Postgraduate Orthopaedics Viva GuideFRCS (Tr & Orth) Examination
[PDF 1] Miller's Review Testable Concepts

[PDF 1] Miller's Review - Anki Q&A Cards

📄 pp. 1–41 (PDF)Book: Postgraduate Orthopaedics Viva Guide

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Anki-style cards generated from [PDF 1], Miller's Review of Orthopaedics Testable Concepts. Click Show answer on each card. Source page numbers refer to the supplied PDF.

Cards are organised by Miller's original section and subsection headings. Verify clinical decisions against current guidelines and local protocols.

source p. 1

I. Bone#

QuestionWhat does Haversian canals carry?

Cellular biology#

QuestionWhat are Osteoblasts?
QuestionWhat is Core binding factor alpha-1/RUNX2?
QuestionWhat are Wnt/Beta-catenin (B-catenin) pathways?
QuestionIn I. Bone, what should you remember about: Stable B-catenin major role in inducing cells to?
QuestionWhat does Sclerostin and Dkk-1 inhibit?
QuestionWhat do Inhibition of sclerostin or Dkk-1 will lead to?
QuestionWhat does BMPs work through SMAD to cause?
QuestionWhat does Osteoblasts produce?
QuestionWhat are Osteocytes?
QuestionWhat are Osteoclasts?
QuestionIn I. Bone, what should you remember about: Calcitonin, estrogen, transforming growth factor beta (TGF beta)?
QuestionWhat is Denosumab?
QuestionIn I. Bone, what should you remember about: Osteoclasts bind to bone surfaces utilizing integrins (vitronectin?
QuestionWhat is Bone matrix?
QuestionWhat are Bisphosphonates directly inhibit osteoclastic bone resorption. Nitrogen-containing bisphosphonates?
QuestionIn I. Bone, what should you remember about: Bone matrix comprises 60% inorganic (mineral) and 40%?
QuestionWhat is Wolff’s law?
QuestionWhat are three major types of bone formation.?
QuestionWhat does Endochondral formation occur?
QuestionWhat does Iiiintramembranous formation occur?
QuestionIn I. Bone, what should you remember about: Appositional formation increases bone diameter when osteoblasts lay?
QuestionIn I. Bone, what should you remember about: Fracture stability and degree of strain determine the?
QuestionWhat does Primary bone healing occur?
QuestionIn I. Bone, what should you remember about: Absolute stability compression plate?
QuestionWhat is Ssssecondary bone healing occurs in three stages?
QuestionWhat do In closed treatment, healing occur?
QuestionIn I. Bone, what should you remember about: Nonrigid fixation casting, external fixation, intramedullary (IM) nailing?
QuestionWhat is BMP-2?
QuestionIn I. Bone, what should you remember about: NSAIDs adversely affect healing of fractures as well?

Bone grafts have three properties#

QuestionIn I. Bone, what should you remember about: Osteoconductivedacts as a scaffold for bone growth; demineralized?
QuestionWhat do Oosteoinstructive growth factors that stimulate?
QuestionWhat do Oooosteogenic cells that will produce?
QuestionWhat are Calcium phosphate-based grafts?
QuestionWhat is Resorption rates?
QuestionWhat are primary homeostatic regulators of serum calcium?
QuestionIn I. Bone, what should you remember about: Bone mass peaks between 16 and 25 years?
QuestionWhat is Both urinary hydroxyproline and pyridinoline cross-links are elevated when there?
QuestionIn I. Bone, what should you remember about: Serum alkaline phosphatase increases when bone formation increases.?
QuestionWhat is most common cause of hypercalcemia?
QuestionWhat is Renal osteodystrophy?
QuestionWhat are Rickets (in children) and osteomalacia (in adults)?
QuestionWhat is Premature arrest following growth plate injury?
QuestionWhat is Osteoporosis?
QuestionWhat do Loss of function of the OPG gene results in?
QuestionWhat does Treatment of osteoporosis include?
QuestionWhat does Scurvy results from ascorbic acid deficiency, which cause?
source p. 2
QuestionWhat is Oooosteogenesis imperfecta?
QuestionWhat is Cartilage?
QuestionWhat is Composed of water (75%) > collagen (25% wet weight, 90%e95%?
QuestionIn Testable concepts, what should you remember about: Collagen contributes to viscoelastic behavior by restraining?
QuestionWhat is Aggrecan?
QuestionWhat is Increases osmotic pressure and?
QuestionWhat are Chondrocytes?
QuestionIn Testable concepts, what should you remember about: BMP-2 and the transcriptional factor SOX-9 important in?
QuestionIn Testable concepts, what should you remember about: Have cilia that serve as mechanosensory organs or?

Articular (hyaline) cartilage layers#

QuestionWhat does Zone 1 (superficial) has?
QuestionWhat does Zone 2 (middle or transition) has?
QuestionWhat does Zone 3 (deep) has?
QuestionIn Testable concepts, what should you remember about: Zone 4 (calcified cartilage) contains type X collagen?

Growth factors#

QuestionWhat does IL-1 stimulate?
QuestionWhat does TGF-b stimulate?

Mechanical Stress Response#

QuestionWhat is Physiologic loading?
QuestionWhat does Physiologic stress stimulate?
QuestionIn Testable concepts, what should you remember about: Excess stress promotes chondrolysis?
QuestionWhat do Both strenuous loading and underloading lead to?

Changes with aging#

QuestionIn Testable concepts, what should you remember about: Fewer chondrocytes but larger?
QuestionIn Testable concepts, what should you remember about: Decreased chondroitin but increased keratin?
QuestionIn Testable concepts, what should you remember about: Smaller PG molecules (less able to hold water?
QuestionIn Testable concepts, what should you remember about: Increased advanced glycosylation end products?
QuestionIn Testable concepts, what should you remember about: Increased stiffness (modulus of elasticity)?

Changes with arthritis#

QuestionIn Testable concepts, what should you remember about: Decreased keratin but increased chondroitin/keratan ratio?
QuestionIn Testable concepts, what should you remember about: Increased water content and permeability initially followed by?
QuestionIn Testable concepts, what should you remember about: Decreased stiffness (modulus of elasticity)?
QuestionIn Testable concepts, what should you remember about: Osteophyte formation due to pathologic activation of endochondral?
QuestionWhat is Lubricin?
QuestionWhat is Major mode of lubrication in joints?

Rheumatoid arthritis#

QuestionWhat is Rheumatoid factor?
QuestionIn Testable concepts, what should you remember about: Anti-CCP test more sensitive and specific, and presence?

DMARDs#

QuestionWhat is Target TNF-a?
QuestionWhat is Target IL-1?
QuestionWhat is Target CD20?
QuestionIn Testable concepts, what should you remember about: Risks of opportunistic infection and lymphoma?

Crystalline arthropathies#

QuestionWhat is Gout?
QuestionWhat is Pseudogout?
QuestionWhat does A-band represent?
QuestionWhat does I-band represent?
QuestionWhat does Z-disk represent?
QuestionWhat is Motor unit?

Contraction#

QuestionIn Testable concepts, what should you remember about: ACh diffuses across the synaptic cleft and binds?
QuestionWhat is Masthenia gravis?
QuestionIn Testable concepts, what should you remember about: Botulinum A reduces spasticity by blocking presynaptic acetylcholine?
QuestionWhat do Following muscle injury, TGF-b stimulate?
QuestionWhat is Delayed-onset muscle soreness?
QuestionWhat is Composed of water (50%e60%), collagen (75% dry weight, 95%?
QuestionWhat is Elastin?
QuestionWhat is Decorin?
QuestionWhat does Sheathed tendons have?
QuestionWhat is Note?
QuestionWhat is Following injury, the inflammatory stage?
QuestionIn Testable concepts, what should you remember about: Tendon enthesis responsible for nociception.?
QuestionIn Testable concepts, what should you remember about: Strong in tension, less viscoelastic than ligaments.?

V. Ligament#

QuestionIn V. Ligament, what should you remember about: Similar in composition to tendon but (1) more?
QuestionWhat do Following injury, healing ligament demonstrate?
QuestionWhat does Like tendons, ligaments have?
QuestionWhat is Myelin sheath?
QuestionIn V. Ligament, what should you remember about: Action potential created when neurotransmitters cross synapse and?

Iintervertebral disc#

QuestionWhat does Nucleus pulposus derived from notochord and has?
QuestionIn V. Ligament, what should you remember about: Annulus fibrosis derived from mesoderm?
QuestionIn V. Ligament, what should you remember about: Avascular; nutrients and fluid diffuse from vertebral end?
source p. 3
QuestionWhat is Early degenerative disc disease?
QuestionWhat does Aging disc has?
QuestionIn Testable concepts, what should you remember about: Fibronectin cleavage and fragmentation associated with degeneration?

I. Cellular and Molecular Biology#

QuestionWhat are Antibodies against nuclear content (ANAs)?
QuestionWhat does Alterations in ploidy occur?
QuestionWhat are Marfan syndrome and malignant hyperthermia?
QuestionWhat is DDDDuchenne muscular dystrophy?
QuestionWhat is Fluorescent in situ hybridization?
QuestionWhat is t(X;18)?
QuestionWhat is t(11;22)?
QuestionWhat is t(12;22)?
QuestionWhat is Bacterial lipopolysaccharide?
QuestionWhat is Adaptive immunity?
QuestionWhat do Cell-mediated hypersensitivity (type IV) cause?
QuestionWhat are Roughly 80% of oooorthopaedic infections?
QuestionWhat is CA-MRSA at-risk groups?
QuestionWhat is C-reactive protein?
QuestionWhat is Necrotizing fasciitis?
QuestionIn I. Cellular and Molecular Biology, what should you remember about: Requires early debridement/amputation above level of infection.?
QuestionWhat are Only 100 bacteria?
QuestionWhat is Three basic mechanisms of antibiotic resistance have been identified?
QuestionIn I. Cellular and Molecular Biology, what should you remember about: Ssssuperantigens like TSS toxin-1 trigger cytokine release from?
QuestionWhat does Smoking leads to?
QuestionIn I. Cellular and Molecular Biology, what should you remember about: Hyperglycemia impairs wound healing and decreases ability to?
QuestionIn I. Cellular and Molecular Biology, what should you remember about: Lyme arthritis can be treated effectively with oral?
QuestionWhat is Clostridium tetani produces an exotoxin leading to tetanospasm. Td vaccine?
QuestionWhat is Sequestrum?
QuestionWhat is MRI?
QuestionIn I. Cellular and Molecular Biology, what should you remember about: Kingella kingae can be difficult to culture; PCR?
QuestionWhat is Staphylococcus epidermidis?
QuestionWhat is Antibiotic therapy according to the Gustilo classification of open fractures?
QuestionWhat is Gustilo I and II?
QuestionWhat is Gustilo IIIA?
QuestionWhat is Gustilo IIIB (grossly contaminated)?

Antibiotics#

QuestionWhat does Aminoglycosides inhibit?
QuestionWhat does Cephalosporins inhibit?
QuestionWhat do Glycopeptides, such as vancomycin, inhibit?
QuestionWhat does Rifamycin inhibit?
QuestionIn I. Cellular and Molecular Biology, what should you remember about: Macrolides, like erythromycin, bind the 50S ribosomal subunits.?
QuestionWhat do Fluoroquinolones, such as ciprofloxacin, inhibit?
QuestionWhat do Beta-lactam antibiotics, like penicillin, inhibit?

