SAQ 2017

  1. List three endocrinopathies associated with SCFE
    • Hypothyroid
    • Panhypopit
    • GH deficiency
  2. List 5 reconstruction options with a type II periacetabular primary bone tumor
    • Uncemented cup
    • Cemented poly
    • Cup cage
    • Custom triflange
    • Trabecular metal augments
  3. Patient with a type II anterior tibial eminence fracture:


    What is the main block to reduction

    What are the associated complications
    Intermeniscal ligament and anterior horn of medial meniscus

    ACL laxity/instability, Anterior impingement
  4. List 6 risks during spine or other orthopedic procedures that can lead to postop vision loss
    • Hypotension
    • Improper padding
    • Prolonged surgical time > 6hours
    • Intra op anemia
    • Obesity
    • PVD
  5. Question about the Henry approach

    What is the superficial interval


    What two neurovascular structures will you encounter between the middle and distal thirds of the approach

    Name 4 muscles to remove off the radius from the volar side to plate the whole bone


    What structure is at risk when doing the deep interval in the proximal third of the approach
    Interval: PT and BR proximal (Medial and radial), Distal FCR and BR

    Radial artery, superficial radial nerve

    PQ, PT, Supinator, FPL

    PIN
  6. You are treating a 8 year old patient with open reduction of the lateral condyle fracture. List 3 surgical considerations
    • Avoid posterior dissection
    • Ensure anatomic alignment articular surface
    • Fixation with pins or screw from lat to medial
  7. What are 6 factors that are associated with failure of treatment of DDH with a brace
    • Begin treatment > 6 weeks
    • Teratogenic
    • Male
    • Bilateral
    • Irreducible at presentation
    • Compliance by parents
  8. List six principles in the management of severe hallux valgus
    • Need proximal procedure
    • Fusion if OA
    • Fusion if CP
    • Fusion if RA
    • Fusion if hypermobile
    • Fusion if recurrence
  9. What is the etiology and radiographic findings in weightlifter shoulder disease
    Etiology: Repetitive microtrauma

    Xray: Distal clavicle osteolysis
  10. What are 6 radiographic findings associated with non accidental trauma in pediatric patients with no metabolic bone disease
    • Posterior rib fracture
    • Corner fracture
    • Fractures at different stages of healing
    • Skull fractures
    • Long bone in non ambulatory children
    • Transphyseal fractures
  11. Patient presenting with a tibial open fracture, fill in the Tetanus table below

    Unknown immunization + clean wound
    Unknown immunization + dirty wound
    Immunization > 10 years + clean wound
    Immunization > 10 years + dirty wound
    Immunization <10 years + clean wound
    Immunization <10 years + dirty wound
    Unknown immunization + clean wound: Toxoid only

    Unknown immunization + dirty wound: Toxoid + immunoglobulin

    Immunization > 10 years + clean wound: toxoid only

    Immunization > 10 years + dirty wound: toxoid and immunoglobulin

    Immunization <10 years + clean wound: nothing

    Immunization <10 years + dirty wound: TOxoid if dose > 5 years
  12. List three deformities associated with a subtrochanteric femur fractures and list two surgical techniques/aids to help you in reduction for each of them
    Deformities

    Proximal fragment: 
    Flexed, abducted, ER

    • Techniques
    • Nail in lateral decubitus
    • Joystick fragments with steinman pins
    • Open reduction
  13. List 6 factors associated with Dupuytren’s disease
    • Family history
    • Gender: male 2:1
    • Caucasian of northern european descent
    • HIV
    • ETOH
    • DM
    • Antiseizure meds

    conditions: Ledderhose, Peyronies, Garrod
  14. What is the difference between concealment of allocation and blinding
    COncealment allocation: Prevent selection bias . the ones who randomize patients from knoweing the sequence of randomization

    Blinding: Keeping participants, care providers, collecting data and analyzing data unaware of which intervention is being administered
  15. List 4 principles of causality
    • Temporal relationship
    • DOse response relationship
    • Biologic plausibility
    • Consistency: same findings by different people at different times
  16. List 5 reamer characteristics to decrease intramedullary pressure while reaming
    • Deeper flutes
    • Narrow diameter core
    • Hollow reamer
    • Conical
  17. List 4 major criteria to diagnose fat embolism
    • Hypoxia: PaO2 <60
    • Axillary or subconjunctival petachiae
    • Pulmonary edema
    • CNS depression dysproportionate to hypoxemia
  18. List 4 minor criteria to diagnose fat embolism
    • HR > 110
    • Temp > 38.5
    • Fat in urine
    • Fat in sputum
    • Emboli in retina on fundoscopy
    • Thrombocytopenia
    • Elevated ESR
  19. List 6 radiographic findings associated with FAI
    • Posterior wall sign
    • Crossover sign
    • Increased alpha angle
    • Decreased head-neck ratio
    • Acetabular protrusio
    • CEA > 40
  20. List 6 etiologies associated with sclerosing periosteal reaction and cortical thickening in infancy and young children
    • Fracture
    • Osteomyelitis
    • Ewings sarcoma
    • EG
    • Pagets
    • Periosteal osteosarcoma
  21. Define the following: complete, complex, synonychia
    • Complete: Up to tip of finger
    • Synonichia: Nail bed deformity
    • Complex: Bony deformity
  22. When treating a transverse femoral fracture in a child, what are 4 surgical technique considerations to prevent failure of implant fixation and loss of reduction
    • Elastic nail fill 80% diameter
    • Pre bend: Maximal separation at the fracture site
    • Nails tapped across fracture site in alternating pattern to prevent malreduction
    • Use retrograde double C configuration for 3 point fixation
  23. What are the 3 advantages of using a distal femur locking plate vs a 95 degree angle DCS in a comminuted metaphyseal fracture
    • Can control multiple fragments
    • Preservation of periosteal blood supply
    • Minimally invasive proximal locking options
  24. List 4 indications for operating the cervical spine in a RA patient
    • ADI > 10
    • PADI < 13
    • Neurologic symptoms
    • Cervicomedullary angle > 135
  25. List the 4 deformities IN ORDER that need to be corrected in clubfoot
    CAVE

