physiotherapy

مدونة عن ألم الركبة

مدونة عن ألم الركبة body { background-color: #f2f2f2; text-align: right; font-family: Arial, sans-serif; } h1, h2, h3 { text-align: center; color: #0099ff; } h2 { border-bottom: 2px solid #0099ff; padding-bottom:

Knee Arthroscopy Complications: What Are the Risks?

Knee arthroscopy is a minimally invasive surgical procedure that allows doctors to examine and treat problems inside the knee joint. It involves making small incisions in the skin and inserting a thin, flexible instrument called an arthroscope, which has a camera and a light source at its tip. The

Knee Arthroscopy Recovery Time: What to Expect in 6 Weeks

The recovery time for knee arthroscopy can vary depending on the type of procedure performed and the individual's overall health. In general, most people can expect to be back to their normal activities within 6 weeks. However, it is important to follow your doctor's instructions carefully

Ankle Fractures: Types, Treatment, and Recovery

An ankle fracture is a break or crack in one or more of the bones that make up the ankle joint. The ankle joint is a complex joint that allows the foot to move in a variety of directions, and is made up of three bones: the tibia, fibula, and talus. Ankle fractures can be caused by a variety of

Meet Professor Dr. Mohammad Hutaif: Yemens Top Orthopedic Surgeon

Learn about Professor Dr. Mohammad Hutaif, the best orthopedic surgeon in Sana’a, Yemen, and his orthopedic center that offers a wide range of services and benefits for your musculoskeletal problems. MOHAMMAD HUTAIF, EMIAL Introduction Did you know that more than 40% of Yemenis

foot

  ANATOMICAL FEATURES           Fig. 13.A. Tripod action of the foot: To maintain perfect ground contact each foot acts as a tripod, with the legs of the tripod being

knee

    Fig. 10.A.   ANATOMICAL FEATURES   The knee joint (Fig. 10.A) combines three

ankle

      Fig. 12.A   ANATOMICAL FEATURES   The ankle joint is basically a simple hinge joint, normally permitting

hip

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,

thoracic and lumbar spine

    Fig. 8.A   THE SPINE: ANATOMICAL FEATURES   The complex relationships of the

wrist

Study of the wrist cannot be separated from that of the hand, and in many cases careful examination of both may be required.‌   COMPLICATIONS OCCURRING AFTER COLLES’ FRACTURE   Considering the incidence of Colles’ fracture, the commonest of all fractures, it

hand

Note that the separation of conditions into those affecting the wrist and those affecting the hand has been done for convenience, and that in many cases examination of both regions is necessary.‌   DUPUYTREN’S CONTRACTURE   In this condition there is nodular

elbow

    Fig. 5.A.     ANATOMICAL FEATURES GENERAL POINTS The calliper-like close fit between the ulna and the trochlea (1) contributes to the impressive stability of the

shoulder

ANATOMICAL FEATURES           Fig. 4.A. The shoulder is complex, and it is important to note that it has two main components, namely the glenohumeral joint (between the head of the humerus and the

cervical spine

POSTURAL NECK PAIN‌‌   In this common condition, pain in the neck and shoulders occurs in association with some abnormality of neck posture. It is commonest in females under the age of 40, many of whom have sedentary jobs (such as computer operators) which entail the head being

FRCS (Tr & Orth) Oral Examination: Abbreviated Fractures of the Radial Head Case Presentation

A 32-year-old man fell while rollerblading, injuring his left dominant elbow. He complained of pain and a reduced range of movement. These are the emergency department radiographs, which shows an isolated injury.     Quiz on Radial Head Fractures body

ANTERIOR SHOULDER DISLOCATION

You are called to the emergency department to see a 60-year-old man who has fallen while running, injuring his shoulder. These are his radiographs.   1. Describe these x-rays. These are AP and modified axillary views of the shoulder, which show an anterior dislocation. There is

ANTERIOR SHOULDER DISLOCATION

You are called to the emergency department to see a 60-year-old man who has fallen while running, injuring his shoulder. These are his radiographs.   1. Describe these x-rays. These are AP and modified axillary views of the shoulder, which show an anterior dislocation. There is

GREATER TUBEROSITY FRACTURE

A 35-year-old woman fell from a ladder, injuring her right shoulder. These are her radiographs.   1. What do the radiographs show? This is an AP and ‘Y’ lateral view of the shoulder. It shows a fracture of the greater tuberosity which is undisplaced.   2. How