I. Thromboprophylaxis#

QuestionWhat is Virchow triad?
QuestionIn I. Thromboprophylaxis, what should you remember about: Aspirin irreversibly binds and inactivates COX enzyme in?
QuestionIn I. Thromboprophylaxis, what should you remember about: Warfarin can be reversed with fresh frozen plasma?
QuestionIn I. Thromboprophylaxis, what should you remember about: Heparin and low-molecular-weight heparin act through ATIII and?
QuestionWhat is Rivaroxaban?
QuestionWhat is Lactate?
QuestionWhat is Ratio of 1?
QuestionIn I. Thromboprophylaxis, what should you remember about: Fat embolism syndrome classical triad 1⁄4 petechial rash?
QuestionWhat is Malignant hyperthermia?
QuestionIn I. Thromboprophylaxis, what should you remember about: Caused by an uncontrolled release of calcium?
QuestionIn I. Thromboprophylaxis, what should you remember about: Triggered by volatile anesthetics (and succinylcholine)?
QuestionWhat is Early sign?
QuestionWhat is the treatment for Treatment?

I. Imaging and Special Studies#

Increased radiation exposure associated with#

QuestionIn I. Imaging and Special Studies, what should you remember about: Imaging of larger body parts?
QuestionIn I. Imaging and Special Studies, what should you remember about: Positioning the eeeextremity closer to the x-source?
QuestionIn I. Imaging and Special Studies, what should you remember about: Use of large C-arm rather than mini C-arm?
QuestionWhat does 3.0 T MRI has?
source p. 4
QuestionWhat is Work?
QuestionWhat is Energy?
QuestionWhat is Potential energy?
QuestionWhat is Kinetic energy is energy caused by motion?
QuestionWhat is Stress?
QuestionWhat is Strain?
QuestionIn Testable concepts, what should you remember about: Young’s modulus of elasticity (E) 1⁄4 stress/strain.?
QuestionIn Testable concepts, what should you remember about: Unique for every material?
QuestionWhat is High E to low E?
QuestionWhat is Viscoelastic materials have a stress-strain behavior that?
QuestionWhat are Isotropic materials have mechanical properties that?
QuestionWhat does Anisotropic materials have?

Corrosion#

QuestionWhat are Galvanic corrosion occurs when dissimilar metals?
QuestionWhat does Crevice corrosion occur?
QuestionIn Testable concepts, what should you remember about: Fretting corrosion comes from small movements abrading the?
QuestionWhat does Stress corrosion occur?

Joint aarthrodesis#

QuestionWhat is Hip?
QuestionWhat is Knee?
QuestionWhat is Ankle?
QuestionWhat is Sshoulder?
QuestionWhat is Elbow?
QuestionWhat is Wrist?
source p. 5
QuestionIn Testable concepts, what should you remember about: The mnemonic “SAME” can be used to help?

SECTION 2 UPPER EXTREMITY#

QuestionWhat is Suprascapular notch?
QuestionWhat is Coracoacromial ligament?
QuestionWhat do Beware of the anterosuperior glenoid labral variant may cause?
QuestionWhat is Posterior sternoclavicular ligament?
QuestionWhat is Conoid ligament?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Radial head should line up with capitellum at?
QuestionWhat is Anterior bundle of ulnar collateral ligament?
QuestionWhere does Ossification of the bones of the wrist begin?
QuestionWhat is Space of Poirier?
QuestionWhat is Loss of reduction of the radiocarpal joint?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: At the level of the wrist, FDS to?
QuestionWhat is Four preclavicular brachial plexus branches?
QuestionWhat does All minor medial and lateral cord branches have?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Innervation of all rotator cuff muscles derived from?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Lateral winging due to spinal accessory nerve injury?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Axillary nerve passes anterior to subscapularis muscle and?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: PIN splits the supinator and supplies all of?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Superficial branch of the radial nerve emerges through?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Anterior interosseous nerve branches 4 cm distal to?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Ulnar nerve enters the forearm between the two?
QuestionWhat does Each part of the axillary artery has?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Digital arteries arise from superficial palmar arch and?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: During anterior approach to sshoulder, watch out for?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Keep dissection above teres minor during posterior approach?
QuestionWhat does Brachialis may be split because it has?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Do not extend posterolateral (Kocher) approach to elbow?

SECTION 3 LOWER EXTREMITY#

QuestionIn SECTION 3 LOWER EXTREMITY, what should you remember about: Iliac spine separates greater and lesser sciatic notch?
QuestionIn SECTION 3 LOWER EXTREMITY, what should you remember about: Pediatric femoral nail insertion at piriformis fossa threatens?
QuestionWhat do Posterior approach to the hip, quadratus transection leads to?
QuestionWhat does Slipped capital femoral epiphysis occur?
QuestionWhat is Distal femur?
QuestionWhat is Iliofemoral ligament?
QuestionWhat is Three lower eeeextremity muscles with dual innervation?
QuestionIn SECTION 3 LOWER EXTREMITY, what should you remember about: Shape of tibial plateau confers greater articular congruity?
QuestionIn SECTION 3 LOWER EXTREMITY, what should you remember about: Medial meniscus tears three times more often than?
QuestionWhat does ACL has?
QuestionWhat do Posterior oblique ligament resists internal rotation and provide?
QuestionWhat does PCL has?
QuestionIn SECTION 3 LOWER EXTREMITY, what should you remember about: MPFL runs from proximal third of medial patella?
QuestionIn SECTION 3 LOWER EXTREMITY, what should you remember about: Groove posterior for the tendon of the FHL.?
QuestionWhat is Primary blood supply to the talar body?
QuestionIn SECTION 3 LOWER EXTREMITY, what should you remember about: Sustentaculum tali of calcaneus supports the middle articular?
source p. 6
QuestionIn Testable concepts, what should you remember about: Iiiintermediate cuneiform does not extend as far distally?
QuestionWhat do Bony avulsion of AITFL in adolescents may result in?
QuestionIn Testable concepts, what should you remember about: CFL crosses both the ankle and the subtalar?
QuestionIn Testable concepts, what should you remember about: Plantar calcaneonavicular ligament (spring ligament) supports head of?
QuestionIn Testable concepts, what should you remember about: Lisfranc ligament connects medial (shortest) cuneiform to second?
QuestionIn Testable concepts, what should you remember about: Digital nerve courses in a plantar direction under?
QuestionWhat is L5 nerve root on anterior sacrum?

Mnemonic: “POP’S IQ” (nerves exiting below piriformis)#

QuestionIn Testable concepts, what should you remember about: Ppppudendal nerve, internal ppppudendal artery and vein, and?
QuestionIn Testable concepts, what should you remember about: Femoral nerve lies between the iliacus and psoas?
QuestionIn Testable concepts, what should you remember about: Pain from the hip can be referred to?
QuestionIn Testable concepts, what should you remember about: Sciatic nerve passes anterior to piriformis and posterior?
QuestionIn Testable concepts, what should you remember about: Tibial nerve supplies all intrinsic foot muscles except?
QuestionWhat is Most proximal branch of the lateral plantar nerve?
QuestionIn Testable concepts, what should you remember about: Superior gluteal nerve approximately 5 cm proximal to?
QuestionIn Testable concepts, what should you remember about: Obturator artery and vein jeopardized by anteroinferior screws?
QuestionWhat is Corona mortis?
QuestionIn Testable concepts, what should you remember about: Ascending branch of LFCA (at risk for injury?

SECTION 4 SPINE#

QuestionWhat is Normal spine sagittal alignment?
QuestionWhat do 50% of total neck flexion and extension occur?
QuestionIn SECTION 4 SPINE, what should you remember about: Vertebral artery travels in the transverse foramina of?
QuestionWhat does 66% of lordosis occur?
QuestionWhat is Lumbar spine the superior articular facet?
QuestionIn SECTION 4 SPINE, what should you remember about: Intradiscal pressure lowest in supine position and highest?
QuestionIn SECTION 4 SPINE, what should you remember about: In cervical spine, numbered nerve exits above the?
QuestionIn SECTION 4 SPINE, what should you remember about: The distance from the spinous process of C1?
QuestionWhat is Injury to the recurrent laryngeal nerve with right-sided approaches (paralysis?
QuestionWhat is Most commonly injured cranial nerve with halo traction?
source p. 7

SECTION 1 UPPER EXTREMITY#

QuestionIn SECTION 1 UPPER EXTREMITY, what should you remember about: Lack of biceps function 6 months after injury?
QuestionWhat is Sprengel deformity?
QuestionWhat is Apert syndrome?

SECTION 2 LOWER EXTREMITY: GENERAL#

QuestionIn SECTION 2 LOWER EXTREMITY: GENERAL, what should you remember about: In-toeing due to increased femoral anteversion (most common)?
QuestionIn SECTION 2 LOWER EXTREMITY: GENERAL, what should you remember about: Out-toeing due to hip external rotation contracture (infants)?
QuestionIn SECTION 2 LOWER EXTREMITY: GENERAL, what should you remember about: Limb length discrepancies can be calculated on the?
QuestionWhat is Proximal femur?
QuestionWhat is Distal femur?
QuestionWhat is Proximal tibia?

SECTION 3 HIP AND FEMUR#

QuestionWhat do Risk factors for developmental dysplasia of the hip (DDH) include?
QuestionWhat do Obstructions to closed reduction for DDH include?
QuestionWhat is the treatment for Pavlik harness treatment?
QuestionWhat does Hyperflexion can cause?
QuestionWhat do If unsuccessful in helping with reduction, can cause?
QuestionWhat is Most prognostic classification for Legg-Calvé-Perthes disease?
QuestionWhat is Maintaining sphericity of the femoral head?
QuestionWhat does SCFE occur?
QuestionWhat are Approximately 25% of SCFE cases?
QuestionWhat does Treatment for SCFE include?
QuestionWhat is Blood culture medium?
QuestionWhat is Methicillin-resistant Staphylococcus aureus with a PVL gene mutation?
QuestionWhat are Joints with intraarticular metaphyses?

SECTION 4 KNEE AND LEG#

QuestionWhat does Blount disease treatment include?
QuestionWhat is Posteromedial bowing?
QuestionWhat is Aiiinteromedial bowing?
QuestionWhat is Aiiinterolateral bowing?
QuestionWhat are Healing rates for osteochondritis dissecans?

SECTION 5 FOOT#

QuestionIn SECTION 5 FOOT, what should you remember about: CAVEdcavus, adduction of forefoot, varus of hindfoot, equinus.?
QuestionWhat does Also represent?
QuestionWhat does Most cases require?
QuestionIn SECTION 5 FOOT, what should you remember about: Associated with absence of or diminutive anterior tibial?
QuestionIn SECTION 5 FOOT, what should you remember about: Foot abduction brace critical for preventing recurrence.?
QuestionIn SECTION 5 FOOT, what should you remember about: Recurrence treated with trial of recasting. II Pes?
QuestionIn SECTION 5 FOOT, what should you remember about: Up to 67% of cases due to neurologic?
QuestionIn SECTION 5 FOOT, what should you remember about: Charcot-Marie-Tooth disease most common (PMP22).?
QuestionIn SECTION 5 FOOT, what should you remember about: Spinal magnetic resonance imaging (MRI) required to evaluate.?
QuestionIn SECTION 5 FOOT, what should you remember about: Irreducible dorsal dislocation of the navicular on the?
QuestionIn SECTION 5 FOOT, what should you remember about: Navicular does not reduce on forced plantar-flexion lateral?
QuestionIn SECTION 5 FOOT, what should you remember about: Initial treatment with serial manipulation and casting followed?
QuestionIn SECTION 5 FOOT, what should you remember about: Sinus tarsi pain caused by peroneal spasticity, flatfoot?
QuestionIn SECTION 5 FOOT, what should you remember about: Limited subtalar motion on examination.?
QuestionIn SECTION 5 FOOT, what should you remember about: Computed tomography best study for assessing talocalcaneal (TC)?

