Orthopaedics

Question 1

fall onto extended outstretched hand - #

Answer 1

Colles’

Question 2

fall bacwards onto palm of outstrethed hand or fall with wrists flexed

Answer 2

Smith’s

Question 3

fist fight fracture

Answer 3

Bennett’s

Question 4

intra-articular fracture of first carpometacarpal joint

Answer 4

Bennett’s

Question 5

volar (forward) angulation of distal radius fragment

Answer 5

Smith’s fracture

Question 6

transverse fracture of the radius, 1 inch proximal to radio-carpal joint, dorsal displacement and angulation

Answer 6

Colles’

Question 7

Radial shaft fracture associated with dislocated distal radioulnar joint

Answer 7

Galezzi

Question 8

which nerve is entraped in the Holstein-Lewis fracture

Answer 8

radial nerve

Question 9

Mx of distal radius fractur elderly vs young

Answer 9

Elderly: Conservative - reduction of fracture under haematoma block/Biers block + immobilisation in a cast

Young: Surgical fixation to reduce risk of osteoporosis and malunion

Question 10

vertebra displaced to inferior verterbral body, pars intercularis fracture ?Dx

Answer 10

Spondylolisthesis

Question 11

Mx of weber #

A
B - trimalleolar + unimalleolar
C

Answer 11

A - unimalleolar FWB in ankle boot

B - trimalleolar unstable fixation
B- unimalleolar ankle boo. Undisplaced = below knee plaster NWD for 6/52

C - bimalleolar syndesmotic disruption unstable = operative fixation

Question 12

injury of anterior (inferior) glenoid labrum of shoulder due to recurrent anterior shoulder dislocation - Dx

Answer 12

Bankart lesion

Question 13

Mx of perthes disease

Answer 13

<6yrs = observation
>6yr = surgical management

Keep femoral head within acetabulum - cast/braces

Question 14

Surgical management of intertrochanteric fracture

Answer 14

dynamic hip screw

Question 15

x-ray joint space widening, formation of bony spurs, sclerosis and flattening of metatarsal head - Dx

Answer 15

Friebergs disease

Question 16

when to convert tp internal fixation after applying external fixator prior to definitive skeletal and soft tissue reconstruction

Answer 16

Convert ot internal fixation within 72h

Question 17

Mx of Gustilo Anderson grade 3b open fracture injury

Answer 17

Combined skeletal and soft tissue reconstruction on scheduled operating list

Question 18

criteria for grade 3 open fractur egustilo anderson

Answer 18

High energy wound >10cm with extensive soft tissue damage

Question 19

Mx of surgical neck of humerus fracture

Answer 19

Collar and cuff for 3 weeks then commence physio

Question 20

Mx of anatomica neck of humerus

Answer 20

Hemiarthroplasty
displacement >1cm = risk of avascular necrosis

Question 21

C spine osteomyelitis likely demographic and pathogen

T spine osteomyelitis likely pathogen

Answer 21

IVDU, staph aureus

TB

Question 22

distal radius fracture (Colle/Smith) with radiocarpal dislocation

Answer 22

Bartons

Question 23

young adult, fall onto outstretched hand, marked tenderness proximal forearm, sharp pain at lateral side of elbow at extremes of rotation - Dx

Answer 23

Radial head #

Question 24

immediate Mx of displaced ankle fracture

Answer 24

Reduce fracture to prevent soft tissue compromise and reduce swelling

Immediat reduction and application of backslab

Question 25

difficulty initiating shoulder abduction - which rotator cuff tear

Answer 25

Supraspinatus tear

Question 26

medial malleolar fracture, spiral fracture of proximal fibula and widening of syndemosis - Dx + Mx

Answer 26

Maisonneuve fracture - surgical fixation bc of widened syndesmosis

Question 27

open fracture >10cm wound, no pulses palpable - Grade + Mx

Answer 27

Gustilo anderson 3C Immediate surgery and restoration of circulation within 3-4 hours 1. Immediate vascular shunting 2. Temporary skeletal stabilisation 3. Vascular reconstruction

Question 28

What lesion is associated with glenohumeral dislocations

Answer 28

Hills-Sachs