Orthopaedics

Question 1

Osteoporosis, osteomalacia and Paget´s: Ca, Phosphate, ALP levels

Answer 1

Osteoporosis: Normal
Osteomalacia: Low Ca, low phos, increased ALP
Paget´s: Normal Ca and phos, increased++ ALP

Question 2

Architecturally normal bone, normal mineralisation, diminished bone density:

Answer 2

Osteoporosis

Question 3

Young woman, pain after 120° abduction shoulder, acute.

Answer 3

Supraspinatus/calcific tendonitis

Question 4

Months pain shoulder worst mid-abduction

Answer 4

Impingement syndrome