PROXIMAL HUMERUS FRACTURE

An 80-year-old woman attends the fracture clinic after stumbling and hitting her shoulder Against a banister.. Describe these radiographs.  These are AP and axillary lateral views of the proximal humerus. They show a minimally displaced proximal humerus fracture. How would

TIBIAL PLATEAU FRACTURE

These are the radiographs for a patient involved in a high-energy road traffic accident. Describe the appearance in these radiographs. These are AP and lateral radiographs of the right knee. There is an obvious fracture of the tibial plateau affecting both the medial and lateral

Conservative Hip Surgery Case Title: Open Surgical Dislocation of the Hip

Demographics   Age: 25 Sex: Female BMI: 22   Relevant Past Medical History   Principal pathologies: Crohn’s disease, obsessive-compulsive disorder Previous surgical procedures: None Medication: Celexa, Klaron, Remicade,

Soft Tissue Surgery of the Knee

Soft Tissue Surgery of the Knee     ‌ ‌ ‌‌ ‌   321Knee arthroscopy 328Arthroscopic meniscal knee surgery 332Lateral patellar retinaculum release Patellofemoral instability 334Cartilage

Paediatric Orthopaedic Surgery

Pediatric Orthopedic Surgery       Epiphysiodesis‌ Developmental dysplasia of 443 Slipped upper femoral epiphysis: Osteotomy   462 the hip: Closed

Surgery of the Ankle

Ankle arthrodesis ‌ ‌ 367 Surgery for Achilles tendinopathy 377 Ankle arthroplasty ‌ 371 Surgery for peroneal tendinopathy 381

Surgery of the Ankle

  Ankle arthrodesis‌‌   367   Surgery for Achilles tendinopathy   377 Ankle arthroplasty‌ 371 Surgery for peroneal

Surgery of the Hand

  Dupuytren’s surgery‌‌   193   Tendon transfers   224 Synovial cyst treatment‌ 201 Soft tissue

Surgery of the Elbow

      Radial head replacement‌   113   Elbow aspiration/injection   152 Total elbow arthroplasty‌ 123 Elbow

Surgery of the Shoulder

    Diagnostic shoulder arthroscopy   85   Shoulder arthroplasty   108 Arthroscopic procedures 90 Viva

Surgery of the Peripheral Nerve

Surgery of the Peripheral Nerve       Carpal tunnel decompression‌ Ulnar nerve decompression at the wrist‌ Ulnar nerve decompression at the

Principles of biopsy 

Principles of biopsy 11‌‌ Needle biopsy of bone 11‌ Open biopsy of bone 14‌ Excision of benign bone tumour 16 Bone cyst curettage with or without bone graft 17 Malignant tumour principles 20 Viva

Anaesthesia in Orthopaedic Surgery

Anaesthesia in Orthopaedic Surgery       Introduction 1‌ Preoperative assessment 1‌ Intraoperative techniques 5 Postoperative care 6 Viva questions 9   Introduction‌ The orthopaedic patient population

Early Total Hip Replacement After Fractures of the Acetabulum

Introduction                        Total hip replacement is an important option in the management of sequelae following fractures of the acetabulum to relieve pain and restore function.

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

Percutaneous Achilles Tendon Repair: Perspective 2

DEFINITION Rupture of the Achilles tendon is common. More than 20% of acute injuries are misdiagnosed, leading to chronic or neglected ruptures.7     ANATOMY   The two heads of the gastrocnemius arise from the condyles of the femur, the fleshy part of the muscle

Mini-Open Achilles Tendon Repair: Perspective 2

DEFINITION Spontaneous Achilles tendon ruptures are defined as a partial or complete loss of continuity of the distal tendinous portions of the gastrocnemius and soleus muscles with the consequent loss in physiologic equinus of the ankle.     ANATOMY   The

Medial Ankle/Deltoid Ligament Reconstruction

DEFINITION Pronation injuries of the ankle joint complex may result in a partial or complete disruption of the superficial anterior bundles of the deltoid ligament. Chronic medial ankle instability may cause a secondary posterior tibial dysfunction over time, as the tendon may become

Deltoid Ligament Reconstruction

DEFINITION Deltoid ligament deficiency is present when both the deep and superficial components of the medial collateral ligament complex of the ankle are ruptured or are insufficient. Deltoid ligament deficiency may result from degenerative (eg, late-stage adult acquired flatfoot deformity

Chronic Lateral Ankle Instability

DEFINITION Lateral ligament injuries of the ankle are treated conservatively with good results in most cases. However, several factors may lead to chronic ankle instability with recurring ankle sprains: Inadequate primary treatment Incomplete healing of the ligaments Repetitive trauma with