    • Cavus hindfoot
    • Adduction forefoot
    • Varus hindfoot
    • Equinus
  26. List 8 radiographic findings in aortic dissection (repeat)
    • Widened mediastinum
    • DOuble aortic knob sign
    • Irregular aortic contour
    • Tracheal deviation
    • L sided hemothorax
    • Depressed L maintem  brochus
    • Elevated R mainstem bronchus
    • Apical pleural hematoma
  27. List 6 principles of tendon transfer (Repeat)
    • Supple joint
    • DOnor expandible
    • Synergistic function
    • Power 4+ or better
    • Appripiate excursion
    • Pull in line
  28. List 6 orthopedic manifestations that helps in diagnosis of Marfan’s syndrome (new Q)
    • Pectus excavatum or recarvatum
    • Aracnodactyly
    • Scoliosis
    • Pes planus
    • Coxa profunda
    • Ligamentous laxity
    • Dural extasia
  29. List 6 neurologic causes of cavus foot
    • CMT
    • Freidrich ataxia
    • Polio
    • Stroke
    • Tethered cord
    • spinal dysraphism
  30. List 5 reduction techniques to use in proximal tibia fractures
    • Unicortical plate
    • Nail in semi extended position
    • Supra patellar nailing
    • Pollar screw: posterior and lateral
    • Start point lateral and posterior
    • Femoral distractor
  31. List 3 techniques to check for proper femoral rotation during femoral nailing
    • Use anteversion built onto nail
    • Smooth transition of cortical thickness
    • COmparison of LT profile to contralateral side
  32. List 3 criteria for an acceptable reduction of femoral neck fractures
    • Double S on lateral
    • Garden lines: 160 on AP and 180 on lateral
    • Neck shaft angle 130-150
  33. List the 3 findings in sacral sparing
    • Voluntary anal contraction
    • Preserved perianal sensation
    • Flexion of big toe: FHL
  34. What are 6 relative indications for doing an MRI in scoliosis
    • Infantile scoliosis
    • Juvenile Scoliosis
    • COngenital scoliosis
    • Abnormal neuro exam
    • Abnormal curve patterns: left thoracic
    • Rapid progression
  35. List 3 local adverse effects of metal-on-metal hip arthroplasty
    • Pseudotumor
    • Osteolysis
    • Sterile joint effusions
  36. List 4 surgical considerations to take into account when doing a total shoulder arthroplasty in a B2 glenoid
    • Eccentric reaming
    • Glenoid component augments
    • SLight undercorrection and component positioning in retroversion
    • Downsizing glenoid
  37. List 3 risk factors to developing metastasis in soft tissue sarcoma
    • Depth below fascia
    • Size > 5cm
    • High grade
  38. List 6 complications associated with valgus medial opening HTO
    • Compartment syndrome
    • Non union
    • Patella baja
    • Infection
    • Increasing tibial slope
    • Fracture
    • Painful hardware
  39. List 4 patient related risk factors associated with increased infection in total joint replacement
    • Revision
    • Obesity
    • DM
    • RA
    • Malnutrition
  40. List the 3 most common indications for reoperation after a terrible triad fixation
    • Arthrofibrosis
    • Hardware fixation problems
    • Intability
  41. List 6 indications to fix a humeral shaft fracture
    • POlytrauma
    • Impending pathologic
    • FLoating elbow
    • Segmental
    • Open
    • Vascular injury
    • Brachial plexus
    • Failed conservative
  42. List 4 glenohumeral ligaments
    • SGHL
    • IGHL
    • MGHL
    • Coracohumeral ligament
  43. List 4 stabilizers of the AC joint
    • Trapezoid tendon
    • Conoid tendon
    • CA ligament
    • AC joint capsule
    • Deltoid/trap
  44. List 4 indications for a hemiresection-interposition arthroplasty of the DRUJ
    • DRUJ OA
    • DRUJ instability
    • RA
    • Rotational contractures
  45. List 4 risk factors for neurological procession in vertebral osteomyelitis
    • MRSA
    • RA
    • Delayed treatment
    • DM
    • Steroids
  46. Name 5 Indications for immediate amputation following trauma
    • Crush injury > 6 hrs warm ischemia
    • Non reconstructible soft tissue injury
    • Non reconstructible soft tissue trauma
    • To save ppt life
    • COmplete transection of tibial nerve
Author
egusnowski
ID
345816
Card Set
SAQ 2017
Description
2017 sa
Updated