Ortho

  1. Rotator cuff m/s
    • SITS
    • - Supraspinatus
    • - Infraspinatus
    • - Teres minor
    • - Subscapularis
  2. Terrible triad
    • - ACL
    • - MCL
    • - Medial meniscus tear (occur later d/t chronic ACL deficiency)
  3. What is conus medullaris
    • Conical distal end of spinal cord
    • Adult - lower border of L1-L2
    • Infant/young child - upper border of L3-L4
  4. What is cauda equina?
    • Collection of nerves at the end of spinal cord
    • Extend between upper border of L2-S2
  5. Clinical features of adhesive capsulitis (frozen shoulder) ?
    • Limited active AND passive ROM
    • Diffuse tenderness
  6. Inverted/Upside down champange bottle is a feature of ?
    • Lipodermatosclerosis
    • - tapering of leg above ankles
    • - brownish-red pigmentation & induration
    • - a/w venous stasis/insufficiency
  7. Commonest sote for venous ulcer?
    • Gaiter's area - just above medial malleolus
    • Most commonly occur near bony prominence at ankle
  8. Difference between monteggia & galleazi fracture
    • Monteggia (MU) - BADO classification
    • - proximal ulnar fracture + dislocation of radial head
    • - FOSH w body twisting (extreme pronation)
    • - ORIF

    • Galleazi (GR)
    • - distal radius fracture + dislocation of DRUJ
    • - FOSH w extreme rotation (supine/prone)
    • - closed reduction (child), ORIF - k-wire
  9. What are the component of Kocher criteria ? Septic arthritis hip in paeds
    • NEWT
    • 1. Non weight bearing
    • 2. ESR > 40 mm/hr
    • 3. WBC > 12,000
    • 4. Temp. > 38.5
  10. What is Salter Harris classification
    • Used for physeal fracture classification
    • SALTER
    • 1. Straight across
    • 2. Above
    • 3. Lower
    • 4. Through
    • 5. Erasure of growth plate/crush

    • Most common is type 2
    • Difficult to differentiate type 1 & 5
  11. Characteristic of clubfoot/talipes equinovarus
    • CAVE
    • Cavus of midfoot - high-arched foot
    • Adduction of forefoot
    • Varus of hindfoot - turned inward
    • Equinus of hindfoot - plantar-flexion
  12. What is perthe's disease? (Paeds)
    Avacular necrosis of femoral head
  13. What is boxer's fracture ?
    Fracture of the neck of 5th metacarpal bone
  14. In what injury there's positive fovea sign?
    • Triangular fibrocartilage complex (TFCC) injury
    • Pain at b/w ulnar styloid, flexi carpi ulnaris and pisiform
  15. What is carpal tunnel syndrome?
    Entrapment of median nerve within carpal tunnel
  16. What are the hand m/s innervated by median nerve ?
    • LOAF - thenar eminence
    • 1. Lateral 2 lumbricals - MCP flex, IPJ extend
    • 2. Opponen pollicis - opposes thumb
    • 3. Abductor pollicis brevis - abducts thumb
    • 4. Flexor pollicis brevis - flex thumb
  17. Special tests for carpal tunnel syndrome
    • 1. Durkan test/Compression carpal tunnel test - most sensitive
    • 2. Phalen test - wrist volar flexion
    • 3. Tinel test
  18. Anatomical snuffbox innervated by?
    Radial nerve (superficial branch)
  19. What are the cardinal features of Flexor Tenosynovitis ? Kanavel's sign
    • Kanavel's sign
    • 1. Uniform swelling the entire digit 
    • 2. Finger held in slight flexion (passive flexion)
    • 3. Pain with passive extension - most reliable sign
    • 4. Tender along tendon sheath (limited)
  20. What is Felon?
    Subcutaneous abscess of fingertip pulp
  21. What is Allen test ?
    To assess blood supply of the hand

    • Ask pt to make fist
    • Press on ulnar and radial artery
    • Open fist
    • Release one of the artery

    Ex: ganglion cyst
  22. What is triggering finger ?
    Inflammed tendon sheath cause it to bwcome thicker laada to narrowing of the tendon tunnel leads to nodule formation of the tendon at the entrance

    • Finger locked in flexed position
    • Snap with forced extension - triggering
    • Finger clicking
  23. What is Finkelstein test?
    • Place thumb in a closed fist
    • Tilt hand downward ulnarly
    • Pain is positive for De Quervain tenosynovitis
  24. Difference between Golfer's and Tennis elbow
    • Golfer's Elbow - medial epicondylitis
    • - overuse of flexor-pronator muscles 
    • - common flexor tendon (FCR,PL,FCU, FDS) & Pronator teres
    • - Reverse Cozen test 

    • Tennis Elbow - lateral epicondylitis
    • - overuse extensor-pronator muscles
    • - ECRB, ECRL, ECU
    • - Cozen test
  25. What is De Quervain Tenosynovitis?
    • Inflammation of tendon sheath of:
    • - Extensor pollicis brevis (EPB)
    • - Abductor policis longus (APL)
Author
nhr
ID
354277
Card Set
Ortho
Description
ortho
Updated