Hamstring Autografting/Augmentation for Lateral Ankle Instability

DEFINITION Lateral ligament instability occurs in some patients after an inversion injury.38 Although an inversion injury is common, only a few patients have ongoing ankle instability severe enough to require surgery. Persistent instability may occur in 15% to 48% of

Autologous Chondrocyte Transplantation

DEFINITION There are several reasons for cartilaginous defects of the ankle: Traumatic injury Osteochondritis dissecans (OCD) Degenerative changes The necessity to treat a cartilage defect of the ankle depends on the clinical presentation. Osteochondral lesions of the talus (OLTs) are

Microfracture for Osteochondral Lesions of the Talus: Perspective 1

DEFINITION The terminology of osteochondral lesions is not uniform: Transchondral fractures, osteochondral fractures, flake fractures, and osteochondritis dissecans (OCD) are used to describe the same entity. Most recently, “osteochondral lesions of the talus (OLT)” has emerged as

The Salto and Salto-Talaris Total Ankle Arthroplasty

DEFINITION The Salto Total Ankle Prosthesis (Tornier SA, Saint- Ismier, France) is a cementless resurfacing-type implant that is intended to restore near-normal joint kinematics. Fixation is achieved through bone ingrowth. The surgical technique is critical to a successful outcome, and some

The HINTEGRA Total Ankle Arthroplasty

DEFINITION The HINTEGRA Total Ankle Prosthesis (Integra LifeSciences Corp., Plainsboro, NJ) is an unconstrained, three-component system that provides inversion-eversion stability (FIG 1). Axial rotation and normal flexion-extension mobility are provided by a mobile-bearing

Supramalleolar Osteotomy with Internal Fixation: Perspective 2

DEFINITION A supramalleolar osteotomy is an osteotomy at the level of the distal tibia with or without osteotomy of the fibula. The correction is intended to normalize altered load distribution across the joint and may be indicated in cases of asymmetric osteoarthritis, malunited fractures of

First Metatarsophalangeal Joint Arthrodesis: Perspective 1

DEFINITION Arthrosis of the first metatarsophalangeal (MTP) joint is commonly seen in osteoarthritis (hallux rigidus), rheumatoid disease, and gout. The indication for surgical treatment of the first MTP joint is pain where conservative treatment has failed. Arthrodesis of the first MTP

First Metatarsophalangeal Total Joint Arthroplasty with Roto-Glide

DEFINITION The Roto-Glide (Implants International, Cleveland, United Kingdom; distributed by Intercus, Bad Blankenburg, Germany) is a noncemented TiCaP surfaced three-component device for total replacement of the first metatarsophalangeal (MTP-1) joint (FIG 1). It allows for normal mobility

Lapidus Procedure

DEFINITION Paul W. Lapidus originally described a procedure for the correction of hallux valgus in 1934. This procedure was founded on the premise that hallux valgus was a secondary phenomenon to metatarsus primus varus arising from first tarsometatarsal (TMT) hypermobility and a medially

Ludloff Osteotomy

DEFINITION Symptomatic hallux valgus associated with a first intermetatarsal angle greater than 15 degrees is typically corrected with a proximal first metatarsal osteotomy and distal soft tissue procedure when nonoperative treatment fails. Multiple techniques for the hallux valgus deformity

Distal Chevron Osteotomy: Perspective 1

DEFINITION The first reports of a distal metatarsal osteotomy date back to Reverdin, who described in 1881 a subcapital closing wedge osteotomy for the correction of hallux valgus deformity. The chevron osteotomy has become widely accepted for correction of mild and moderate hallux

Cervical Disc Replacement

ANATOMY     Familiarity with the anterior cervical anatomy is a necessity, particularly in regard to muscular, fascial, vascular, aerodigestive, nervous, and bony structures (FIG 1).   Approach level can be estimated by overlying

Pediatric Orthopaedic MCQS ONLINE BANK

(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

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

Shoulder and Elbow Orthopedic MCQS online

(OBQ15.201) A 52-year-old, right hand dominant man comes for evaluation of right shoulder pain that has been intermittently bothering him for three months. The pain is worse with overhead activities. He denies any history of trauma. His range of forward elevation in the plane of the scapula is

Open Reduction and Internal Fixation of Fracture-Dislocations of the Elbow with Complex Instability

DEFINITION Simple dislocations of the elbow can most often be treated successfully with closed means: reduction and short-term immobilization followed by early motion. Fracture-dislocations of the elbow are more troublesome in that they often require operative intervention. Fractures