Treatment for TC coalitions#

QuestionWhat is Less than 50% of the middle facet involved?
QuestionWhat is More than 50% of the middle facet involved?
QuestionIn SECTION 5 FOOT, what should you remember about: Dorsiflexed (calcaneus) hindfoot.?
QuestionWhat is In contrast to congenital vertical talus, in which hindfoot?
QuestionIn SECTION 5 FOOT, what should you remember about: Associated with posteromedial bowing of tibia and leg?
QuestionIn SECTION 5 FOOT, what should you remember about: Sclerosis and flattening of navicular.?
QuestionIn SECTION 5 FOOT, what should you remember about: Spontaneous resolution; can be treated with immobilization. VII?
QuestionIn SECTION 5 FOOT, what should you remember about: Asymptomatic patients should be monitored with observation.?
QuestionWhat is Symptomatic patients?

SECTION 6 SPINE#

QuestionIn SECTION 6 SPINE, what should you remember about: Abnormal neurologic findings, left thoracic curves, or painful?
source p. 8

Observation#

QuestionIn Testable concepts, what should you remember about: Skeletally immature patients with curves less than 20?
QuestionIn Testable concepts, what should you remember about: Skeletally mature patients with curves less than 45?
QuestionIn Testable concepts, what should you remember about: Bracing for curves of more than 25 degrees?
QuestionIn Testable concepts, what should you remember about: 90% effective when worn more than 12 to?
QuestionIn Testable concepts, what should you remember about: Surgery (posterior spine fusion) for curves greater than?
QuestionWhat is Iiiintraoperative spinal cord monitoring?
QuestionWhat does If changes occur?
QuestionWhat does Idiopathic scoliosis that manifest?
QuestionIn Testable concepts, what should you remember about: Most curves resolve spontaneously.?
QuestionIn Testable concepts, what should you remember about: Rib-vertebra angle difference predicts risk of progression.?
QuestionWhat is Less than 20 degrees?
QuestionWhat is More than 20 degrees?
QuestionIn Testable concepts, what should you remember about: Initial treatment with Mehta derotational cast. III Congenital?
QuestionIn Testable concepts, what should you remember about: High incidence of associated abnormalities.?
QuestionWhat is Intraspinal abnormality?
QuestionWhat is Cardiac system?
QuestionWhat is Genitourinary system?
QuestionIn Testable concepts, what should you remember about: Unilateral bar with contralateral fully segmented hemivertebrae associated?
QuestionIn Testable concepts, what should you remember about: DDDDuchenne muscular dystrophy.?
QuestionWhat is Surgery indicated when curve?
QuestionWhat is Curve progression?
QuestionIn Testable concepts, what should you remember about: Cerebral palsy (CP)?
QuestionIn Testable concepts, what should you remember about: Fusion from T2 to the pelvis in nonambulatory?
QuestionIn Testable concepts, what should you remember about: High complication rates but improved caregiver satisfaction. V?
QuestionIn Testable concepts, what should you remember about: Abnormalities in multiple cervical segments as a result?
QuestionIn Testable concepts, what should you remember about: Associated with renal and congenital heart disease, auditory?
QuestionIn Testable concepts, what should you remember about: With multilevel fusion of the cervical spine, any?

Treatment#

QuestionWhat is Symptoms for less than 1 week?
QuestionWhat is Symptoms for between 1 and 4 weeks?
QuestionWhat is Symptoms for longer than 1 month?
QuestionWhat is Irreducible dislocation of C1eC2 or recurrent instability of C1eC2?
QuestionIn Testable concepts, what should you remember about: Seen in athletes who use hyperextension.?
QuestionWhat does Patient with high-grade listhesis (>50%) may have?

Slip angle#

QuestionIn Testable concepts, what should you remember about: Most important determinant for nonunion and pain.?
QuestionIn Testable concepts, what should you remember about: Angle larger than 45 to 50 degrees associated?

Pelvic incidence (PI)#

QuestionWhat is Sum of pelvic tilt (PT) and sacral slope (SS)?
QuestionIn Testable concepts, what should you remember about: Increased PI may predispose to spondylolisthesis.?
QuestionIn Testable concepts, what should you remember about: Acute spondylolysis treated with an antilordotic brace (thoracolumbosacral?
QuestionWhat is Loss of lumbar lordosis?
QuestionIn Testable concepts, what should you remember about: Night pain relieved by nonsteroidal anti-inflammatory drugs; central?
QuestionIn Testable concepts, what should you remember about: Can be associated with scoliosis. C Sacral Agenesis?
QuestionIn Testable concepts, what should you remember about: Associated with maternal diabetes.?
QuestionWhat is Motor impairment?

SECTION 7 CEREBRAL PALSY#

QuestionIn SECTION 7 CEREBRAL PALSY, what should you remember about: MRI of the brain in children with CP?
QuestionWhat is Botulinum toxin’s mechanism of action?
QuestionWhat do CP hips at risk include?

SECTION 8 NEUROMUSCULAR DISORDERS#

QuestionWhat is Lowest functional level in myelodysplasia?
QuestionWhat is Mmmmyelomeningocele?
QuestionWhat is DDDDuchenne muscular dystrophy?
QuestionWhat is Friedreich ataxia?

I. Achondroplasia#

QuestionIn I. Achondroplasia, what should you remember about: Most common disproportionate short-limbed dwarfism.?
QuestionIn I. Achondroplasia, what should you remember about: Most commonly caused by mutation in fibroblast growth?
QuestionIn I. Achondroplasia, what should you remember about: Leads to a gain-of-function mutation or uncontrolled activation.?
QuestionIn I. Achondroplasia, what should you remember about: Thoracolumbar kyphosis usually resolves at time of ambulation.?
QuestionWhat is Pelvic radiographs?
source p. 9
QuestionIn Testable concepts, what should you remember about: Defect of cartilage oligomeric matrix protein (COMP) on?
QuestionWhat is Most common gene mutation?
QuestionWhat is Can be confused with Legg-Calvé-Perthes disease. Multiple epiphyseal dysplasia?
QuestionWhat is Most autosomal recessive (except Hurler syndrome, which?
QuestionIn Testable concepts, what should you remember about: Preoperative cervical spine radiographs should always be obtained?
QuestionIn Testable concepts, what should you remember about: Deficiency in DTDST gene, which codes for sulfate?
QuestionIn Testable concepts, what should you remember about: Associated with rigid clubfeet, cauliflower ears, and hitchhiker’s?
QuestionIn Testable concepts, what should you remember about: Failure of osteoclastic resorption leading to dense bone?
QuestionWhat is mild form?
QuestionWhat is Most common mutation in malignant form?

I. Down Syndrome#

QuestionIn I. Down Syndrome, what should you remember about: Most common chromosomal abnormality.?
QuestionIn I. Down Syndrome, what should you remember about: Associated with generalized laxity, pes planus, patellar and?

Cervical spine instability general recommendations#

QuestionWhat is Atlantodens interval (ADI) less than 4.5 mm?
QuestionWhat is ADI 4.5 to 10 mm?
QuestionWhat is ADI over 10 mm or symptoms/cord signal changes on MRI?
QuestionIn I. Down Syndrome, what should you remember about: Complication rate of up to 50% reported. II?
QuestionIn I. Down Syndrome, what should you remember about: Defect in fibrillin-1 (FBN1).?
QuestionIn I. Down Syndrome, what should you remember about: Autosomal dominant inheritance.?
QuestionIn I. Down Syndrome, what should you remember about: Associated with pectus deformities, scoliosis, acetabular protrusion.?
QuestionWhat are Echocardiographic and cardiologic evaluation?
QuestionIn I. Down Syndrome, what should you remember about: Mutation of chromosome 11 near the IGF gene.?
QuestionIn I. Down Syndrome, what should you remember about: Hemihypertrophy, spasticity, organomegaly, omphalocele, macroglossia.?
QuestionIn I. Down Syndrome, what should you remember about: Predisposition to Wilms tumor (patient must be screened?

I. Sickle Cell Anemia#

QuestionIn I. Sickle Cell Anemia, what should you remember about: Mutation in both alleles of the b-globin gene?
QuestionWhat is Sickle cell trait?
QuestionIn I. Sickle Cell Anemia, what should you remember about: More severe but less common than sickle cell?
QuestionIn I. Sickle Cell Anemia, what should you remember about: At risk for exertional sickling (treat with oxygen?
QuestionWhat is Oooosteomyelitis?
QuestionIn I. Sickle Cell Anemia, what should you remember about: Short stature and genu varum.?
QuestionIn I. Sickle Cell Anemia, what should you remember about: Physeal widening and metaphyseal cupping on radiographs.?
QuestionWhat is X-linked hypophosphatemic (vitamin Deresistant) rickets?
QuestionWhat do Defect in type I collagen (COL1A1 and COL1A2 genes) that cause?
QuestionIn I. Sickle Cell Anemia, what should you remember about: Blue sclerae in types I and II.?
QuestionIn I. Sickle Cell Anemia, what should you remember about: Basilar invagination in more severe types.?
QuestionIn I. Sickle Cell Anemia, what should you remember about: Bisphosphonates reduce the incidence of fractures. IV Juvenile?
QuestionIn I. Sickle Cell Anemia, what should you remember about: Persistent noninfectious arthritis without other etiology lasting longer?
QuestionIn I. Sickle Cell Anemia, what should you remember about: Commonly involves the knee, wrist (flexed and ulnar?
QuestionWhat is Ophthalmology consultation with slit-lamp examination?
QuestionWhat do Cervical spine involvement can lead to?
source p. 10

