochanters, which are the two large bony protrusions on the upper end of the femur. Subcapital

Proximal Femoral Fractures: Causes, Classification, Diagnosis, and Treatment

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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Conventional Trochanteric Osteotomies and the Trochanteric Slide

  Conventional Trochanteric Osteotomies and the Trochanteric Slide       INTRODUCTION   Sir John Charnley popularized the trochanteric osteotomy for total hip replacement. He considered it an integral component of routine primary arthroplasty for

PEDIATRIC FEMORAL SHAFT and KNEE Fractures and Dislocations

PEDIATRIC FEMORAL SHAFT         EPIDEMIOLOGY Represent 1.6% of all fractures in the pediatric population. Males are more commonly affected at a ratio of 2.6:1. Bimodal distribution of incidence: The first peak is from 2 to 4 years

PEDIATRIC HIP Fractures and Dislocations

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

FEMORAL SHAFT Fractures

FEMORAL SHAFT   Fractures     EPIDEMIOLOGY The highest age- and gender-specific incidences of femoral shaft fracture are seen in males from 15 to 24 years of age and in females 75 years of age or older. Femoral shaft fractures occur most

SUBTROCHANTERIC FRACTURES

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

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

intertrochanteric femur fractures CASE 37

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

CASE 35 Predictors of fixation failure

  A 65-year-old male was struck by a car at low speed while crossing the street. Upon evaluation in the trauma bay he was found to have pain in his left hip with painful range of motion about his hip. He had strong, symmetric, palpable dorsalis pedis and posterior tibialis pulses and had

Total Hip Arthroplasty for Salvage of Failed Intertrochanteric Fracture Fixation

Background                        Intertrochanteric fractures of the femur are common injuries in elderly patients, and most are treated successfully using internal

The Collum Femoris Preserving (CFP) Prosthesis in Primary Total Hip Replacement

Introduction                        For the possible concept of anatomical primary hip replacement various types of prosthesis have been described within the last decades. One possible

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

Hemiarthroplasty of the Hip

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

Revision Total Hip Arthroplasty with Femoral Bone Loss: Proximal Femoral Replacement

DEFINITION Proximal femur replacement is a salvage limb-sparing surgery for nononcologic and oncologic indications that in the past used to be treated with a major amputation. The magnitude of complexity of revision reconstruction of the femur depends mainly on the quantity and quality of

Open Reduction and Internal Fixation of Peritrochanteric Hip Fractures

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

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 neck fractures Pertrochanteric fractures (also referred to

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A

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

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A

ORTHOPEDIC MCQS ONLINE QUESTION BANK H2E

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

ORTHOPEDIC MCQS ONLINE 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 QUESTION BANK H1A

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

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

ORTHOPEDIC MCQS ONLINE BANK

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

Orthopaedic postgraduate exams

Orthopaedic postgraduate exams   I.Single-choice questions (1 point for each question, 50 points in total, no point for wrong choice) 1. The most common complication of lower middle third humerus fracture is A brachial artery injury    B median nerve

ORTHOPEDIC MCQS ONLINE BANK OITE23

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

ORTHOPEDIC MCQS ONLINE OITE 1213 1A

ORTHOPEDIC MCQS ONLINE BANK OITE 22

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

ORTHOPEDIC MCQS ONLINE BANK OITE 97

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

Revision Total Hip Arthroplasty With Femoral Bone Loss: Proximal Femoral Replacement

      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

Hemiarthroplasty of the Hip

    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

Cephalomedullary Nailing of the Proximal Femur

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

Open Reduction and Internal Fixation of Peritrochanteric Hip Fractures

  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

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2V

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

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2B

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

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 2A

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

ORTHOPEDIC MCQS 20 OB TRAUMA 1C

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

ORTHOPEDIC MCQS 20 OB TRAUMA 1B

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

ORTHOPEDIC MCQS 20OB TRAUMA 1A

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

ORTHOPEDIC MCQS 010 Adult Reconstructive Surgery of the Hip and Knee Examination 7

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 ONLINE 015 TRAUMA

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 HAND 017

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

Orthopedic MCQS Trauma 0018

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

Orthopedics Mcqs Hand0019

  Hand and Wrist Scored and Recorded Self-Assessment Examination

HAND AND WRIST MCQS 019

HAND AND  WRIST MCQS 019 HAND AND WRIST SCORED AND RECORDED SELF-ASSESSMENT EXAMINATION 2019              Question 2 of 100 Figure 1 depicts an intraoperative photograph obtained following proximal row carpectomy. The

Orthopedic MCQS online Hip and knee ADULT RECONSTRUCTION

    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

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

ORTHOPEDIC MCQS OB 20 BASIC 3

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 WITH ANSWER TRAUMA 03

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

ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06

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

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

Orthopaedic Trauma

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UPDATED ORTHOPEDIC MCQS

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

Lateral Approach to the Femur‌

Lateral Approach to the Femur&zwnj; 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