Lateral Collateral Ligament Reconstruction of the Elbow

DEFINITION Lateral collateral ligament (LCL) injuries most often occur after significant elbow trauma, most commonly after dislocation. Attenuation of the LCL can also occur after multiple surgeries to the lateral side of the elbow and after corticosteroid injections.9 It has recently

Lateral Columnar Release for Extracapsular Elbow Contracture

DEFINITION Extrinsic elbow contracture refers to elbow stiffness secondary to fibrosis, thickening, and, occasionally, ossification of the elbow capsule and periarticular soft tissues. In contrast to intrinsic contracture, the articular surface is either uninvolved or minimally involved,

Open and Arthroscopic Treatment of Lateral Epicondylitis

DEFINITION Lateral epicondylitis involves tendinosis at the origin of the common wrist extensors. It is commonly referred to as tennis elbow and is likely more correctly termed lateral elbow tendinopathy.15     ANATOMY   The common extensor origin

Cancellous Patellar Bone Grafting in Revision Total Knee Arthroplasty

P ITFALLS Correct rotational positioning of the femoral and tibial components is a prerequisite for a successful outcome.   Patellar bone grafting in the setting of component malposition will result in gradual lateral subluxation of the patellar shell

Principles of Revision Total Knee Replacement

P ITFALLS The best results of revision TKR are achieved when the failure mechanism of the original implant is understood and rectified.   Principles of Revision TKR   Indications Symptomatic patients with a failed total knee replacement (TKR) with

The Cemented Femoral Stem

Indications Relative indications for a cemented femoral stem include: Smaller, less active patients Dorr type C femoral canals Osteopenic bone Prior sepsis in which the use of antibiotic-impregnated cement is

Revision Total Knee Arthroplasty to Correct Stiffness

DEFINITION At less than 90 degrees of active knee flexion, a total knee arthroplasty (TKA) has inadequate range of motion (ROM) for performing many activities of daily living. The required ROM for daily activities are as follows4,12: Sixty-seven degrees of flexion for normal gait on level

Popliteal Resections

BACKGROUND     Soft tissue sarcomas of the popliteal fossa are rare, accounting for less than 5% of all soft tissue sarcomas of the extremities. Surgery in this anatomic area is challenging: Performing a wide resection with negative surgical margins is often difficult because of

Hip Disarticulation and Creating an Above-Knee Amputation Stump after Hip Disarticulation

BACKGROUND     Hip disarticulation is an amputation of the lower extremity through the hip joint capsule. Although most tumors of the lower extremities are amenable to limb-sparing techniques, some tumors of the femur and thigh are so extensive that hip disarticulation is needed

Lateral Columnar Release for Extracapsular Elbow Contracture

    DEFINITION Extrinsic elbow contracture refers to elbow stiffness secondary to fibrosis, thickening, and, occasionally, ossification of the elbow capsule and periarticular soft tissues. In contrast to intrinsic contracture, the articular surface is either uninvolved or

Open Reduction and Internal Fixation of the Patella

DEFINITION The patella, the largest sesamoid bone, is an essential component for knee extension (in conjunction with the patellar and quadriceps tendons) and provides leverage to the quadriceps mechanism. Fractures of the patella have the potential to disrupt the extensor mechanism. Fractures

Antegrade 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 fracture lines extend proximal or distal to the shaft and are therefore not considered shaft fractures. This

Open Reduction and Internal Fixation of Fracture-Dislocations of the Elbow with Complex Instability

DEFINITION Simple dislocations of the elbow can most often be treated successfully with closed means: reduction and short-term immobilization followed by early motion. Fracture-dislocations of the elbow are more troublesome in that they often require operative intervention. Fractures

Open Reduction and Internal Fixation of Scaphoid Fractures

DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures typically result from a fall on an outstretched hand or less commonly following forced palmar flexion of the wrist20 or axial loading of

Percutaneous Achilles Tendon Repair: Perspective 2

DEFINITION Rupture of the Achilles tendon is common. More than 20% of acute injuries are misdiagnosed, leading to chronic or neglected ruptures.7     ANATOMY   The two heads of the gastrocnemius arise from the condyles of the femur, the fleshy part of the muscle

Mini-Open Achilles Tendon Repair: Perspective 2

DEFINITION Spontaneous Achilles tendon ruptures are defined as a partial or complete loss of continuity of the distal tendinous portions of the gastrocnemius and soleus muscles with the consequent loss in physiologic equinus of the ankle.     ANATOMY   The

