orthopedic surgery

Question 1

Long bone fractures can be described as ________

Answer 1

Transverse, Oblique, Comminuted, and spiral

Question 2

Goals of fracture disolocation

Answer 2

Restore length, rotation, and angulation

Reduction is performed with axial raction and reversal of the mechanism of injury

Question 3

True of compartment syndrome

Answer 3

Can be assessed by needles placed into affected compartment

• orthopedic emergency
• significant swelling within a compartment
• pain and numbness
• passive stretch = severe pain

Question 4

Shoulder dislocation

Answer 4

Injuries to the labrum (Bankart lesion), Humeral head fractures (Hill-Sachs lesion), and rotator cuff tears.

Posterior dislocation is associated with seizures or electric shock

Question 5

Terrible triad of elbow dislocation

Answer 5

Elbow dislocation, radial head fracture, coronoid fracture

• Require repair of the torn lateral collateral ligametn

Question 6

Pelvic fracture

Answer 6

• Life threatening hemorrhage
  
  • injury to the venous plexus in the posterior pelvis
  • large vessel injury such as gluteal artery
• Associated with GU injury
• Displacement associated with 2 or more fractures in the pelvic ring
  
  • Displaced sacral fractures and ilaic wing fractures are treated with screws or plates
  • Pubic rami fractures can usually be managed nonoperatively

Question 7

Hip fracture

Answer 7

• Mortality rate in the first year after hip fracture is 25%
• More common in women
• Managed surgically

Question 8

Chronic unrelenting back pain suggests_______

Answer 8

Infection, malignancym or metastaic disease

Question 9

Scoliosis curves are classified as ______

Answer 9

Congenital, neurological, myogenic, idiopathic

• Idiopathic = most common form

Question 10

Surgical management of arthritis

Answer 10

Arthroplasty, osteotomy, arthrodesis