2. Trauma MCQs

Figure 61 shows the radiograph of a 28-year-old professional football player who sustained a hyperextension injury to the great toe. He continued to play with pain and loss of push-off strength. What is the most likely diagnosis?

Figures 62a and 62b show the radiographs of a 50-year-old man who has a long-standing history of wrist pain. What is the most likely cause of pain?

Figure 63 shows the AP radiograph of the arm of a 9-year-old boy who has pain in his right shoulder as a result of falling off his bicycle. The most appropriate next step in management is
1/. Immobilization with a sling

An elderly woman with radiographic evidence of spinal stenosis reports difficulty walking and calf pain that is relieved by rest and a change of position. The most likely cause of pain is ischemia of the

• 
  The concept of an “effective joint space” surrounding a prosthetic hip replacement refers to the

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  Almost 50% of all long-term complications following total knee arthroplasty are due to

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  A 6-year-old boy sustained a fracture of the medial malleolus as a result of twisting his ankle. The fracture line extends from the joint surface proximally and medially to include a small fragment of the metaphysis, with a displacement of 3
  
  mm. Management should consist of

A 37-year-old laborer sustained a fracture of the posterior acetabular wall. Two years following operative management, the patient reports severely limited hip motion and back pain. Radiographs reveal extensive mature heterotopic ossification with preservation of the hip joint space. Management should now consist of

A 4-year-old boy who was struck by a motor vehicle has a right pneumothorax requiring placement of a chest tube, an open (Gustilo) grade IIIA midshaft fracture of the left femur, and a closed displaced subtrochanteric fracture of the right femur. He also sustained a subdural hematoma that requires neurosurgical intervention. In addition to irrigation and debridement of the left femur, treatment should include

The bending stiffness of a slotted stainless steel intramedullary nail will be increased most by

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  Figures 66a and 66b show the radiographs of an 8-year-old girl who has a form, immobile mass of her middle finger at the proximal interphalangeal joint. Figure 66c shows the histopathology of the biopsy specimen. What is the most likely diagnosis?
  

To be an expert orthopaedic witness in a trial, an orthopaedic surgeon

must

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  A 12-year-old Little League pitcher has had pain in the dominant shoulder for the past week that prevents him from pitching. Examination reveals normal strength, full range of motion, normal stability, and mild tenderness about the
  
  proximal humerus. Radiographs with comparison views of the opposite shoulder show widening of the proximal humerus physis. Management should include

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  The lateral fragment of bone (Segond fracture) associated with an injury of the anterior cruciate ligament is the result of an avulsion of the

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  Successful healing of a meniscal repair is most likely associated é which of the following tear patterns?

At what position is the anterior inferior glenohumeral ligament the primary constraint to anterior glenohumeral translation?

Which of the following nerves is most commonly injured during arthroscopy of the ankle?

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  The primary effect of deep freezing on musculoskeletal allografts is a reduction of