Medial Ankle/Deltoid Ligament Reconstruction

DEFINITION Pronation injuries of the ankle joint complex may result in a partial or complete disruption of the superficial anterior bundles of the deltoid ligament. Chronic medial ankle instability may cause a secondary posterior tibial dysfunction over time, as the tendon may become

Deltoid Ligament Reconstruction

DEFINITION Deltoid ligament deficiency is present when both the deep and superficial components of the medial collateral ligament complex of the ankle are ruptured or are insufficient. Deltoid ligament deficiency may result from degenerative (eg, late-stage adult acquired flatfoot deformity

Chronic Lateral Ankle Instability

DEFINITION Lateral ligament injuries of the ankle are treated conservatively with good results in most cases. However, several factors may lead to chronic ankle instability with recurring ankle sprains: Inadequate primary treatment Incomplete healing of the ligaments Repetitive trauma with

Hamstring Autografting/Augmentation for Lateral Ankle Instability

DEFINITION Lateral ligament instability occurs in some patients after an inversion injury.38 Although an inversion injury is common, only a few patients have ongoing ankle instability severe enough to require surgery. Persistent instability may occur in 15% to 48% of

Autologous Chondrocyte Transplantation

DEFINITION There are several reasons for cartilaginous defects of the ankle: Traumatic injury Osteochondritis dissecans (OCD) Degenerative changes The necessity to treat a cartilage defect of the ankle depends on the clinical presentation. Osteochondral lesions of the talus (OLTs) are

Microfracture for Osteochondral Lesions of the Talus: Perspective 1

DEFINITION The terminology of osteochondral lesions is not uniform: Transchondral fractures, osteochondral fractures, flake fractures, and osteochondritis dissecans (OCD) are used to describe the same entity. Most recently, “osteochondral lesions of the talus (OLT)” has emerged as

Lateral Epicondylitis (Tennis Elbow) Arthroscopic Treatment

DEFINITION Lateral epicondylitis (LE) is a common musculoskeletal disorder that is characterized by lateral epicondylar pain and tenderness over the origin of the extensor carpi radialis brevis (ECRB) slightly distal and anterior to lateral epicondyle with exacerbated pain at the resisted

Arthroscopic Treatment of Elbow Loss of Motion

  Arthroscopic Treatment of Elbow Loss of Motion DEFINITION Loss of motion is a common sequela of elbow trauma or the natural progression of nontraumatic conditions of the elbow, significantly impairing function of the upper extremity and hindering performance of

Open Reduction and Internal Fixation of Scaphoid Fractures

  Open Reduction and Internal Fixation of Scaphoid Fractures       DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures typically result from a fall on an

Open Reduction and Internal Fixation of Scaphoid Fractures

  Open Reduction and Internal Fixation of Scaphoid Fractures       DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures typically result from a fall on an

Arthroscopic Treatment of Multidirectional Shoulder Instability

Arthroscopic Treatment of Multidirectional Shoulder Instability         DEFINITION Neer and Foster20 described the concept of multidirectional instability (MDI) of the shoulder in detail in 1980. This established the difference between unidirectional

Arthroscopic Treatment of Subacromial Impingement

  Arthroscopic Treatment of Subacromial Impingement       DEFINITION Impingement syndrome was originally described by Neer20 in 1972 as a chronic impingement of the rotator cuff beneath the coracoacromial arch resulting in shoulder pain, weakness, and

Open Reduction and Internal Fixation of Fracture-Dislocations of the Elbow with Complex Instability

  Open Reduction and Internal Fixation of Fracture-Dislocations of the Elbow with Complex Instability         DEFINITION Simple dislocations of the elbow can most often be treated successfully with closed means: reduction and short-term immobilization

Anterior Tibialis Transfer for Residual Clubfoot Deformity

  Anterior Tibialis Transfer for Residual Clubfoot Deformity         DEFINITION The incidence of residual deformity in congenital clubfoot ranges from 26.6% to 50%, regardless of the initial treatment provided.2 The disparity in the reported

ORTHOPEDIC MCQS ONLINE QUESTION BANK H2D

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

H1B ORTHOPEDIC MCQS ONLINE QUESTION BANK

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

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

Arthroscopic Treatment of Elbow Loss of Motion

Chapter 40 Arthroscopic Treatment of Elbow Loss of Motion                   Laith M. Al-Shihabi Chris Mellano Robert W. Wysocki Anthony A. Romeo   DEFINITION Loss of motion is a common

Arthroscopic Treatment of Elbow Loss of Motion

Chapter 40 Arthroscopic Treatment of Elbow Loss of Motion                   Laith M. Al-Shihabi Chris Mellano Robert W. Wysocki Anthony A. Romeo   DEFINITION Loss of motion is a common

