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Learn everything you need to know about knee arthroscopy surgery in San Diego, CA, including the benefits, risks, recovery, and how to find the best surgeons. Knee Arthroscopy Surgeons: How to Find the Best Doctors in San Diego, CA If you are suffering from knee pain, stiffness,
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A proximal femoral fracture is a break in the upper part of the thighbone, also known as the femur. This type of fracture can be caused by a fall, a car accident, or a direct blow to the hip. Proximal femoral fractures are most common in older adults, especially those with osteoporosis. Symptoms
Fractures are common injuries that affect millions of people every year. A fracture is a break or crack in a bone that can cause pain, swelling, deformity and disability. Fractures can happen in any bone in the body, but some are more common than others. In this blog post, we will explain the
Learn about three rare bone disorders and how they have inspired the development of new treatments for osteoporosis, a common bone disorder that affects millions of people worldwide. MOHAMMAD HUTAIF, EMIAL Introduction Did you know that there are over 7,000 rare diseases in the world,
The humerus is the bone that connects your shoulder to your elbow. It can break due to various causes, such as falls, accidents, or osteoporosis. A humerus fracture can cause pain, swelling, bruising, and difficulty moving your arm. Depending on the location and severity of the break, you may need
Are you coping with an orthopedic injury? Discover practical tips and strategies for recovery and rehabilitation in this comprehensive blog post. From seeking medical attention to implementing rehabilitation exercises, managing pain, and maintaining a healthy lifestyle, learn how to effectively
Discover the crucial role of nutrition in orthopedic health and learn how to optimize your diet for stronger bones, healthier joints, and improved overall well-being. Explore the importance of calcium, vitamin D, omega-3 fatty acids, antioxidants, protein, and hydration in supporting your
Osteoporosis is a serious bone disease that can lead to fractures. This blog post provides a comprehensive guide to understanding, preventing, and treating osteoporosis. It covers topics such as the causes of osteoporosis, the symptoms of osteoporosis, the diagnosis of osteoporosis, the treatment
Arthritis is a condition that affects the joints in the body, leading to inflammation, pain, and stiffness. It can be a debilitating condition that can have a significant impact on your quality of life. Arthritis can be caused by a variety of factors, including aging, wear and tear, and autoimmune
Fig. 10.A. ANATOMICAL FEATURES The knee joint (Fig. 10.A) combines three
Can you describe the radiograph? This is an AP radiograph of the right hip. There is a pathological fracture of the right femur in the subtrochanteric region of a skeletally mature patient. A lytic area extends from just distal to the lesser trochanter to approximately 10 cm down the femoral
Cellular and Molecular Biology and Immunology Chromosomes 46 chromosomes in 23 pairs: 22 pairs of autosomes, 1 pair of sex chromosomes Composed of DNA coiled around histone proteins DNA has a double-helix structure with linked
Conditions of bone mineral density Bone mass is regulated by rates of deposition and withdrawal (Fig. 1.20). Osteoporosis Age-related decrease in bone mass Usually associated with estrogen loss in postmenopausal women (Fig.
Nutritional rickets (see Table 1.16) Vitamin D–deficiency rickets Rare after addition of vitamin D to milk, except in the following populations: Asian immigrants Patients with dietary
Normal bone metabolism □ Calcium Helps prevent heterotopic ossification after THA in patients at high risk for this development Incidence of heterotopic ossification after THA among patients with Paget disease is approximately 50%. Important in muscle
Cellular biology of bone (Fig. 1.2) Osteoblasts Appear as cuboid cells aligned in layers along immature osteoid Are derived from undifferentiated mesenchymal stem cells These stem cells line haversian canals, endosteum, and
An 84-year-old female presents to her family practice physician with thigh pain for the past 3 months. On further discussion with her in clinic, she states that she has had pain in her thigh for approximately 3 months. She attributes this to beginning a new walking regimen in order to lose weight.