SECTION 1 KNEE#

QuestionWhat is The most common causes of an acute hemarthrosis?
QuestionWhat is vascular supply of the meniscus?
QuestionWhat is gold sstandard for meniscal repair?
QuestionWhat is ACL anatomy?
QuestionWhat is superficial medial collateral ligament origin?
QuestionWhat is posterior oblique ligament?
QuestionWhat is medial patellofemoral ligament (MPFL) femoral attachment?
QuestionWhat is lateral collateral ligament (LCL) femoral origin?
QuestionWhat is popliteus femoral insertion?
QuestionWhat is posterior horn of the medial meniscus?
QuestionIn SECTION 1 KNEE, what should you remember about: Opening of the knee to varus or valgus?
QuestionIn SECTION 1 KNEE, what should you remember about: During knee arthroscopy, the posterolateral compartment can be?
QuestionIn SECTION 1 KNEE, what should you remember about: Partial meniscectomy increases peak stresses in the affected?
QuestionWhat is gold sstandard for meniscal repair?
QuestionWhat does Meniscal cysts occur?
QuestionIn SECTION 1 KNEE, what should you remember about: Discoid menisci should be observed if asymptomatic.?
QuestionWhat is If meniscal transplantation?
QuestionIn SECTION 1 KNEE, what should you remember about: Following meniscal transplantation, allograft tissue often remains hypocellular?
QuestionWhat is ACL injury rate?
QuestionWhat is Lachman test?
QuestionWhat does Magnetic resonance imaging (MRI) evaluation of ACL injuries demonstrate?
QuestionWhat is the treatment for Initial management consists of physical therapy for mobilization. Immobilization?
QuestionIn SECTION 1 KNEE, what should you remember about: A more horizontal graft position may reduce rotational?
QuestionWhat does Boneepatellar tendonebone autografts demonstrate?
QuestionWhat is most common technical error in ACL surgery?
QuestionWhat is Arthrofibrosis?
QuestionIs there no high-level evidence to suggest that ACL reconstruction reduces the risk of arthritis.?
QuestionIn SECTION 1 KNEE, what should you remember about: ACL rehabilitation should avoid open kinetic chain quadricepsactivating?
QuestionIn SECTION 1 KNEE, what should you remember about: Posterior cruciate ligament (PCL) injuries often result from?
QuestionIn SECTION 1 KNEE, what should you remember about: PCL reconstruction should be reserved for functionally unstable?
QuestionIn SECTION 1 KNEE, what should you remember about: PCL rehabilitation should avoid open kinetic chain hamstringactivating?
QuestionWhat does Multiple-ligament knee injuries require?
QuestionIn SECTION 1 KNEE, what should you remember about: Chronic grade III posterolateral corner injuries often necessitate?
QuestionIn SECTION 1 KNEE, what should you remember about: Osteochondritis dissecans should be monitored in children with?
QuestionIn SECTION 1 KNEE, what should you remember about: Marrow-stimulating techniques, including microfracture, drilling, and abrasion arthroplasty?
QuestionWhat does No definitive research has?
QuestionWhat is Patellar tendinitis?
source p. 11
QuestionWhat do Iliotibial band friction syndrome manifest?
QuestionWhat do MRI evaluation of patellar dislocation demonstrate?
QuestionWhat is Patellofemoral pain syndrome?
QuestionWhat is the treatment for Conservative management?
QuestionIn Testable concepts, what should you remember about: Lateral patellar facet compression syndrome should be treated?

SECTION 2 PELVIS, HIP, AND THIGH#

QuestionWhat are Qquadriceps contusions?
QuestionWhat is Athletic pubalgia (sports hernia)?
QuestionWhat is MRI?
QuestionWhat do Femoral neck stress fractures that occur?
QuestionWhat does Femoroacetabular impingement manifest?
QuestionWhat does External snapping hip occur?
QuestionIn SECTION 2 PELVIS, HIP, AND THIGH, what should you remember about: Complications of hip arthroscopy typically result from traction?

SECTION 3 SHOULDER#

QuestionWhat is most common location for an os acromiale?
QuestionWhat is Humeral head blood supply?
QuestionWhat do contents of the rotator interval include?
QuestionIn SECTION 3 SHOULDER, what should you remember about: The inferior glenohumeral ligament (IGHL) complex serves as?
QuestionIn SECTION 3 SHOULDER, what should you remember about: In the throwing sshoulder, the scapula must rotate?
QuestionIn SECTION 3 SHOULDER, what should you remember about: In sshoulder arthroscopy, the posterior portal puts the?
QuestionWhat is Traumatic anterior sshoulder dislocations typically result when the arm?
QuestionWhat is Instability?
QuestionWhat does A humeral avulsion of the glenohumeral ligaments lesion has?
QuestionWhat is Age at time of initial dislocation?
QuestionWhat does Several open and arthroscopic techniques have?
QuestionIn SECTION 3 SHOULDER, what should you remember about: Remplissage involves tenodesis of the posterior capsule and?
QuestionWhat is Post-thermal capsular necrosis?
QuestionWhat do Physical examination for posterior instability include?
QuestionWhat is A fixed posterior sshoulder dislocation?
QuestionIn SECTION 3 SHOULDER, what should you remember about: For chronic unrecognized posterior dislocations, several procedures may?
QuestionIn SECTION 3 SHOULDER, what should you remember about: Multidirectional instability should be treated with extended rehabilitation?
QuestionWhat is The prevalence of asymptomatic rotator cuff tears increases with age?
QuestionIn SECTION 3 SHOULDER, what should you remember about: Asymptomatic full-thickness rotator cuff tears should be treated?
QuestionWhat is Blood flow to the repaired rotator cuff?
QuestionIn SECTION 3 SHOULDER, what should you remember about: Acute rotator cuff tears should be repaired early?
QuestionIn SECTION 3 SHOULDER, what should you remember about: Patients receiving a corticosteroid injection within 6 months?
source p. 12
QuestionIn Testable concepts, what should you remember about: Studies of rotator cuff repair rehabilitation show no?
QuestionIn Testable concepts, what should you remember about: Irreparable combined tears of the supraspinatus and infraspinatus?
QuestionWhat do Signs of a subscapularis tear include?
QuestionWhat does Athletes who participate in throwing activities have?
QuestionWhat is Internal impingement?
QuestionWhat is the treatment for Superior labrum from anterior to posterior (SLAP) tear management?
QuestionWhat is Biceps tenotomy without tenodesis?
QuestionWhat is the treatment for For type III acromioclavicular separations, recommended management?
QuestionIn Testable concepts, what should you remember about: Distal clavicle resection for acromioclavicular joint arthritis should?
QuestionWhat is Sternoclavicular dislocation?
QuestionWhat is Calcifying tendinitis?
QuestionWhat do Frozen sshoulder histologic evaluation demonstrate?
QuestionIn Testable concepts, what should you remember about: Suprascapular nerve compression by a ganglion in the?
QuestionWhat is Qquadrilateral space syndrome?
QuestionWhat is Medial scapular winging?
QuestionWhat does For total sshoulder arthroplasty, lesser tuberosity osteotomy and subscapularis peel have?
QuestionIn Testable concepts, what should you remember about: Reverse total sshoulder arthroplasties medialize the center of?

SECTION 4 MEDICAL ASPECTS OF SPORTS MEDICINE#

QuestionWhat are history and physical examination?
QuestionWhat is Hypertrophic cardiomyopathy?
QuestionHow is Any athlete with diagnosed concussion diagnosed?
QuestionWhat is Sickle cell trait?
QuestionWhat does Adverse effects of anabolic steroids include?
QuestionIn SECTION 4 MEDICAL ASPECTS OF SPORTS MEDICINE, what should you remember about: The female athlete triad consists of low energy?
QuestionWhat do Methicillin-resistant Staphylococcus aureus transmission occur?
QuestionIn SECTION 4 MEDICAL ASPECTS OF SPORTS MEDICINE, what should you remember about: Athletes with infectious mononucleosis should be restricted from?
QuestionWhat is Heat stroke?
source p. 13

PAIN#

QuestionWhat is Impingement test result?
QuestionWhat are Radiographs?
QuestionIn PAIN, what should you remember about: MRI may be indicated for suspected osteonecrosis, labral?

SECTION 2 STRUCTURAL HIP DISORDERS IN THE ADULT HIP#

QuestionIn SECTION 2 STRUCTURAL HIP DISORDERS IN THE ADULT HIP, what should you remember about: Dysplasia typically involves a shallow acetabulum with lateral?
QuestionWhat is Surgical correction of the dysplastic acetabulum?
QuestionWhat does majority of patients with FAI have?
QuestionIn SECTION 2 STRUCTURAL HIP DISORDERS IN THE ADULT HIP, what should you remember about: Surgical treatment of FAI varies according to pathoanatomy?
QuestionWhat is THA?

SECTION 3 OSTEONECROSIS OF THE HIP#

QuestionIn SECTION 3 OSTEONECROSIS OF THE HIP, what should you remember about: End-stage result of vascular occlusion of the juxtaarticular?
QuestionWhat is Staging?
QuestionIn SECTION 3 OSTEONECROSIS OF THE HIP, what should you remember about: Joint-preserving strategies such as core decompression and free?
QuestionIn SECTION 3 OSTEONECROSIS OF THE HIP, what should you remember about: Transient osteoporosis of the hip shows diffuse signal?

SECTION 4 TREATMENT OF HIP ARTHRITIS#

QuestionWhat does Conservative management include?
QuestionWhat does Arthroscopy has?
QuestionWhat is Hip aaaarthrodesis?
QuestionWhat does Subsequent conversion of hip aaaarthrodesis to THA has?
QuestionWhat is Hemiarthroplasty?

SECTION 5 TOTAL HIP ARTHROPLASTY#

QuestionWhat does Different surgical approaches have?
QuestionWhat does direct anterior approach has?
QuestionWhat does posterior approach has?
QuestionWhat is Cementless fixation?
QuestionWhat is Cemented fixation of the femoral component?
QuestionWhat does Bone ingrowth require?
QuestionWhat is Hydroxyapatite?
QuestionWhat does Femoral stress shielding leads to?
QuestionWhat does Femoral stem breakage occur?

SECTION 6 REVISION TOTAL HIP ARTHROPLASTY#

QuestionWhat is Start-up pain?
QuestionWhat is Segmental acetabular bone deficiency?
QuestionWhat is Hemispheric porous cup with multiple screw fixation?
QuestionWhat are Modular porous metal constructs?
QuestionIn SECTION 6 REVISION TOTAL HIP ARTHROPLASTY, what should you remember about: Custom triflange cups may be used in cases?
QuestionIn SECTION 6 REVISION TOTAL HIP ARTHROPLASTY, what should you remember about: Screws placed into the anterior-superior quadrant (the so-called?
QuestionWhat does Pelvic discontinuity, which occur?
QuestionWhat are Most femoral revisions?

SECTION 7 ARTICULAR BEARINGS AND CORROSION IN THA#

QuestionWhat does Irradiation of PE creates free radicals, which result in?
QuestionWhat is Highly cross-linked PE?
QuestionWhat are Submicron-sized PE particles?
QuestionWhat is Volumetric wear?
QuestionIn SECTION 7 ARTICULAR BEARINGS AND CORROSION IN THA, what should you remember about: With HCLPE, wear rates tend to remain below?
QuestionIn SECTION 7 ARTICULAR BEARINGS AND CORROSION IN THA, what should you remember about: Treatment of PE wear involves head and liner?
QuestionWhat is Metal debris from MOM bearings?
QuestionWhat does Sstandard evaluation for a painful MOM THA or suspected trunnionosis include?
QuestionWhat does Ceramic-on-ceramic bearings have?
QuestionIn SECTION 7 ARTICULAR BEARINGS AND CORROSION IN THA, what should you remember about: Dual-mobility components increase the impingement-free range of motion?
source p. 14
QuestionIn Testable concepts, what should you remember about: Trunnion corrosion (trunnionosis) results from fretting corrosion and?

FRACTURE#

QuestionWhat is Iiiintraoperative fracture?
QuestionWhat is Early postoperative fracture?
QuestionWhat is Vancouver classification?
QuestionWhat does A loose stem require?

SECTION 9 TOTAL HIP ARTHROPLASTYdMISCELLANEOUS#

QuestionIn SECTION 9 TOTAL HIP ARTHROPLASTYdMISCELLANEOUS, what should you remember about: Risk for sciatic nerve palsy increases with lengthening?
QuestionIn SECTION 9 TOTAL HIP ARTHROPLASTYdMISCELLANEOUS, what should you remember about: A nerve palsy that develops postoperatively may be?
QuestionIs there no effective treatment for heterotopic ossification in the early postoperative period once the process has started; resection may be performed later, once the process is mature or stable on serial radiographs.?
QuestionWhat is Iliopsoas impingement?
QuestionWhat is the treatment for Treatment of iliopsoas impingement depends upon whether there?