Pediatric Tibial Fractures

Chapter 30 Pediatric Tibial Fractures   Craig P. Eberson     DEFINITION Fractures of the tibia are common in children. Severity ranges from nondisplaced “toddler's” fracture to high-energy open injury. Open growth plates at the ends of the

Open Reduction and Internal Fixation of Scaphoid Fractures

Chapter 2 Open Reduction and Internal Fixation of Scaphoid Fractures   Asheesh Bedi Peter J.L. Jebson Levi Hinkelman   DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid

Open Reduction and Internal Fixation of Scaphoid Fractures

  Open Reduction and Internal Fixation of Scaphoid Fractures   Asheesh Bedi Peter J.L. Jebson Levi Hinkelman   DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures

ORTHOPEDIC MCQS ONLINE OITE 1213 1A

 ORTHOPEDIC MCQS ONLINE BANK OITE 1213     2013 & 2012 OITE Study Guide © 2012 American Academy of Orthopaedic Surgeons 2012 Orthopaedic In-Training

إصابة ليسفرانك( الكسرُ الخلعيّ لمشط القدم )

د:حمود زيد اخصائي جراجة عظام ومفاصل الصين إصابة ليسفرانك (بالإنجليزية: Lisfranc injury)‏ هي إصابة تحدث في القدم، حيث يحدث إزاحة واحد أو أثنان من عظام مشط القدم عن

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

ORTHOPEDIC MCQS BANK OITE 96

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

Posterolateral Arthrodesis for Spondylolisthesis

  Chapter 64 Posterolateral Arthrodesis for Spondylolisthesis   James T. Guille and Reginald S. Fayssoux   DEFINITION Spondylolisthesis refers to translation of one vertebra in relation to another in the sagittal plane. In the child and

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B Which of the following rehabilitation exercises is most appropriate immediately following the repair of the injury seen in figure

ANKLE AND FOOT EXAMINATION SPECIAL TESTS

ANKLE AND FOOT EXAMINATION SPECIAL TESTS      CHAPTER 7   ANKLE AND FOOT‌   ●A LIGAMENT STRESS TESTS 236   Anterior talofibular ligament stress test 236 Calcaneofibular ligament stress

KNEE EXAMINATION SPECIAL TESTS

KNEE EXAMINATION SPECIAL TESTS    CHAPTER 6   KNEE‌   ●A ONE-PLANE TESTS 183   Valgus test 183 Varus test 186 Posterior drawer test 188 Anterior drawer test 191 Lachman’s

HIP EXAMINATION SPECIAL TESTS

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)

WRIST AND HAND‌

  CHAPTER 4   WRIST AND HAND‌     ●A LIGAMENT/INSTABILITY TESTS 114   Piano key test 114 Radial collateral ligament stress test 115 Ulnar collateral ligament stress test 117 Scaphoid shift test 119 Lunotriquetral

Elbow Physical Examination

  CHAPTER ELBOW‌   ●A TENDON TESTS 90   Tennis elbow test 90 Golfer’s elbow test 93 ●B LIGAMENT/INSTABILITY TESTS 95   Valgus test 95 Varus test 97 Posterolateral pivot shift

SHOULDER

    SHOULDER    ●A TENDON TESTS Speed’s test  Yergason’s test  Empty/full can tests  External rotation lag sign  Lift-off sign 3 ●B IMPINGEMENT TESTS 34   Neer’s

Pediatric Tibial Fractures

  Chapter 16 Pediatric Tibial Fractures   Craig P. Eberson   DEFINITION Fractures of the tibia are common in children. Severity ranges from nondisplaced “toddler’s” fracture to high-energy open injury. Open growth

Revision Total Knee Arthroplasty to Correct Stiffness

    Revision Total Knee Arthroplasty to Correct Stiffness   DEFINITION At less than 90 degrees of active knee flexion, a total knee arthroplasty (TKA) has inadequate range of motion (ROM) for performing many activities of daily living. The required ranges of

Anterograde Intramedullary Nailing of the Femur

  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

Arthroscopic Treatment of Subacromial Impingement

  Chapter 8 Arthroscopic Treatment of Subacromial Impingement   R. Timothy Greene and Spero G. Karas   DEFINITION Impingement syndrome was originally described by Neer19 in 1972 as a chronic impingement of the rotator cuff beneath the

