Ortho

Front 1

DeQuarvians Syndrome

Back 1

Overuse (hammering, repetitive occupation) minimal trauma
Clinical: Tenderness over first dorsal compartment of the hand. + Finkelstein’s test.
Finkelstein Test: Utilized to assess for DeQuervain’s syndrom

Front 2

Volkmann's ischemia

Back 2

- involved with compartment syndrom
- after a fx, an area is deprived of blood, and muscle dies and becomes fibrous tissue
- often no nerve injury, so sensory loss is not noted

Front 3

Scaphoid Fx

Back 3

- tenderness and swelling in the anatomical snuffbox
- : XR, bone scan
Management: Fx may not be visible for 2-4 weeks. Ensure a repeat XR if scaphoid fx is suspected.

Front 4

Worry about AVN with what fx's

Back 4

- 5th metatarsal
- scaphoid
- hip

Front 5

Bennetts Fx

Back 5

Fracture-dislocation that occurs at the carpometacarpal joint of the thumb. Most frequent of all thumb fractures.
Hx: Usually from punching something or someone
Clinical: 1st metacarpal is usually dislocated proximally.

Front 6

Waddells sign

Back 6

When they are faking!
● Abnormal tenderness (superficial or nonanatomic)
● Simulation (axial loading or rotation)
● Distraction (sitting SLR)
● Regional weakness or sensory c/o’s
● Overreaction

Front 7

Monteggia's fracture

Back 7

displaced fracture of the proximal third of the ulna, with radial head subluxation or dislocation.
-**Paralysis of the deep branch of the radial nerve is quite common with these fractures, as is nonunion and recurrent dislocation or subluxation of the radial head
-This fracture requires complete rupture of the annular ligament. Most patients will have anterior dislocation of the radial head with anterior angulation of the distal ulna fragment

Front 8

Cauda Equina Syndrome

Back 8

Saddle anesthesia, bowel and/or bladder dysfunction, leg weakness (esp. bilat.)
● Another excuse to do a DRE
● >72 hrs may result in permanent neurological deficits

Front 9

Slipped Capital Epiphysis

Back 9

 FEMORAL NECK SLIDES SUPERIOR AND ANTERIOR ON FEMORAL HEAD THROUGH PHYSIS
 EARLY TEENAGERS (at time of growth spurt)
 BOYS>GIRLS
 OVERWEIGHT
 BLACK>WHITE
 >50% BILATERAL IN NEXT 1-1.5 YEARS
 Symptoms include: Groin Pain, anteromedial thigh pain and knee pain

Front 10

Jones fx

Back 10

- • transverse fracture through the base of the fifth metatarsal 10 to
20 mm distal to the proximal part of the metatarsal
• This fracture is frequently complicated by nonunion or malunion
• Area carries its own blood supply so you have to treat it carefully

Front 11

Charcot foot has several distinct characteristics.

Back 11

• Marked destruction of joint surfaces is evident with collapse of joint spaces, often accompanied by dislocations of one or more joints.
• Calcification or bony debris is present in the periarticular soft tissues.
• Pain is minimal or considerably less than would be expected given the degree of destruction.

Front 12

Parts of bone

Back 12

Epiphysis: end of a long bone, wider than the shaft.
Metaphysis: lies between epiphysis or physis (growth plate in children) and
diaphysis. The “flare” of the bone.
Diaphysis: shaft of a long bone.