MSK + Ortho

Question 1

Knee locking and giving way =

Answer 1

Meniscal tear

Question 2

Hip fracture management =

Answer 2

Intracapsular NOF - hemi-arthroplasty or THR
(THR reserved for active patients, with no significant co-morbidities)

Extracapsular - DHS (intertrochanteric) vs IM nail (subtrochanteric)

Non-displaced intracapsular neck of femur fracture (Garden I/II) = open reduction and internal fixation with hip screws.

Question 3

Anterior vs Posterior Hip Dislocation

Answer 3

An Elephant Pooed Inside
Anterior - external rotation, Posterior - Internal rotation

(Anterior = lengthened, posterior = shortened)

Question 4

How to take bisphosphonates ?

Answer 4

Take at least 30 minutes before breakfast with plenty of water + sit-upright for 30 minutes following

Question 5

Osteomyelitis - imaging modality of choice?

Answer 5

MRI

(allows you to assess bone and soft tissue, to view extent of infection)

Question 6

Lateral epicondylitis - pain on flexion or extension?

Answer 6

Pain on extension

Tennis, laTeral, exTension (3 Ts)

Question 7

Colles’ fracture?

Answer 7

All the Ds:
Dorsally Displaced Distal radius → Dinner fork Deformity

Question 8

Bilateral carpal tunnel syndrome = ?

Answer 8

Rheumatoid arthritis

Question 9

T vs Z score for osteoporosis ?

Answer 9

Z score = Zame age
T score = Teens

Z score is average bone mass of someone same age and sex
T score is bone mass of healthy, young reference population