Arthroscopic Treatment of Multidirectional Shoulder Instability

Arthroscopic Treatment of Multidirectional Shoulder Instability   Chapter 4 Arthroscopic Treatment of Multidirectional Shoulder Instability Steven B. Cohen and Jon K. Sekiya   DEFINITION Neer and colleagues14 described the concept of multidirectional

Anterograde Intramedullary Nailing of the Femur

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 ADULT RECONSTRUCTIVE OB 20 1C

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

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 RECONSTRUCTION 1A

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 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 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 ONLINE 20 OB TRAUMA 1D

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 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 011 RECONSTRUCTION

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 FOOT AND ANKLE

        Question 1Figure 1 is the radiograph of a 48-year-old man. He is of normal height and weight, medically healthy,and in good physical condition. What is the best treatment option? Short-leg non-weight-bearing cast in plantar

ORTHOPEDIC MCQS ONLINE 014 UPPER EXTREMITY

ORTHOPEDIC MCQS ONLINE 014 UPPER EXTREMITY  Shoulder and Elbow Self-Assessment Examination AAOS 2014 by                          Dr.Dhahirortho

Orthopedic MCQS online Shoulder and Elbow 017

Orthopedic MCQS online Shoulder and Elbow 017   SHOULDER AND ELBOW SELF- SCORED SELF-ASSESSMENT EXAMINATION AAOS

ORTHO MCQS Shoulder and Elbow 0192

ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019   Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On

ORTHO MCQS Shoulder and Elbow 019

ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019 Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On examination,

ORTHO MCQS 011 FREE BANK 02

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

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

    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 BASIC5

  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

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 2

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 ONLINE PEDIATRICS 07

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

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 UPPER LIMB08

ONLINE ORTHOPEDIC MCQS UPPER LIMB08   1.       A 68-year-old man had a 3-year history of shoulder pain that failed to respond to nonsurgical management.  Examination reveals forward elevation to 120 degrees and external rotation to 30 degrees. 

Elbow structured oral examination question 4

Elbow structured oral examination question 4 EXAMINER: Good morning. Here are the radiographs of a righthand dominant 43-year-old man’s right elbow. Tell me the findings. (Figure 6.5.) CANDIDATE: Good morning. These radiographs show narrowing of joint space on both ulnohumeral and

Shoulder and elbow structured oral examination question3

Shoulder and elbow structured oral examination question3 EXAMINER: This is a radiograph of right shoulder of a lady who has got severe pain in her shoulder. Anything you find interesting? (Figure 6.2.) CANDIDATE: Well ... No not really ... I cannot see any abnormal or disease process in this

Foot and ankle structured oral questions2: Ankle arthritis

Foot and ankle structured oral questions2: Ankle arthritis EXAMINER: Describe the findings on this X-ray. (Figure 4.2.) CANDIDATE: This is an AP weightbearing radiograph of a left ankle showing narrowing of the joint space and some subchondral sclerosis consistent with post-traumatic

Foot and ankle structured oral questions1: Lateral ligament instability of the ankle

Foot and ankle structured oral questions1: Lateral ligament instability of the ankle EXAMINER. Tell me what this diagram represents and name the structures labelled 2, 3 and 5. (Figure 4.1.) CANDIDATE. This diagram is a representation of the lateral aspect of the ankle showing the bony and

Shoulder And Elbow: Questions Mcqs AND EMQS

Shoulder And Elbow: Questions Mcqs AND EMQS MCQs The term internal impingement is used in throwers to describe a condition where the posterosuperior glenoid labrum impinges on which structure? a.          The anterior glenohumeral

oral

/*! * Base CSS for pdf2htmlEX * Copyright 2012,2013 Lu Wang * https://github.com/pdf2htmlEX/pdf2htmlEX/blob/master/share/LICENSE

Hip structured oral questions

Chapter Hip structured oral questions 2   All viva questions outlined here are examples of actual questions asked in the FRCS (Tr & Orth) exam. Currently each viva question lasts 5 minutes and examiners are advised against switching to another topic earlier even if a candidate

Questions in Trauma and Orthopaedics Adult Pathology for the FRCS

  Questions in Trauma and Orthopaedics  Adult Pathology for the FRCS Section 8 Foot and Ankle  Viva 57  Reproduced from Murray Longmore, Ian Wilkinson, Edward Davidson, Alexander Foulkes, and Ahmad Mafi , Oxford Handbook of Clinical Medicine,

Questions in Trauma and Orthopaedics for the FRCS

 Questions in Trauma and Orthopaedics for the FRCS  Section 6 Lower Limb and Pelvic Trauma  Viva 41  This 27-year-old has been involved in a road traffic accident (RTA).  Describe what you see in this picture and explain your initial