You review a 67-year-old woman in the fracture clinic. She has had a distal radius fracture after a fall. The fracture is in a good position and you have agreed that she will be treated in a cast. She asks if she should be taking something for ‘weak bones’. What advice
An 80-year-old female presents to your office with newly diagnosed lung cancer. She has multiple skeletal metastases. She complains of pain in the thoracic and lumbar spine as well as in the left tibia; she has several lytic lesions in these areas. She also complains of abdominal pain and some
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DEFINITION Charcot foot arthropathy is an inflammatory disease process that primarily affects the foot and ankle of patients with long-standing diabetes (10-plus years) and diabetic peripheral neuropathy (PN).3,4,7,24 The destructive inflammatory process often leads to bone destruction and
DEFINITION Hallux sesamoid bone fracture is a break through the sesamoid bone or cartilage. Medial sesamoid bone fractures are more common than lateral sesamoid bone fractures.1,14 Fractures usually occur about perpendicular to the long axis of the elliptically shaped bone. Longitudinal
(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
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 A diaphyseal forearm fracture should be treated as a nonunion if there is either no likelihood that the fracture will go on to union (ie, large segmental defect) or if the fracture has ceased to demonstrate any progression of healing. Secondary to the advent of compression plating,
Operative Treatment of Radius and Ulna Diaphyseal Nonunions DEFINITION A diaphyseal forearm fracture should be treated as a nonunion if there is either no likelihood that the fracture will go on to union (ie, large segmental defect) or if the fracture
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 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 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 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 H1D Which of the following is a significant risk factor for a motor nerve palsy following a primary hip replacement: 1) Age <50 years 3) Prior hip surgery 2) Female sex 5) Developmental dysplasia 4) Body mass index
ORTHOPEDIC MCQS ONLINE QUESTION BANK H1C Which of the following fractures occurs through a single application of force: 1) A minimally displaced femoral neck fracture in a long distance runner 3) A fifth rib fracture in a collegiate rower 2) A second metatarsal fracture in a Naval Academy
Spinal Fusion for Neuromuscular Scoliosis DEFINITION Neuromuscular diseases are heterogeneous between and within diseases and are due to a vast number of pathologies involving the brain, spinal cord, peripheral nervous system, and
Limb Lengthening Using the Ilizarov Method or a Monoplanar Fixator DEFINITION Limb lengthening is a surgical procedure performed to lengthen a bone. In the Ilizarov method, lengthening is accomplished by gradual bone distraction through a low-energy,
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
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 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
ORTHOPEDIC MCQS BANK OUTE 99 99.1 Examination of a 60-year-old man who has a painful flatfoot deformity reveals no demonstrable function of the posterior tibial tendon. Neither the hindfoot valgus nor the forefoot pronation is passively correctable, and management consisting of shoe
Orthopaedic In-Training Exam 1998 Question 1 - A patient has a grade 2 open tibial fracture with 70% cross sectional bone loss that extends 2 cm in length. Treatment consists of stabilization with a nonreamed interlocking nail and successful secondary wound closure. Four months
Chapter 61 Unit Rod Instrumentation for Neuromuscular Scoliosis Kirk W. Dabney and Freeman Miller DEFINITION Neuromuscular spinal deformity is a result of an abnormal neuromuscular system in childhood, as in cerebral palsy, muscular dystrophy,
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 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 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 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
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 013 PEDIATRIC 2013 Pediatric Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1-Figure 1 is the radiograph of a child who has pain in his
ORTHOPEDIC MCQS ONLINE 013 BASIC 2013 Orthopaedic Basic Science Self-Assessment Examination by Dr.Dhahirortho 1 Question 1A 70-year-old man is experiencing neck pain, progressive
ORTHOPEDIC MCQS ONLINE 014 PATHOLOGY Musculoskeletal Tumors and Diseases Self-Assessment Examination AAOS 2014..by Dr.Dhahirortho
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 SPINE CLINICAL SITUATION FOR QUESTIONS 1 THROUGH
ORTHOPEDIC MCQS ONLINE PEDIATRIC 016 2016Pediatric Orthopaedic Self-Assessment Examination Question 1 of 100 Second-impact syndrome following a concussion poses minimal concern for morbidity or mortality. is less
ORTHOPEDIC MCQS ONLINE RECONSTRUCTION 016 NEW 2016 Adult Reconstructive Surgery of the Hip and Knee Self-Assessment Examination للاب
ORTHOPEDIC MCQS ONLINE ANATOMY 017 ANATOMY-IMAGING SELF- SCORED SELF-ASSESSMENT EXAMINATION AAOS
Orthopedic MCQS online Basic 018 AAOS BASIC SCIENCE self Assessment 2018 Question 1 of 100 In the context of joint arthroplasty, the alpha-defensin immunoassay test is useful for the detection of aseptic loosening. metal
Orthopedic MCQS online Trauma 0018 AAOS TRAUMA self Assessment 2018 Question 1 of 100 A 32-year-old man has a closed mid-shaft spiral humeral fracture after a fall. After a discussion of his treatment options, he wants to proceed with surgical management. When
ORTHO MCQS PEDS 10 2010 Pediatric Orthopaedic Examination Answer Book • 7 Figure la Figure lb Question 1 A 5-year-old boy has had a limp for the past 4 weeks with intermittent pain at the foot. He remains normally active and has no
