Adult Orthopedics 2

Question 0

Management of tibial or fibular fracture?

Answer 0

#Casting if easily reduced; 
#intramedullary nailing if cannot be aligned

Question 1

Most common locations for developing compartment syndrome?

Answer 1

Leg and forearm

Question 2

Patient playing tennis hears loud popping noise and falls. Suspected diagnosis? Sign and symptoms? Management?

Answer 2

Ruptured Achilles tendon

Limited plantar flexion with pain, swelling, limping

Casting in equinas position Or surgery

Question 3

Mortise x-Ray looks at what?

Answer 3

Fracture the ankle

Question 4

Most common causes of compartment syndrome?

Answer 4

#Fracture with closed reduction
#Ischemia with reperfusion
#Crushing injuries
#trauma

Question 5

Pt presents with pain under a cast - next step?

Answer 5

Remove cast and look at limb

Question 6

Management of open fracture?

Answer 6

Cleaning in the OR and reduction six hours of injury

Question 7

Patient gets into car crash and knees hit dashboard. Likely injury? Signs? Management?

Answer 7

Posterior dislocation of the hip

A pain with shortened, adducted, internally rotated legs

Emergency reduction to avoid avascular necrosis

Question 8

Patient steps on rusty nail in mud. Worried about? Treatment?

Answer 8

Gas gangrene

IV penicillin, hyperbaric oxygen, surgical debridement

Question 9

Specific fracture with radial nerve injury? Management?

Answer 9

Distal/middle humorous

#Reduction and casting
#Surgery if nerve paralysis develops or remains after reduction

Question 10

Posterior dislocation of the knee – injured artery?

Answer 10

Popliteal artery

Question 11

Patient falls from height – look for fractures where?

Answer 11

Foot/leg AND lumbar/thoracic spine

Question 12

Patient with facial fracture or head injury – always evaluate?

Answer 12

Cervical spine

Question 13

Point of imaging patients with carpal tunnel? Surgery when?

Answer 13

Not to diagnose (diagnosis is clinical) but to rule out other things

1. Splints and anti-inflammatory agents
2. Electromyography
3. Surgery

Question 14

Trigger finger – Surgery when?

Answer 14

1. Steroid injection

2 it fails, surgery

Question 15

DeQuervain tenosynovitis? Surgery when??

Answer 15

Pain along radial side of wrist from holding babies head (seen in young mothers)

First try Splints, anti-inflammatory agents, steroid injection. Surgery rarely needed

Question 16

Dupuytren contracture? Population?

Answer 16

Contracture of the palm of the hand with palpable nodules

Older Norwegian men

Surgery when hand can no longer be placed flat