SECTION 10 TOTAL HIP ARTHROPLASTYdJOINT STABILITY#

QuestionIn SECTION 10 TOTAL HIP ARTHROPLASTYdJOINT STABILITY, what should you remember about: Primary arc of hip motion must be centered?
QuestionWhat is Best stability?
QuestionWhat is Abductor complex?
QuestionIn SECTION 10 TOTAL HIP ARTHROPLASTYdJOINT STABILITY, what should you remember about: Patients with fixed spinopelvic alignment during movement from?
QuestionIn SECTION 10 TOTAL HIP ARTHROPLASTYdJOINT STABILITY, what should you remember about: The treatment of instability involves identifying the reason?

SECTION 11 KNEE ARTHRITIS ASSESSMENT#

QuestionWhat are Weight-bearing x-rays?
QuestionIn SECTION 11 KNEE ARTHRITIS ASSESSMENT, what should you remember about: Weight-bearing 45 degrees posterior to anterior (with x-ray?
QuestionWhat is KL classification for knee OA?

SECTION 12 KNEE ARTHRITIS TREATMENT#

QuestionIn SECTION 12 KNEE ARTHRITIS TREATMENT, what should you remember about: Review Table 5.7, the 4-star recommendations for nonoperative?
QuestionWhat is Knee realignment osteotomy?
QuestionIn SECTION 12 KNEE ARTHRITIS TREATMENT, what should you remember about: The most common complication of proximal tibial osteotomy?
QuestionWhat is Remember?
QuestionIn SECTION 12 KNEE ARTHRITIS TREATMENT, what should you remember about: With the ACL and PCL intact, recreating the?
QuestionWhat is absolute contraindication to UKA?
QuestionIn SECTION 12 KNEE ARTHRITIS TREATMENT, what should you remember about: For test questions, look at suprapatellar pouch on?

SECTION 13 TOTAL KNEE ARTHROPLASTY#

QuestionWhat is To correct varus deformity, a medial compartment release?
QuestionWhat is Superficial MCL?
QuestionWhat is Posterior oblique portion?
QuestionWhat is Anterior portion?
QuestionWhat is To correct valgus deformity, a lateral compartment release?
QuestionWhat are Iliotibial band and popliteus?
QuestionWhat is Iliotibial band?
QuestionWhat is Popliteus?
QuestionWhat is most efficient way to answer the gap imbalance questions?
QuestionIn SECTION 13 TOTAL KNEE ARTHROPLASTY, what should you remember about: Symmetrical gap problemTibia adjusted first.?
QuestionIn SECTION 13 TOTAL KNEE ARTHROPLASTY, what should you remember about: Asymmetrical gap problemFemur adjusted first.?
QuestionIn SECTION 13 TOTAL KNEE ARTHROPLASTY, what should you remember about: For board questions, only learn the single-step solutions?
QuestionIn SECTION 13 TOTAL KNEE ARTHROPLASTY, what should you remember about: Review Table 5.10, the 4-star recommendations for surgical?
QuestionIn SECTION 13 TOTAL KNEE ARTHROPLASTY, what should you remember about: Femoral nerve blockdmotor and sensory blockdknee will buckle?
QuestionWhat is A knee immobilizer?
QuestionIn SECTION 13 TOTAL KNEE ARTHROPLASTY, what should you remember about: Adductor nerve block sensory block onlydknee will not?
QuestionWhat does deformity most likely to cause?
QuestionWhat is When nerve palsy?
QuestionIn SECTION 13 TOTAL KNEE ARTHROPLASTY, what should you remember about: With a lateral retinacular release in TKA, the?
QuestionIn SECTION 13 TOTAL KNEE ARTHROPLASTY, what should you remember about: For arthrofibrosis following primary TKA, manipulation of the?
QuestionWhat does Osteolysis in TKA manifest?
source p. 15

PDFFx rules#

QuestionWhat is #1?
QuestionWhat is #2?
QuestionWhat is #3?
QuestionWhat is #4?
QuestionWhat is For a PDFFx where the implant?
QuestionWhat is Submuscular plating?
QuestionWhat is A retrograde IM nail?
QuestionWhat is A small arthrotomy?
QuestionWhat is sagittal deformity created?
QuestionIn Testable concepts, what should you remember about: The #1 reason for a painful TKA within?
QuestionWhat is first step in evaluation?
QuestionIn Testable concepts, what should you remember about: Test questions for diagnosis of PJI follow the?
QuestionIn Testable concepts, what should you remember about: Review minor criteria for chronic PJI.?
QuestionWhat are only two major criteria for the diagnosis of a PJI, and only one is required to make the diagnosis:?
QuestionIn Testable concepts, what should you remember about: Presence of a draining sinus that communicates to?
QuestionIn Testable concepts, what should you remember about: Two positive cultures growing the same organism using?
QuestionWhat is A chronic PJI?
QuestionWhat is Bone erosive changes/destructive changes on radiographic evidence means the infection?
QuestionHow is An acute PJI diagnosis diagnosed?
QuestionWhat is the treatment for Treatment?
QuestionWhat is Arthroscopic lavage?
QuestionWhat is the treatment for For treatment of a chronic PJI, the two-stage exchange?
QuestionIn Testable concepts, what should you remember about: For the first-stage procedure, a high-dose antibiotic-loaded interpositional?
QuestionWhat is medial gastrocnemius rotational flap?
QuestionWhat is blood supply?
QuestionIn Testable concepts, what should you remember about: This flap can cover medial and anterior knee?

Risk factors associated with PJI#

QuestionWhat is Smoking?
QuestionWhat is Diabetes?
QuestionWhat is Malnutrition?
QuestionWhat is Weight?
QuestionWhat is Age?
QuestionWhat is Prior surgery?
QuestionWhat is Autoimmune disease states?
QuestionWhat is Immune suppressive drugs?
QuestionIn Testable concepts, what should you remember about: Allogeneic blood transfusions.?

SECTION 14 TOTAL KNEE ARTHROPLASTY DESIGN#

QuestionWhat does Femoral cam jump occur?
QuestionWhat is Closed reduction maneuver?
QuestionWhat does Patella clunk syndrome occur?
QuestionIn SECTION 14 TOTAL KNEE ARTHROPLASTY DESIGN, what should you remember about: Scar catches in box then releases with a?
QuestionWhat is the treatment for Treatment?
QuestionWhat is Femoral implant design?
QuestionIn SECTION 14 TOTAL KNEE ARTHROPLASTY DESIGN, what should you remember about: A wide box design increases risk by allowing?
QuestionIn SECTION 14 TOTAL KNEE ARTHROPLASTY DESIGN, what should you remember about: A tall box (box height >70% of total?
QuestionWhat does A constrained nonhinged TKA has?
QuestionWhat is indication for a constrained post?
QuestionWhat do Constrained high-post knee system require?
QuestionWhat is Painful TKA due to flexion instability?
QuestionWhat are In a hinged TKA, the femoral and tibial components?
QuestionWhat are main indications for a hinged TKA?
QuestionWhat is Hyperextension instability?

SECTION 15 REVISION TOTAL KNEE ARTHROPLASTY#

QuestionWhat is Periprosthetic joint infection?
QuestionWhat are After exam and x-rays, blood tests?
QuestionWhat is If abnormal, a joint aspiration?
QuestionWhat is Mechanical loosening?
QuestionIn SECTION 15 REVISION TOTAL KNEE ARTHROPLASTY, what should you remember about: Smooth radiolucent lines around the cement mantle and?
QuestionIn SECTION 15 REVISION TOTAL KNEE ARTHROPLASTY, what should you remember about: Irregular marginal bone erosions around the cement mantle?
QuestionWhat are If two or more longitudinal incisions?
QuestionWhat is Difficult exposure sequence?
source p. 16

ARTHROPLASTY#

QuestionIn ARTHROPLASTY, what should you remember about: Review Table 5.13 (with pneumonic) for summary of?
QuestionWhat is Patellar resurfacing in TKA?
QuestionWhat is absolute indication for resurfacing?
QuestionIn ARTHROPLASTY, what should you remember about: Catastrophic wear describes the macroscopic failure of PE?

Factors contributing to catastrophic wear#

QuestionWhat is PE thickness?
QuestionWhat is Articular geometry?
QuestionWhat are Congruent bearing designs?
QuestionWhat is Knee kinematics?
QuestionWhat is Surgical technique?
QuestionWhat is PE processing?

SECTION 18 OSTEONECROSIS OF THE KNEE#

Treatment principles#

QuestionWhat is the treatment for Once the subchondral bone has collapsed, treatment?
QuestionWhat does When the joint space has?
QuestionIn SECTION 18 OSTEONECROSIS OF THE KNEE, what should you remember about: Spontaneous osteonecrosis involves a single condyle (medial femoral?
QuestionWhat is Pathology?
QuestionWhat is Classic radiographic appearance?
QuestionWhat does Ssssecondary osteonecrosis has?
QuestionWhat is Pathology?
QuestionWhat is Classic appearance?
QuestionIn SECTION 18 OSTEONECROSIS OF THE KNEE, what should you remember about: The “crescent sign” at the joint indicates subchondral?

SECTION 19 GLENOHUMERAL ARTHRITIS#

QuestionIn SECTION 19 GLENOHUMERAL ARTHRITIS, what should you remember about: Primary and ssssecondary (e.g., trauma, surgery) causes.?
QuestionWhat is Primary OA?
QuestionWhat is Inflammatory OA?
QuestionWhat is Rotator cuff tear arthropathy (CTA)?
QuestionWhat is Clinical exam is important?
QuestionWhat is Most important imaging study?
QuestionIn SECTION 19 GLENOHUMERAL ARTHRITIS, what should you remember about: MRI helpful for evaluation of the rotator cuff?
QuestionIn SECTION 19 GLENOHUMERAL ARTHRITIS, what should you remember about: Nonoperative treatment first-line, similar options as hip and?

SECTION 20 SHOULDER HEMIARTHROPLASTY#

QuestionWhat is Iincidence?
QuestionWhat is Three main indications?
QuestionWhat is Late glenoid pain?
QuestionWhat is Reverse sshoulder replacement?

SECTION 21 TOTAL SHOULDER ARTHROPLASTY#

QuestionIn SECTION 21 TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Anatomic TSA remains the preferred treatment for glenohumeral?
QuestionWhat is Iincidence of full-thickness cuff tears with primary glenohumeral OA?
QuestionIn SECTION 21 TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Glenoid retroversion must be corrected to <10 degrees?
QuestionIn SECTION 21 TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Rehabilitation after TSA should protect the subscapularis by?
QuestionWhat does Complications of TSA include?

SECTION 22 REVERSE TOTAL SHOULDER ARTHROPLASTY#

QuestionIn SECTION 22 REVERSE TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Involves placing a baseplate and glenosphere on the?
QuestionIn SECTION 22 REVERSE TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Medializes and distalizes the center of rotation and?
QuestionWhat is Elevation power?
QuestionIn SECTION 22 REVERSE TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Component position largely focuses on the glenosphere, which?
QuestionWhat is most common location of instability after rTSA?
QuestionWhat was/were Rates of scapular notching?
QuestionIn SECTION 22 REVERSE TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Periprosthetic fractures can occur, most importantly in the?

