Ortho

Question 1

6Ps of Compartment Syndrome

Answer 1

	Pain
o	1st apparent symptom
o	Disproportionate to fracture
o	Passive extension of compartment due to extending ischaemic muscles
	Paraesthesia
	Paralysis
	Pallor
	Pulselessness
	Perishingly cold

Question 2

Aetiology of carpal tunnel syndrome

Answer 2

• Pregnancy
• Endocrine: thyroid, diabetes, acromegaly
• Rheum: RA, OA
• Otrtho: structural abnormalities
• Workplace factors
• Drugs: aromatase inhibitors

Question 3

Clinical manifestations of carpal tunnel syndrome

Answer 3

• Pain/parasthesias in distribution of median nerve
• Worse @ night
• Later: weakness of thumb abduction + opposition, atrophy of thenar eminence
• Can be provoked by Phalen (reverse prayer) and Tinel tests (tapping)

Question 4

Ix for carpal tunnel syndrome

Answer 4

• Mostly clinical diagnoses

- To rule out others: U/S, nerve conduction studies, rheum screen, diabetes bloods

Question 5

Rx of carpal tunnel syndrome

Answer 5

• Conservative: rest, night splints, hand therapy
• Pharmacological: NSAIDS, steroid injection
• Surgical: carpal tunnel release- open or endoscopic

Question 6

HORSE acronym for workplace related injuries

Answer 6

Hurdles: "What’s stopping you
from going back to work?"
Optimism: "Let’s focus on what
you can do rather than what you
can't."
Rewards: "Getting back to work
will benefit you financially,
socially, and psychologically."
Schedule: "Let’s set up a
schedule for getting back to
work with appropriate duties
and hours."
Expectations: "What are your
expectations of returning to
work? What are your
employer’s expectations?"