Ortho Surg

Salter-Harris classification: erasure of growth plate due to crush injury

A shortened and externally rotated leg is most likely indicative of...

MC benign bone tumor, 10-30 yo. Painless palpable mass on surface of bone, MC knee, prox femur & humerus. Sessile on xry

Which pelvic injury is the least common type, but has the highest mortality rate?

Fracture of proximal 1/3 of ulna and anterior dislocation of radial head

Best way to look at bony fractures of the spine

X-ray shows widening at the base of the 1st-3rd metatarsals and adjacent cuneiforms. Tx w/ ORIF or cast NWB

Casting is most appropriate for which injury?

Ok, ok, which gets torn most often in rotator cuff injuries?

Neuropathy & fibrotic nodule on digital nerve between 3rd and 4th metatarsal. +Mulder's click when metatarsals squeezed

Which of the following is not recommended for pts after hip surgery?

Anterior glenoid labral tear caused by anterior dislocation, causing shoulder instability +/- avulsed bone

Which view is best for assessing fractures in the ankle joint space?

What is the ligament most commonly injured in ankle sprains?

What do you expect to see on a x-ray of radial head fracture?

Help, I forgot the muscles of the rotator cuff!

What is most frequently associated with patella alta (high-riding patella) on x-ray

MCC of lower back pain in children adn adolescnets. Scottie dog sign on oblique xray

Most appropriate management for pt w/ hx of FOOSH, now c/o pain in anatomic snuffbox? Appears nondisplaced

Which injury is seen with a blow to an abducted extended arm? (MC shoulder injury)

Surgical emergency, L1-S5 nerves; bowel and bladder dysfunction, saddle anesthesia w acute back and leg pain

Which of the following 2 fractures are seen in children only?

More trivia: What's the largest tendon in the body?

Unhappy triad of the knee

A shortened, internally rotated leg, which needs closed reduction w/in 6 hrs, is suggestive of...

Surgical emergency. Kanavel's sign - tenderness, sausage digit, finger slightly flexed at rest, pain out of proportion

Which injury is most commonly associated with Volkman's contracture?

Malignant small round cell sarcoma in diaphysis of bone. Pain worse at night. Onion skin or sunburst on xray. in kids

Salter-Harris classification: lower than growth place - fracture through epiphysis into joint

What is the most common type of elbow dislocation. Hint: FOOSH w/ hyperextension

Salter-Harris classification: fracture completely thru the growth plate (metaphysis, physis, and epiphysis involvement)

Anyone with a traumatic injury is assumed to have cervical spine injury until proven otherwise

Ok, ortho bros, let's be more specific, which type of splint is best for managing carpal tunnel?

45 y/o F, w/ PMHx of DM, hypothyroidism, and cervicaldisc disease c/o "stiff feeling" in shoulder

You can use a standard chest xray if you suspect clavicular injury

MC type of hip dislocation

Pt c/o elbow swelling and redness for weeks. Works on elbows & knees. No fever. Dx?

What is the most common ankle injury in the ED? (I hope this is helpful for Wednesday trivia night!)

Procedure of choice for disc herniation since it shows the degree of degeneration

MC seen at C7, hyperflexion injury

What about Colles' fracture?

Pt c/o pain in proximal humerus and shoulder joint. +Yergason's test. What's the dx?

Abnormal wedging at 3 consecutibe vertebrae causes increased thoracic kyphosis, occurs around puberty

What is the most sensitive test for ACL tear?

Compression of brachial plexus or subclavian vessels causes. +Adson and +Roos signs

Pt c/o pain over lateral deltoid, weakness with reaching overhead, and nighttime discomfort. DDx?

Which of the following are a P of compartment syndrome? (5)

Garden spade deformity, volar angulated fx, caused by acrobatic fall on flexed wrist

Avulsion fracture at the base of the 5th metatarsal

Most accurate imaging for ACL and meniscal injuries

Which of the following are NOT views used for x-raying a knee?

If I lick a lightbulb (sign) and get an electric shock (or have a seizure), strong muscle contractions might cause...

Malignant, aggressive tumor in distal femur or prox tibia. MC 10-25, 50-60 y/o. Tender mass. Sunburst or Codman's triang

Ulnar collateral ligament injury, fell w MCP hyperextended, can't pinch, MC in skiers & ball players. Tx w spica cast

A quick repeat: MC type of shoulder dislocation

The Tinel's sign test is the same location for carpal tunnel and cubital tunnel syndrome.

What is most likely to be an ortho emergency?

Which class of medications is most likely to cause Achilles tendon rupture?

Unilateral contraction of SCM musc causes abnormal twisting of neck, common in neonates

MCC of paronychia

Dinner fork fracture caused by FOOSH with extended wrist

MOI: direct blow to tip of digit, w/ disruption of extensor tendon, causing flexion deformity at DIP. Tx w/ splint

In a pt w/ a posterior hip dislocation, the femur will be rotated...

Salter-Harris classification: Slipped/separation of physis

MC at C2, hyperextension w/ MCAs, dx on CT, tx w c-collar immobilization, halo immobilization or surgical stabilization

Pain occurs in dermatomal pattern, increase in pain w coughing, sitting, bending, Valsalva. MC in L4-L5, L5-S1

Salter-Harris classification: above growth plate - metaphysis fracture

Pt reports falling on outstretched hand, now c/o wrist pain. Tenderness at anatomic snuffbox. Which bone is fractured?

Transverse fx of 5th metatarsal, pain w/ unassisted standing. High chance of malunion

Associated with Baker's cyst (3)

Burst fx at C1 ring, x-ray odontoid view through open mouth is best, tx w/ immobilization

I hope this is just dumb trivia: MC knee injury requiring surgery