SECTION 23 INFECTION IN SHOULDER ARTHROPLASTY#

QuestionWhat does Periprosthetic sshoulder infections manifest?
QuestionWhat are Cutibacterium acnes and coagulase-negative Staphylococcus?
QuestionIn SECTION 23 INFECTION IN SHOULDER ARTHROPLASTY, what should you remember about: Postoperative hematoma, young age, male sex, arthroplasty for?
QuestionWhat are Serum laboratory tests and aspiration with analysis of synovial fluid?
QuestionWhat is Tissue culture?
QuestionWhat does Management options include?
QuestionWhat are Antibiotic choices?
source p. 17

SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE#

QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: Hindfoot consists of talus, calcaneus, and cuboid; subtalar?
QuestionWhat does Ankle dorsiflexion results in?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: Calcaneofibular ligament (CFL) extends from tip of lateral?
QuestionWhat does Can lead to?
QuestionWhat are three parts to the Lisfranc ligament dorsal, plantar, and interosseous; interosseous is strongest.?
QuestionWhat is In hammer toes/crossover toes, the plantar plate?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: Intrinsic tendons pass plantar to MTP joint axis?
QuestionWhat is One full gait cycle from heel strike to heel strike?
QuestionWhat are multiple soft-tissue contributions to gait mechanics. During swing phase, the anterior tibialis contracts concentrically; loss of function results in a footdrop and steppage gait.?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: At heel strike, the anterior tibialis contracts eccentrically.?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: During foot flat, the gastrocnemius-soleus complex contracts eccentrically.?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: During toe-off, the gastrocnemius-soleus complex contracts concentrically. Additionally?
QuestionWhat are multiple etiologies of flatfoot, and it is important to tease out where the apex of deformity is. It typically is midfoot- or hindfoot-driven.?

SECTION 2 PHYSICAL EXAMINATION OF THE FOOT AND ANKLE#

QuestionWhat is Inability to sense a Semmes-Weinstein 5.07 monofilament (10 g)?
QuestionIn SECTION 2 PHYSICAL EXAMINATION OF THE FOOT AND ANKLE, what should you remember about: Deep peroneal nerve (anterior tarsal tunnel syndrome) at?
QuestionIn SECTION 2 PHYSICAL EXAMINATION OF THE FOOT AND ANKLE, what should you remember about: Stability of the lateral ankle ligaments can be?
QuestionIn SECTION 2 PHYSICAL EXAMINATION OF THE FOOT AND ANKLE, what should you remember about: Peroneus longus attaches to plantar aspect of first?
QuestionWhat is Peroneus brevis?
QuestionWhat is In determining whether source of contracture?

SECTION 3 ADULT HALLUX VALGUS#

QuestionIn SECTION 3 ADULT HALLUX VALGUS, what should you remember about: In assessing radiographs for hallux valgus, one needs?
QuestionWhat does Pronation leads to rounding of lateral head (which should have?
QuestionIn SECTION 3 ADULT HALLUX VALGUS, what should you remember about: This can be hard to correct with distal?
QuestionIn SECTION 3 ADULT HALLUX VALGUS, what should you remember about: In treatment of hallux valgus, soft tissue releases?
QuestionIn SECTION 3 ADULT HALLUX VALGUS, what should you remember about: With an IMA of 13 degrees or less?
QuestionWhat is Hallux valgus recurrence can follow any procedure but?
QuestionWhat is risk of injury to the mediodorsal cutaneous nerve branch of the superficial peroneal nerve with medial approaches to the hallux.?

SECTION 4 JUVENILE AND ADOLESCENT HALLUX VALGUS#

QuestionWhat is the treatment for In treatment of juvenile/adolescent hallux valgus, recurrence?
QuestionWhat is If the IMA?
source p. 18

SECTION 5 HALLUX VARUS#

QuestionWhat does Hallux varus can occur?
QuestionIn SECTION 5 HALLUX VARUS, what should you remember about: Operative management of hallux varus depends in part?

SECTION 6 LESSER-TOE DEFORMITIES#

QuestionIn SECTION 6 LESSER-TOE DEFORMITIES, what should you remember about: Extrinsic muscles (extensor digitorum longus [EDL] and flexor?
QuestionWhat is FDL contracture?
QuestionWhat do Flexor-to-extensor tendon transfer can lead to?
QuestionIn SECTION 6 LESSER-TOE DEFORMITIES, what should you remember about: Crossover toe (second toe) deformity develops from disruption?
QuestionWhat are Claw toes?
QuestionWhat is For hammer-toe/claw-toe deformities, if there?
QuestionWhat is Anterior drawer test of the lesser hallux MTP joint?
QuestionIn SECTION 6 LESSER-TOE DEFORMITIES, what should you remember about: For plantar plate injury, nonoperative management with toe?
QuestionWhat does In high-level athletes, repair of the plantar plate tear has?
QuestionIn SECTION 6 LESSER-TOE DEFORMITIES, what should you remember about: In Freiberg disease/infarction, a dorsal closed-wedge osteotomy of?

SECTION 7 HYPERKERATOTIC PATHOLOGIES#

QuestionWhat is Bunionette deformity can cause shoewear issues and?
QuestionWhat is Type I?
QuestionWhat is Surgical management is based on the type?

SECTION 8 SESAMOIDS#

QuestionWhat is When there?
QuestionIn SECTION 8 SESAMOIDS, what should you remember about: Turf toe often develops from forced dorsiflexion of?

Turf toe comes in three grades (grade 1: capsular strain; grade 2#

QuestionWhat does For persistent sesamoid issues refractory to nonoperative measures, sesamoidectomy has?
QuestionWhat is Freiberg disease?

SECTION 9 NEUROLOGIC DISORDERS#

QuestionWhat is Interdigital neuromas have a higher predilection for female patients; this?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: Symptoms can be alleviated with metatarsal pads placed?
QuestionWhat does Neuromas often demonstrate?
QuestionWhat do Lateral plantar nerve may be injured during surgical approaches that require?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: Wasting of the abductor hallucis (ABH) or abductor?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: Tibial nerve innervates all foot intrinsics except for?
QuestionWhat is Tarsal tunnel?
QuestionWhat do Patients with anterior tarsal tunnel syndrome present?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: The superficial peroneal nerve can also be damaged?
source p. 19
QuestionWhat do Popliteal nerve blocks do not typically include?
QuestionWhat is CMT disease?
QuestionWhat are Deformity and awkward gait?
QuestionIn Testable concepts, what should you remember about: Correction of cavovarus deformity depends on flexibility of?
QuestionIn Testable concepts, what should you remember about: First branch of the lateral plantar nerve (Baxter?

SECTION 10 ARTHRITIC DISEASE#

QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Gout involves deposition of monosodium urate crystals into?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Ruling out an acute septic jointdwhich would be?
QuestionWhat is White blood cell (WBC) count of the aspirate?
QuestionWhat does Infected joint require?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: In pseudogout, polarized light microscopy examination of joint?
QuestionWhat are Seronegative spondyloarthropathies?
QuestionWhat do Nonoperative treatment of osteoarthritis of the foot/ankle should include?
QuestionWhat do Osteophytes at dorsal talonavicular (TN) joint may cause?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: For hallux rigidus grades I and II (pain?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Failure of partial or total joint replacement of?
QuestionWhat is Fusion of the great toe?
QuestionWhat is Best way to check sagittal alignment?
QuestionWhat is Toe?
QuestionWhat do Placement of plate too proximal (6 mm) can lead to?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Ankle aaaarthrodesis often indicated in patients with peripheral?
QuestionWhat is Open aaaarthrodesis?
QuestionWhat do Ankle aaaarthrodesis malunion may lead to?
QuestionWhat was/were If fibula?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: TAR can be used for valgus arthritis of?
QuestionWhat was/were Ssssyndesmotic fusion when the Agility ankle replacement system?
QuestionWhat is Salvage of implant failure?
QuestionWhat do Wound breakdown in the acute period (3 weeks) after TAR require?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Osteolysis.?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Best evaluated with a computed tomography (CT) scan.?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: May be three times greater in comparison to?

SECTION 11 POSTURAL DISORDERS#

QuestionWhat is Most common cause of adult-acquired flatfoot?
QuestionWhat are Tarsal coalitions cause rigid flatfeet and?
source p. 20
QuestionWhat is spring (calcaneonavicular) ligament?
QuestionIn Testable concepts, what should you remember about: Patients may complain of medial ankle foot pain?
QuestionWhat is the treatment for Operative management of PTT dysfunction (PTTD)?
QuestionWhat does If subtalar aaaarthrodesis (alone or as part of triple) has?
QuestionIn Testable concepts, what should you remember about: Patients with pes cavus may complain of painful?
QuestionIn Testable concepts, what should you remember about: On an adequate weight-bearing, lateral foot radiograph, visibility?
QuestionWhat does Nonoperative modalities include?

SECTION 12 TENDON DISORDERS#

QuestionIn SECTION 12 TENDON DISORDERS, what should you remember about: Acute rupture of the peroneus longus tendon at?
QuestionWhat are Peroneal tendons?
QuestionWhat is Peroneal tendon subluxation-dislocation?
QuestionWhat does If conservative management (immobilization/physical therapy) has?
QuestionIn SECTION 12 TENDON DISORDERS, what should you remember about: For anterior tibial tendon ruptures, primary repair generally?
QuestionWhat does Stenosis occur?

SECTION 13 HEEL PAIN#

QuestionWhat are In evaluation of plantar fasciitis, weight-bearing x-rays?
QuestionWhat is the treatment for Nonoperative management?
QuestionIn SECTION 13 HEEL PAIN, what should you remember about: Operative treatment indicated in less than 5% of?
QuestionWhat is Sever disease?
QuestionIn SECTION 13 HEEL PAIN, what should you remember about: In management of insertional Achilles tendinosis, evaluation of?
QuestionWhat do Patients with noninsertional Achilles tendinopathy often present?
QuestionIn SECTION 13 HEEL PAIN, what should you remember about: Operative management of a chronic Achilles tendon rupture?
QuestionWhat does Plantaris rupture may have?
source p. 21
QuestionWhat is Achilles ruptures?

SECTION 14 ANKLE PAIN AND SPORTS INJURIES#

QuestionIn SECTION 14 ANKLE PAIN AND SPORTS INJURIES, what should you remember about: Lateral ankle sprains, which often result from plantar?
QuestionIn SECTION 14 ANKLE PAIN AND SPORTS INJURIES, what should you remember about: If nerve symptoms persist, neurotomy and burial may?
QuestionWhat is the treatment for In lateral ankle sprain, physical therapy?
QuestionWhat is the treatment for Additional physical therapy should be considered if there?
QuestionWhat does Ankle instability can occur?
QuestionWhat is Posterior ankle impingement?
QuestionWhat are Osteochondral defects?
QuestionWhat do Large lesions need alternative treatment; autologous osteochondral grafting produce?
QuestionWhat do Larger lesions with cystic component may require?
QuestionWhat do Chronic exertional compartment syndrome manifest?
QuestionWhat are the complications of most common complication after ankle arthroscopy?
QuestionWhat is Gastrocnemius strain?

SECTION 15 THE DIABETIC FOOT#

QuestionWhat is Glucose assessment?
QuestionIn SECTION 15 THE DIABETIC FOOT, what should you remember about: Loss of protective sensation (inability to perceive the?
QuestionWhat do Peripheral vascular disease can lead to?

