Page: 3/5 (Scoliosis & Avascular Necrosis)

Question 1

What is the most common gender and age for scoliosis?

Answer 1

female, 13-19

-named for the side of major conVexity

Question 2

The spinous processes deviate to the CONCAVITY side with this type of scoliosis?

a. ) Simple scoliosis
b. ) Rotatory scoliosis

Answer 2

b.) Rotatory scoliosis

Question 3

The spinous processes deviate to the CONVEXITY side with this type of scoliosis?

a. ) Simple scoliosis
b. ) Rotatory scoliosis

Answer 3

a.) Simple scoliosis

Question 4

What lines of mensuration are used to analysis scoliosis?

Answer 4

Cobb’s

Risser Ferguson’s

Question 5

What is the management for scoliosis under 20 degrees?

a. ) send to orthopedist for bracing
b. ) adjust and monitor
c. ) surgical consultation
d. ) none of the above

Answer 5

b.) adjust and monitor

Question 6

What is the management for scoliosis over 40 degrees?

a. ) send to orthopedist for bracing
b. ) adjust and monitor
c. ) surgical consultation
d. ) none of the above

Answer 6

c.) surgical consultation

Question 7

What is the management for a scoliosis between 21-40 degrees?

a. ) send to orthopedist for bracing
b. ) adjust and monitor
c. ) surgical consultation
d. ) none of the above

Answer 7

a.) send to orthopedist for bracing

Question 8

What signs/symptoms are associated with a scoliosis over 50 degrees?

Answer 8

Cardio-pulmonary compromise and DJD

Question 9

When monitoring scoliosis what 3 things should you always check for?

Answer 9

Risser’s sign

Left wrist films (Best outta the 3)

Tanner’s evaluation

Question 10

The major cause of AVN is _____.

Answer 10

trauma

Question 11

What lab tests are used for AVN’s?

Answer 11

none, there are no labs for AVN

Question 12

All AVN’s are self-limiting but it takes _____?

Answer 12

8 months to 2 years

• Scaphoid fractures are primarily not self-limiting and need surgery! Proximal pole of scaphoid is the MC location for necrosis!

Question 13

All AVN’s can lead to _____?

Answer 13

DJD

Question 14

What special diagnostic tests are used to analyze AVN’s?

Answer 14

MRI and Bone scan

Question 15

AVN of the Carpal Scaphoid is refereed to as?

a. ) Freiburg’s
b. ) Keinboch’s
c. ) Preiser’s
d. ) Panner’s

Answer 15

c.) Preiser’s

Question 16

AVN of the Capitellum is refereed to as?

a. ) Freiburg’s
b. ) Keinboch’s
c. ) Preiser’s
d. ) Panner’s

Answer 16

d.) Panner’s

Question 17

AVN of the Lunate is refereed to as?

a. ) Freiburg’s
b. ) Keinboch’s
c. ) Preiser’s
d. ) Panner’s

Answer 17

b.) Keinboch’s

Question 18

AVN of the 2nd or 3rd Metatarsal Head is refereed to as?

a. ) Sever’s
b. ) Kohler’s
c. ) Freiburg’s
d. ) Blount’s

Answer 18

c.) Freiburg’s

Question 19

AVN of the Tarsal Navicular is refereed to as?

a. ) Sever’s
b. ) Kohler’s
c. ) Freiburg’s
d. ) Blount’s

Answer 19

b.) Kohler’s

Question 20

AVN of the Calcaneus is refereed to as?

a. ) Sever’s
b. ) Kohler’s
c. ) Freiburg’s
d. ) Blount’s

Answer 20

a.) Sever’s

Question 21

AVN of the Medial Tibial Condyle is refereed to as?

a. ) Legg Calve Perthes
b. ) Osteochondritis Dessicans
c. ) Scheurmann’s
d. ) Blount’s

Answer 21

d.) Blount’s

Question 22

AVN of the articular surface of the Medial Femoral Condyle is refereed to as?

a. ) Legg Calve Perthes
b. ) Osteochondritis Dessicans
c. ) Scheurmann’s
d. ) Blount’s

Answer 22

b.) Osteochondritis Dessicans

Question 23

AVN of the Femoral Epiphysis is refereed to as?

a. ) Legg Calve Perthes
b. ) Osteochondritis Dessicans
c. ) Scheurmann’s
d. ) Blount’s

Answer 23

a.) Legg Calve Perthes

Question 24

AVN of the Vertebral End Plate Epiphysis is refereed to as?

a. ) Legg Calve Perthes
b. ) Osteochondritis Dessicans
c. ) Scheurmann’s
d. ) Blount’s

Answer 24

c.) Scheurmann’s

Question 25

What radiographic view is Osteochondritis Dessicans best seen on?

Answer 25

Tunnel view

Question 26

What orthopedic sign is associated with Osteochondritis Dessicans?

Answer 26

Wilson’s sign

Question 27

What type of brace is used to treat a 21-40 degrees scoliosis?

Answer 27

Milwaukee brace

Question 28

What is the case management for a patient with Scheuermann’s Disease?

Answer 28

• stop physical activity
• brace thoracolumbar spine
• swimming/strengthen erector spinae
• kinesiotape
• adjust P-A in supine position
• stretch the pecs
• self-resolving

Question 29

What are the radiographic features seen on x-ray in a patient with Scheuermann’s Disease?

Answer 29

• endplate irregularities
• anterior body scalloping
• hyperkyphosis

Question 30

What clinical findings seen in a patient with Scheuermann’s Disease?

Answer 30

• intermittent pain
• hyperkyphosis of lumbar spine
• muscle stiffness and fatigue

Question 31

If left untreated what will happen in a patient with Scheuermann’s Disease?

Answer 31

• patient will obtain DJD