Hands and Paediatric Orthopaedics

viva Hands and Paediatric Orthopaedics    Hands and Paediatric Orthopaedics  Section 1 Hands Viva 1  What is the likely diagnosis?  What are the risk factors for this condition?  What are the two main

ORTHOPEDICS HYPERGUIDE MCQ 401-450

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

Complex Regional Pain Syndrome

INTRODUCTION During the American Civil War, Silas Weir Mitchell described a syndrome that occurred in patients who had suffered gunshot injuries to major nerves.120 Noting that a leading feature was burning pain, he called the

Complex Regional Pain Syndrome

INTRODUCTION During the American Civil War, Silas Weir Mitchell described a syndrome that occurred in patients who had suffered gunshot injuries to major nerves.120 Noting that a leading feature was burning pain, he called the

FOR DOCTORS PROXIMAL HUMERAL FRACTURES, Extraa​Rticular 2-Part, Surgical Neck, Impaction Treatment MIO - Plate fixation

FOR DOCTORS PROXIMAL HUMERAL FRACTURES, Extraa​Rticular 2-Part, Surgical Neck, Impaction Treatment MIO - Plate fixation   A significantly displaced greater tuberosity fracture will impinge on the coraco-acromial arch. This causes painful reduction of motion. Nonoperative treatment

FOR DOCTORS PROXIMAL HUMERAL FRACTURES, ExtraaRticular 2-Part, Surgical Neck, Impaction Treatment Screw Fixation

Extraa​rticular 2-part, surgical neck, impaction MIO - Screw fixation   These fractures are intrinsically stable due to the metaphyseal impaction and respond well to gentle early mobilization. The decision for operative

FOR DOCTORS PROXIMAL HUMERAL FRACTURES Extraarticular 2-Part, Greater Tuberosity, Displaced Treatment ORIF - Screw or suture fixation

FOR DOCTORS PROXIMAL HUMERAL FRACTURES Extraarticular 2-Part, Greater Tuberosity, Displaced Treatment ORIF - Screw or suture fixation   A significantly displaced greater tuberosity fracture will impinge on the coraco-acromial arch. This causes painful reduction of

FOR DOCTORS PROXIMAL HUMERAL FRACTURES Extraarticular 2-Part, Greater Tuberosity, Displaced Treatment ORIF - Screw or suture fixation   A significantly displaced greater tuberosity fracture will impinge on the coraco-acromial arch. This causes painful reduction of

FOR DOCTORS PROXIMAL HUMERAL FRACTURES Extraarticular 2-Part, Greater Tuberosity, Displaced Treatment Screw fixation

FOR DOCTORS PROXIMAL HUMERAL FRACTURES Extraarticular 2-Part, Greater Tuberosity, Displaced Treatment Screw fixation   A significantly displaced greater tuberosity fracture will impinge on the coraco-acromial arch. This causes painful reduction of motion. Nonoperative treatment will

For Doctors Proximal Humeral Fractures Greater Tuberosity, Screw Fixationextraarticular 2-Part, Greater Tuberosity, Nondisplaced

Extraarticular 2-Part, Greater Tuberosity, Nondisplaced MIO - Screw Fixation extraarticular 2-Part, Greater Tuberosity, Nondisplaced 1. Treatment principles Although these fractures are undisplaced fractures of the greater tuberosity, displacement may

For Doctors Proximal Humeral Fractures Greater Tuberosity, Nondisplaced

    Nonoperative Extraarticular 2-Part, Greater Tuberosity, Nondisplaced The vast majority of these fractures (undisplaced greater tuberosity) can be managed by nonoperative methods. Fixation in situ may be warranted if a high risk of displacement is

The shoulder girdle and humerus Fractures of the clavicle

1 Clavicular injuries: mechanism of injury: Most (94%) clavicular injuries result from a direct blow on the point of the shoulder, generally from a fall on the side (A). Less commonly, force may be transmitted up the arm from a fall on the outstretched hand (B). Under the age of

Aftercare Complications The wrist and hand

  32 Aftercare (a): The patient is seen the next day and the fingers examined for adequacy of the circulation and the degree of swelling (1). The palm, fingers, thumb and elbow are checked for constriction caused by bandaging or elbow flexion, and any

COMPLICATIONS OF FRACTURES

COMPLICATIONS OF FRACTURES Complications which may occur in a patient who has suffered a fracture or dislocation may be grouped in the following way: 1 COMPLICATIONS OF MAJOR TRAUMA These include: 1 Internal and external haemorrhage, oligaemic