Pelvic/Knee/Foot

Question 1

MMC of pelvic fracture?

Answer 1

MVA, high energy

Question 2

How do you know the pelvis is fx?

Answer 2

XRAY will show a change in the RING, bleeding

Question 3

Tx of pelvic fx are?

Answer 3

Pelvic binder, type and cross, surgery

Question 4

SXS of hip fracture?

Answer 4

Prox femur - short limb that is EXTERNALLY rotated

Question 5

Short femur internally rotated is due to?

Answer 5

posterior dislocation

Question 6

What part of the femur is associated with AVN?

Answer 6

Femur neck

Question 7

With a posterior dislocation what nerve should you check?

Answer 7

Sciatic Nerve

Question 8

Complication to posterior dislocation of femur is?

Answer 8

AVN, needs a CR, abd brace.

Question 9

Causes of AVN?

Answer 9

Femur neck fx, posterior dislocation, ICS use.

Question 10

AVN diagnosis is made with? tx?

Answer 10

Frog leg Xray. Wt lose to surgery

Question 11

dev hip dysplasia risk factors? diag?

Answer 11

Females, breech, first born. US

Ortolani, Barlow, uneven gluteal fold

Question 12

dev hip dysplasia tx?

Answer 12

Palvic Harness

Question 13

Legg-Calve-Perth is?

Answer 13

boys 4-10 AVN

Question 14

Legg-Calve-Perth sxs? diag?

Answer 14

Unilateral Painless limp/ AP, lat, frogleg

Question 15

Legg-Calve-Perth tx?

Answer 15

Bracing or surgery

Question 16

SCFE is what?

Answer 16

Salter 1 fx in obese 10-16, can be bilateral

Question 17

SCFE diag?

Answer 17

AP, lat, frogleg = Icecream of cone

Question 18

patellofemoral synd worse with?

Answer 18

increase Q angle, pain with stair climbing. Theater sign (pain with movement after sitting)

Question 19

patellofemoral synd PE? Diag

Answer 19

Pain with compression. No imaging

Question 20

patellofemoral synd

Answer 20

PT - NSAID

Question 21

Meniscal tear moa?

Answer 21

Twisting and squat

Question 22

Meniscal tear diag?

Answer 22

“give way”, McMurray, Apley (upside down grinding), Thessaly

Question 23

Meniscal tear tx?

Answer 23

rice, nsaid, PT, surgery

Question 24

ligament tear mcc are?

Answer 24

ACL and MCL

Question 25

ACL diag? MCL diag?

Answer 25

Lachman (30), and drawer. | Valgus stress- does medial ligament give?

Question 26

Osgood Schlatter is

Answer 26

ossification of tibial tubercal, overuse

Question 27

popliteal cyst associated with

Answer 27

Meniscal tear, OA, RA

Question 28

patellar dislocation diag?

Answer 28

AP/lat Xray & see deformite. | Pt cant weight bare.

Question 29

patellar dislocation tx?

Answer 29

CR, knee immobilitation, Surgery

Question 30

Knee dislocation is of the?

Answer 30

tibio-femoral joint.

Question 31

Knee dislocation complications?

Answer 31

Popilteal artery & peroneal nerve - may sublux

Question 32

Knee dislocation PE and DIag?

Answer 32

Pulses, ABI, Arteriography

Question 33

Knee dislocation tx?

Answer 33

CR, splint, surgery

Question 34

Weekend warrior tear what ligament/ ICS/ Aminoglycoside?

Answer 34

Achilles tear - felt shot or kicked

Question 35

Achilles test? diag?

Answer 35

Thompson test/ MRI

Question 36

Achilles tx?

Answer 36

Analgesia, Splint, surgery

Question 37

MC ankle sprain is a

Answer 37

planter flex & Iver = Ant talofib lig.

Question 38

Medial ankle ligament damage? Eversion

Answer 38

deltoid

Question 39

High ankle damage associated with?

Answer 39

syndesmosis

Question 40

ankle tx?

Answer 40

grade 1 = stretched ligament grade 2 = partial teat grade 3 = tear = surgery

Question 41

Ankle fx daig?

Answer 41

Ottowan ankle rule = AP, Lat, Mortise

Question 42

Ankle fx classification

Answer 42

weber A= below syndesmosis *Weber B = at syndesmosis Weber C = above synd

Question 43

Mainsonnerve fx is between

Answer 43

medial malleous and tibio-fib syndesmosis - common peroneal nerve damage

Question 44

Talar neck fx is?

Answer 44

talar commonly missed & AVN

Question 45

Plantar fasciitis sxs?

Answer 45

sharp heel pain, worse at AM at calcaneous.

Question 46

Plantar fasciitis tx?

Answer 46

stretch, splint at night, NSAID, PT, ICS

Question 47

Morton Neuroma is?

Answer 47

fibrosis btw 3-4 MT head = walk on marble

Question 48

Morton Neuroma tx?

Answer 48

MT pad, wide box, Amitriptyline/gabapentin

Question 49

Hallux valgus - Bunion is? | Tx?

Answer 49

MTPJ

Question 50

Lisfranc Injury is at the?

Answer 50

midfoot (btw 1-2 MTP)

Question 51

Dancer Fx is

Answer 51

Peroneus breves at 5MTP - inversion planter flex

Question 52

Dancer Fx tx?

Answer 52

walking boot, crutches, easier than Jones. RICE

Question 53

Jones fx is?

Answer 53

5MTP at Meta/Dia neck.

Question 54

Jones fx tx?

Answer 54

NO Wt baring.- High non-union rate - surgery

Question 55

What concomitant knee injury should be evaluated for in patients with pes anserine bursitis?

Answer 55

Medial collateral ligament injury

Question 56

If there is severe tenderness and swelling at the medial malleolus, which fracture must be suspected?

Answer 56

Maisonneuve fracture

Question 57

Which is a mu receptor partial agonist?

Answer 57

Buprionophen

Question 58

Which is a mu receptor antagonist?

Answer 58

Naloxone

Question 59

Which is a MU receptor agonist?

Answer 59

Methadone/Opioids

Question 60

_____test involves flexing the infant’s hips and knees, then looking level at the knee heights.

Answer 60

The Galeazzi

Question 61

______begins with hip flexion and adduction. Lateral force is then applied

Answer 61

Barlow test

Question 62

Salter 1 is? how do you treat?

Answer 62

through the Physis, Non-weight bearing

Question 63

tarsal tunnel syndrome sxs?

Answer 63

medial ankle and plantar numbness

Question 64

Superolateral ANV, and smooth round patella is?

Answer 64

Bipartite Patella