Classifying ulcers can help guide management. Depth grade 0#

QuestionWhat is Plastazote (closed cellecross linked polyethylene)?
QuestionIn SECTION 15 THE DIABETIC FOOT, what should you remember about: Dorsal toe ulcers best served with flexor tenotomies.?
QuestionIn SECTION 15 THE DIABETIC FOOT, what should you remember about: Ischemia-based classification; grade A (normal vascularity), grade B?
QuestionWhat does Treatment often require?
QuestionIn SECTION 15 THE DIABETIC FOOT, what should you remember about: Presence of infection may be reason why ulcers?
QuestionWhat is Charcot arthropathy?
QuestionWhat is the treatment for Initial treatment of Charcot arthropathy?
QuestionIn SECTION 15 THE DIABETIC FOOT, what should you remember about: Unstable/unbraceable deformities should be addressed with a tibiotalocalcaneal?
source p. 22
QuestionWhat are Infections in the diabetic foot or ankle?
QuestionWhat is Labeled WBC scan or dual-image technetium/indium (Tc/In) scan?
QuestionWhat does Contiguous oooosteomyelitis present?
QuestionWhat is Oooosteomyelitis?
QuestionIn Testable concepts, what should you remember about: Elevated A1c increases risk for failure of transmetatarsal?
QuestionWhat does Syme amputation require?
QuestionIn Testable concepts, what should you remember about: Transtibial amputations.?
QuestionIn Testable concepts, what should you remember about: 25% more energy exerted compared to baseline (trauma).?
QuestionIn Testable concepts, what should you remember about: 40% more energy exerted compared to baseline (vasculopathy).?
QuestionIn Testable concepts, what should you remember about: Transfemoral.?
QuestionIn Testable concepts, what should you remember about: Increased rates of oxygen consumption, metabolic rate, heart?
QuestionWhat is Traumatic?
QuestionWhat is Vascular?
QuestionIn Testable concepts, what should you remember about: No significant difference with regards to stride length?
QuestionIn Testable concepts, what should you remember about: To avoid deformity of Chopart amputation, anterior tibialis?
QuestionIn Testable concepts, what should you remember about: Reduced total protein less than 6.0 g/dL, WBC?

SECTION 16 TRAUMA#

QuestionWhat do Excessive loading of second metatarsal can lead to?
QuestionWhat is Second metatarsal stress fracture?
QuestionIn SECTION 16 TRAUMA, what should you remember about: In female athletes, the triad of anorexia, osteoporosis/stress?
QuestionWhat is Jones fracture of the base of the fifth metatarsal base?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Fifth metatarsal diaphyseal injuries (dancer’s fracture).?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Occur from twisting mechanism.?
QuestionIn SECTION 16 TRAUMA, what should you remember about: High union rates.?
QuestionIn SECTION 16 TRAUMA, what should you remember about: May be treated conservatively with hard-soled shoe.?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Diaphyseal stress injuries of the fifth metatarsal should?
QuestionWhat is Fracture of all five metatarsals?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Dislocation of the ankle, a lower Sanders calcaneal?
QuestionWhat is Lisfranc articulation?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Aiiinteroposterior (AP), lateral, and oblique radiographs should be?
QuestionWhat are Cuboid injuries (nutcracker cuboid)?
QuestionWhat is If there?
QuestionWhat is Anatomic reduction?
QuestionWhat is Anatomic reduction?
QuestionWhat is Primary aaaarthrodesis?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Has advantage of reduced rates of hardware removal?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Reduced costs compared to open reduction and internal?
QuestionIn SECTION 16 TRAUMA, what should you remember about: One randomized study demonstrated no difference in patient-reported?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Can be used in chronic injury patterns.?
QuestionWhat do Missed diagnosis or improper treatment may lead to?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Navicular stress fractures often happen in the central?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Talonavicular dislocations need to be reduced closed rather?
source p. 23
QuestionIn Testable concepts, what should you remember about: Lateral process acts as dividing line between talar?
QuestionIn Testable concepts, what should you remember about: For treatment of talar neck fractures, medial compression?
QuestionWhat are the complications of most common complication after a talar neck fracture?
QuestionIn Testable concepts, what should you remember about: Most later studies show no correlation between time?
QuestionIn Testable concepts, what should you remember about: Early fixation may be associated with increased risk?
QuestionWhat do Failure to restore alignment leads to?
QuestionIn Testable concepts, what should you remember about: In the setting of AVN of the talus?
QuestionIn Testable concepts, what should you remember about: Lateral transfibular approach to a tibiotalocalcaneal aaaarthrodesis to?
QuestionIn Testable concepts, what should you remember about: Talar body extrusions need to be evaluated closely.?
QuestionWhat are the complications of Most frequent complication?
QuestionIn Testable concepts, what should you remember about: Small or comminuted lateral process fractures can be?
QuestionWhat are Avulsion fractures of the calcaneal tuberosity?
QuestionIn Testable concepts, what should you remember about: With calcaneal fractures one must evaluate for concomitant?
QuestionIn Testable concepts, what should you remember about: Patients with an overall normal morphology of the?
QuestionWhat are Clinical outcomes?
QuestionWhat is lateral wall?
QuestionWhat does 20% of patients may have?
QuestionIn Testable concepts, what should you remember about: Best seen on axial CT sequences.?
QuestionWhat does Extensile lateral exposure provide?
QuestionWhat do Delayed wound healing can occur?
QuestionIn Testable concepts, what should you remember about: Treat wound issues initially with dressing changes and?
QuestionIn Testable concepts, what should you remember about: In cases with significant loss of calcaneal height?
QuestionIn Testable concepts, what should you remember about: Near 90% of medial subtalar dislocations can be?
QuestionHow is Diagnosis of ankle fractures diagnosed?
QuestionWhat are Measurements for ssssyndesmotic issues?
QuestionWhat is Ankle fracture spur sign (at inferomedial tibial metaphysis)?
QuestionWhat are Multiple classifications systems of ankle fractures. Lauge- Hansen and Danis-Weber?
QuestionWhat is Log splitter injury?
QuestionIn Testable concepts, what should you remember about: Medial clear space widening with stress indicates deep?
QuestionIn Testable concepts, what should you remember about: External rotation may be helpful to indicate evidence?
QuestionWhat is One millimeter of lateral talar shift?
QuestionIn Testable concepts, what should you remember about: Braking response time for vehicle driving returns (on?
QuestionIn Testable concepts, what should you remember about: Stabilization of the posterior malleolus restores 70% of?
QuestionIn Testable concepts, what should you remember about: With lateral approaches, need to protect the superficial?
QuestionWhat are Supination-adduction injuries?
QuestionWhat is Malreduction of the syndesmosis?
source p. 24

ANATOMY#

QuestionWhat is Central slip?
QuestionWhat is Lateral bands?
QuestionWhat is Transverse retinacular ligament?
QuestionWhat is Injury?
QuestionWhat is Triangular ligament?
QuestionWhat is Injury?
QuestionWhat is Vascular supply of flexor tendons?
QuestionWhat is A2 and A4 pulleys?
QuestionIn ANATOMY, what should you remember about: The carpal tunnel contains the median nerve and?
QuestionWhat is FPL?
QuestionWhat is Lumbrical muscles?
QuestionWhat is Intrinsic tightness?
QuestionIn ANATOMY, what should you remember about: Intrinsics on stretch, extrinsics relaxed.?
QuestionWhat is Bunnell test?
QuestionWhat is Treatment?
QuestionWhat is Extrinsic tightness?
QuestionIn ANATOMY, what should you remember about: Extrinsics on stretch, intrinsics relaxed.?
QuestionWhat is Treatment?
QuestionWhat is Median nerve?
QuestionWhat is Ulnar nerve?
QuestionWhat is Radial nerve proper?
QuestionWhat is Posterior interosseous nerve (PIN)?
QuestionWhat is Anastomoses?
QuestionWhat is Concomitant injuries?
QuestionWhat is Acute carpal tunnel syndrome (CTS)?
QuestionWhat is Normal anatomy (11?
QuestionIn ANATOMY, what should you remember about: Radial height 11 mm, radial inclination 22 degrees?
QuestionIn ANATOMY, what should you remember about: Acceptable reduction.?
QuestionIn ANATOMY, what should you remember about: Radial shortening less than 3 mm, dorsal tilt?
QuestionWhat is Nonoperative treatment?
QuestionWhat is Complications?
QuestionWhat is Surgical treatment?
QuestionWhat is Dorsal approach?
QuestionWhat is The most common complication after distal radius fracture?

Extensor pollicis longus (EPL) tendon rupture#

QuestionIn ANATOMY, what should you remember about: Occurs after ORIF because of long screw, or?
QuestionIn ANATOMY, what should you remember about: Treated with extensor indicis proprius (EIP)-to-EPL tendon transfer.?
QuestionWhat is FPL rupture?
QuestionWhat is Associated distal ulnar styloid fracture?
QuestionIn ANATOMY, what should you remember about: triangular fibrocartilage complex (TFCC) injury most common associated?
QuestionIn ANATOMY, what should you remember about: Vitamin C (500 mg/day for 50 days) prescribed?
QuestionWhat is DRUJ instability?
QuestionWhat is Scaphoid fracture?
QuestionWhat is Radiographs nondiagnostic in one-third of cases?
QuestionWhat is Acute operative indications?
QuestionIn ANATOMY, what should you remember about: ORIF with long, central screw (percutaneous/arthroscopic procedure for?
QuestionWhat is Approach?
QuestionWhat is Scaphoid fracture complications?