ORTHO MCQS 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 OB 20 TRAUMA1 What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% CORRECT ANSWER: 4 Anterior knee
ORTHOPEDIC MCQS OB 20 BASIC7 FOR ALL MCQS CLICK THE LINK ORTHO MCQ BANK A 25-year-old female presents to the emergency room within increasing left shoulder pain after walking into a door 5 months ago. She previously sustained a femoral fracture 2
ORTHOPEDIC MCQS OB 20 BASIC7 What method of spinal fixation requires the largest force to disrupt the bone-implant interface? Sublaminar cables Laminar hooks Pedicle hooks Pedicle screws CORRECT answer: 4 Pedicle screws have been
ORTHOPEDIC MCQS OB 20 BASIC 6 A college athlete on a scholarship has a medical condition that you feel presents a life-threatening risk to him with participation in athletics. Because of the gravity of this decision and the potential effect it can have on the
ORTHOPEDIC MCQS OB 20 BASIC 44 Which of the following is a function of siRNA (small interfering RNA)? Identifies proteins Blocks transcription of DNA Separates DNA based on size Blocks translation of mRNA Identifies DNA
ORTHOPEDIC MCQS OB 20 BASIC 4 A 64-year-old female with rheumatoid arthritis has decreased functional use of the left hand for activities of daily living. On physical examination she has fixed deformities of the metacarpophalangeal (MCP) joints as demonstrated in Figure
ORTHOPEDIC MCQS OB 20 BASIC 3 A type IV (delayed-type hypersensitivity reaction) can be seen in which of the following scenarios? Packed red blood cell transfusion Platelet transfusion Immune inert scaffold placement Metal plate and screw placement for fracture Red man
ORTHOPEDIC MCQS OB 20 BASIC 2 Which of the following exhibits osteoinductive and osteoconductive properties when treating the injury shown in Figure A? Corrent answer: 2 Neutrophils are
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 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 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 PEDS 04 1. An 8-year-old boy sustains nondisplaced midshaft fractures of the tibia and fibula after being struck by a car while he was riding his bicycle. No other injuries are noted, but the patient reports pain
ORTHOPEDIC MCQS WITH ANSWER TUMOR/ONCOLOGY 05 1. A 10-year-old child has leg discomfort with activity. A radiograph, bone scan, and biopsy specimen are shown in Figures 1a through 1c. What is the most likely
ORTHOPEDIC MCQS with Answers ONLINE 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
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
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
The basic science oral Basic science oral core topics Introduction The FRCS Orth examination will definitely test you on aspects of basic science – in the past there has commonly been a surgical approach question in the written paper, and although the format is changing it
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
Basic Sciences Viva Basic Sciences Section 3 Tissue Anatomy and Pathology Viva 21 Reproduced from C. Bulstrode et al., Oxford Textbook of Trauma and Orthopaedics second edition, 2011, fi gure 1.3.10, p. 25, with
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
Self-Assessment Examination 2020 Adult Spine MCQS Question 1 of 100 Figures 1 and 2 are the MRI scans of the spine of a 20-year-old college football player who complains of severe right arm pain after making a tackle. He has numbness of the right thumb and index finger but has
Foot and Ankle free MCQS2020 Online Question 1 of 100 Figures 1 through 3 are the standing radiographs of a 52-year-old woman with symptomatic hallux valgus in the setting of pes planus and hypermobility of the
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
ORTHOPEDICS HYPERGUIDE MCQ 951-1000 951. (3530) Q2-4484: The mechanism of action of nitrogen-containing bisphosphonates is: 1) Osteoblast activation 3) Osteoclast apoptosis 2) Osteocyte activation 5) Increased production of osteoprotegerin 4) Decreased
ORTHOPEDICS HYPERGUIDE MCQ 901-950 901. (3289) Q2-4133: The receptor activator of nuclear factor-kB ligand (RANKL) is expressed on the surface of which of the following cells: 1) Osteoclasts 3) Platelets 2) Osteoblasts and marrow stromal cells 5) Vascular endothelial
ORTHOPEDICS HYPERGUIDE MCQ 851-900 851. (3026) Q2-3532: A man has an X-linked dominant condition and marries a woman who does not carry the abnormal gene. Which of the following is true concerning the offspring: 1) 50% of the daughters will be affected 3) 50% of the
ORTHOPEDICS HYPERGUIDE MCQ 751-800 751. (1926) Q2-2336: Osteoclasts have receptors for which of the following: 1) 1,25 dihydroxyvitamin D3 3) Osteoprotegerin 2) Parathyroid hormone 5) Calcitonin 4) Receptor activator of nuclear factor
ORTHOPEDICS HYPERGUIDE MCQ 701-750 701. (1068) Q2-1375: The skin over the anterior distal thigh above the patella is innervated by which of the following sensory segmental levels: 1) T12 3) L2 2) L1 5) L4 4) L3 The skin over the thigh is innervated by
ORTHOPEDICS HYPERGUIDE MCQ 651-700 651. (784) Q2-1045: Hydroxylation of vitamin D to 25-hydroxyvitamin D occurs in the: 1) Liver 3) Thyroid 2) Kidney 5) Small intestine 4) Parathyroid hormone Vitamin D is hydroxylated to 25-hydroxyvitamin D in the liver. The
ORTHOPEDICS HYPERGUIDE MCQ 601-650 601. (734) Q2-995: Which of the following collagens stabilizes the collagen network by linking the type II collagen fibrils: 1) Type I 3) Type IX 2) Type III 5) Type XII 4) Type X The strength of articular cartilage comes in part
ORTHOPEDICS HYPERGUIDE MCQ 551-600 551. (70) Q2-110: Which of the following statements concerning the medial and lateral menisci is correct: 1) The medial meniscus is more mobile than the lateral meniscus 3) The menisci transmit 50% of the joint forces with the knee in
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