SNAC#

QuestionWhat is Stage 1?
QuestionWhat is Stage 2?
QuestionWhat is Stage 3?
QuestionWhat is Radiolunate joint?
QuestionWhat is Nonunion?
QuestionWhat is Lunate fracture?
QuestionWhat is Triquetrum fracture?
QuestionWhat is Capitate neck fracture?
QuestionWhat is Pisiform fracture?
QuestionWhat is Hook of hamate fracture?
QuestionWhat is Diagnosis?
source p. 25
QuestionWhat is Treatment?
QuestionWhat is Four types of carpal instability?
QuestionIn Testable concepts, what should you remember about: Dissociative (same row; e.g., dorsal intercalated segmental instability?
QuestionWhat is DISI?
QuestionIn Testable concepts, what should you remember about: SL ligament (dorsal portion strongest).?
QuestionWhat is SL advanced collapse (SLAC) wrist?
QuestionWhat is VISI?
QuestionIn Testable concepts, what should you remember about: LT ligament (volar portion strongest).?
QuestionWhat are Perilunate dislocations?
QuestionWhat is Mayfield described four stages of progressive disruption?
QuestionIn Testable concepts, what should you remember about: Prompt treatment with closed reduction (especially in acute?
QuestionIn Testable concepts, what should you remember about: Definitive treatment with early ORIF using dorsal with?
QuestionWhat is LT coalition (fusion of the lunate to the triquetrum)?
QuestionWhat are Most metacarpal and phalangeal fractures?
QuestionWhat is Operative indications?
QuestionWhat do Volar PIP joint dislocation require?
QuestionWhat is Rotatory dislocation?
QuestionWhat is PIP joint fracture-dislocations?
QuestionWhat is Less than 30% involvement?
QuestionIn Testable concepts, what should you remember about: Unstable injuries with larger (>30%) P2 base fragments?
QuestionWhat is Irreducibility of MCP and DIP dislocations?
QuestionIn Testable concepts, what should you remember about: Treated via open reduction and extraction of the?
QuestionWhat is MCP head fracture?
QuestionWhat is MCP neck fracture?
QuestionWhat is Acceptable angulation?
QuestionWhat is MCP shaft fracture?
QuestionWhat is Acceptable angulation?
QuestionWhat is Most common PIP joint dislocation?
QuestionWhat is Bennett fracture?
QuestionWhat does Abductor pollicis longus (APL) and extensors cause?
QuestionIn Testable concepts, what should you remember about: Anterior oblique or “beak” ligament keeps volar-ulnar base?
QuestionIn Testable concepts, what should you remember about: Skier’s thumb (acute ulnar collateral ligament [UCL] injury)?
QuestionIn Testable concepts, what should you remember about: Instability in 30 degrees of flexion indicates injury?
QuestionWhat does Stener lesion occur?
QuestionWhat is RCL instability?
QuestionWhat is Mallet finger (zone I)?
QuestionWhat is Controversial indication for surgery?
QuestionWhat is Dorsal extensor tendon injury over the PIP (zone III)?
QuestionIn Testable concepts, what should you remember about: Boutonnière deformity (PIP flexion, DIP extension).?
QuestionWhat does Central slip injury cause?
QuestionIn Testable concepts, what should you remember about: Acute injuries treated with PIP extension splinting.?
QuestionWhat is Chronic boutonnière deformity?
QuestionWhat is Extensor hood over MCP (zone V) (fight bite)?
QuestionIn Testable concepts, what should you remember about: Principles of partial laceration treatment.?
QuestionIn Testable concepts, what should you remember about: Painful catching in tendon sheath treated with “trimming.”?
QuestionIn Testable concepts, what should you remember about: Lacerations more than 60% of tendon width treated?
QuestionIn Testable concepts, what should you remember about: Principles of flexor tendon repair.?
QuestionIn Testable concepts, what should you remember about: Increasing strength with increasing number of core sutures?
QuestionWhat are Dorsally placed core sutures?
QuestionIn Testable concepts, what should you remember about: Gap formation decreased with use of a locking-loop?
QuestionIn Testable concepts, what should you remember about: Overall strength increased (w10%e50%) with epitendinous repair.?
QuestionIn Testable concepts, what should you remember about: Purchase distance 0.7 to 1.2 cm from ends?
QuestionIn Testable concepts, what should you remember about: Preservation of A2 (most important) and A4 (oblique?
QuestionIn Testable concepts, what should you remember about: Early protected range of motion (ROM) increases tendon?
QuestionWhat does Active flexion to reduce adhesions require?
QuestionWhat do Young children unable to comply with protocols; require?
QuestionWhat is Rugger jersey finger (zone I)?
QuestionWhat is Quadrigia?
QuestionWhat is Zone II (“no man’s land”) flexor tendon injury?
QuestionIn Testable concepts, what should you remember about: Tendon lacerations may be at different level from?
source p. 26
QuestionWhat is Trigger finger (stenosing flexor tenosynovitis)?
QuestionWhat is Key pulleys?
QuestionWhat is Comorbidities?
QuestionIn Testable concepts, what should you remember about: Failure of injection higher with diabetes.?
QuestionWhat is Pediatric trigger thumb?
QuestionIn Testable concepts, what should you remember about: Treatment involves A1 release at 2 to 4?
QuestionWhat is Radial digital nerve?
QuestionWhat is Pediatric trigger finger (less common than trigger thumb)?
QuestionIn Testable concepts, what should you remember about: Treated with A1 pulley release and procedures to?
QuestionWhat is de Quervain tenosynovitis?
QuestionWhat is Nonoperative treatment for most?
QuestionWhat is Surgical release?
QuestionWhat is Iiiintersection syndrome?
QuestionIn Testable concepts, what should you remember about: Treatment nonoperative in vast majority.?
QuestionWhat is Extensor carpi ulnaris (ECU) tendinitis?
QuestionWhat is ECU subluxation?
QuestionWhat is Treatment?
QuestionIn Testable concepts, what should you remember about: Subsheath reconstruction if immobilization fails. DRUJ, TFCC, WRIST?
QuestionWhat is Components of TFCC?
QuestionWhat is Neutral variance?
QuestionWhat is þ2 mm variance?
QuestionWhat are Acute (class I) TFCC tears?
QuestionWhat is Arthroscopy?
QuestionIn Testable concepts, what should you remember about: No clear clinical outcome difference between open and?
QuestionWhat is Surgical treatment?
QuestionWhat are Degenerative (class II) tears?
QuestionWhat is Treatment?
QuestionIn Testable concepts, what should you remember about: Chronic DRUJ instability treated with TFCC repair or?
QuestionWhat is DRUJ osteoarthritis (OA) treatment?
QuestionWhat is Wrist arthroscopy?
QuestionWhat is Most common complication?
QuestionWhat is Nail bed injuries?
QuestionWhat is Subungual hematoma less than 50% nail area?
QuestionWhat is Subungual hematoma more than 50% nail area?
QuestionWhat is Repair technique?
QuestionWhat is Complications?
QuestionWhat is Principles of fingertip injury treatment?
QuestionIn Testable concepts, what should you remember about: Treatment guided by orientation of amputation, degree of?
QuestionWhat is Less than 1 cm2 exposed bone?
QuestionWhat is Larger wounds without exposed bone?
QuestionWhat is Fingertip injury with more than 1 cm2 exposed bone?
QuestionWhat is Volar oblique injury?
QuestionWhat is Transverse or dorsal oblique injury?
QuestionWhat is Alternative?
QuestionWhat is Dorsal thumb injury?
QuestionWhat is Lumbrical-plus finger?
QuestionIn Testable concepts, what should you remember about: FDP tendon retracts, leading to PIP extension through?
QuestionIn Testable concepts, what should you remember about: Treated with release of the radial lateral band.?
QuestionWhat is Quadrigia effect?
QuestionIn Testable concepts, what should you remember about: Complete finger amputations.?
QuestionWhat is Index?
QuestionWhat is Middle/ring?
QuestionWhat is Reconstruction priorities?
QuestionWhat is Primary closure?
QuestionWhat is Healing by second intention (vacuum-assisted closure)?
QuestionWhat is Skin grafts?
QuestionWhat is Split-thickness skin grafts?
QuestionWhat is Flap failure?
QuestionIn Testable concepts, what should you remember about: Primary indications for replantation. Hand, Upper Eeeextremity, and?
source p. 27
QuestionIn Testable concepts, what should you remember about: Level of amputation outside of zone II flexor?
QuestionIn Testable concepts, what should you remember about: Amputation of multiple digits or thumb, proximal amputations?
QuestionIn Testable concepts, what should you remember about: Primary contraindications to replantation.?
QuestionIn Testable concepts, what should you remember about: Level of amputation within zone II flexor tendon?
QuestionWhat is Ischemia?
QuestionWhat is Replantation sequence?
QuestionIn Testable concepts, what should you remember about: Structure-by-structure technique better than finger-by-finger.?
QuestionWhat is Factor most predictive of digit survival after replantation?
QuestionIn Testable concepts, what should you remember about: Failure less than 12 hours due to arterial?
QuestionIn Testable concepts, what should you remember about: Failure more than 12 hours due to venous?
QuestionWhat is Tenolysis?
QuestionWhat is Forearm replantation?
QuestionWhat is Ring avulsion injury?
QuestionWhat is Thumb reconstruction?
QuestionWhat is Allen test?
QuestionWhat does Approximately 20% of hands have?
QuestionIn Testable concepts, what should you remember about: Ulnar arch mainly supplies superficial palmar arch, and?
QuestionWhat is Other tests?
QuestionWhat is Hhhhypothenar hammer syndrome?
QuestionWhat is Diagnosis?
QuestionWhat is Treatment?
QuestionWhat is Raynaud phenomenon?
QuestionIn Testable concepts, what should you remember about: Treatment focused on underlying cause.?
QuestionWhat is Raynaud disease?
QuestionWhat is Treatment?
QuestionIn Testable concepts, what should you remember about: Smoking cessation and avoidance of cold exposure for?
QuestionWhat is Compartment syndrome?
QuestionWhat is Ten hand compartments?
QuestionWhat is Diagnosis?
QuestionWhat is Volkmann ischemic contracture?
QuestionIn Testable concepts, what should you remember about: Claw hand or intrinsic-minus posture.?
QuestionWhat is Frostbite treatment?
QuestionWhat is Sequence of sensory losses?
QuestionWhat is Electrodiagnostics?
QuestionWhat is Double-crush phenomenon?
QuestionWhat is CTS?
QuestionIn Testable concepts, what should you remember about: Associated with vibratory exposure at work but not?
QuestionWhat is Clinical diagnosis?
QuestionIn Testable concepts, what should you remember about: Treatment?
QuestionIn Testable concepts, what should you remember about: Corticosteroid injection, which achieves pain relief in approximately?
QuestionWhat is Carpal tunnel release (CTR)?
QuestionIn Testable concepts, what should you remember about: Neurolysis and flexor tenosynovectomy offer no additional benefit.?
QuestionWhat is At risk?
QuestionWhat is Endoscopic CTR?
QuestionWhat does Adults with chronic severe CTS may have?
QuestionWhat is Pronator syndrome?
QuestionWhat is Sites of compression (SLAPS)?
QuestionIn Testable concepts, what should you remember about: Differentiated from CTS by presence of proximal forearm?
QuestionWhat is Anterior interosseous nerve syndrome?
QuestionIn Testable concepts, what should you remember about: Precision sign (ask patient to make “OK” sign).?
QuestionIn Testable concepts, what should you remember about: No sensory loss. Ulnar Nerve?

Signs of motor weakness#

QuestionWhat is Froment?
QuestionWhat is Jeanne?
QuestionWhat is Wartenberg?
source p. 28
QuestionWhat is Cubital tunnel syndrome?
QuestionWhat is Potential sites of compression (AO TEAM)?
QuestionIn Testable concepts, what should you remember about: No difference between in situ decompression and anterior?
QuestionIn Testable concepts, what should you remember about: Better outcome after surgery if performed before motor?
QuestionWhat is Ulnar tunnel syndrome (compression in Guyon canal)?
QuestionIn Testable concepts, what should you remember about: Zone I (mixed motor/sensory), zone II (motor), zone?
QuestionWhat is Concurrent CTS?
QuestionWhat is Palsy of radial nerve proper (Saturday night palsy)?
QuestionWhat is PIN compression syndrome?
QuestionWhat is Potential sites of compression (LEAFS)?
QuestionWhat is Radial tunnel syndrome?
QuestionWhat is Sites of compression?
QuestionIn Testable concepts, what should you remember about: Outcome of surgical decompression less predictable than for?
QuestionWhat is Cheiralgia paresthetica (Wartenberg syndrome)?
QuestionIn Testable concepts, what should you remember about: Inability to wear wristwatch; pain and paresthesias over?
QuestionWhat is Vascular?
QuestionWhat is Adson test?
QuestionWhat is Neurogenic?
QuestionWhat is Roos sign?
QuestionWhat is Nonspecific?
QuestionIn Testable concepts, what should you remember about: Pancoast tumor should be ruled out with chest?
QuestionIn Testable concepts, what should you remember about: Nonoperative management should be maximized, including sshoulder and?
QuestionWhat does If present?
QuestionWhat is Good prognosis?
QuestionWhat is Poor prognosis?
QuestionIn Testable concepts, what should you remember about: Seddon classification divides nerve injury into neurapraxia (stretch)?
QuestionIn Testable concepts, what should you remember about: Wallerian degeneration for axonotmesis and neurotmesis.?
QuestionWhat is Peripheral nerve repair?
QuestionIn Testable concepts, what should you remember about: No technique deemed superior.?
QuestionIn Testable concepts, what should you remember about: Gaps may be addressed with nerve conduit, decellularized?
QuestionWhat is Brachial plexus injury?
QuestionWhat is Preganglionic lesions?
QuestionIn Testable concepts, what should you remember about: EMG (loss of innervation to paraspinal muscles), chest?
QuestionIn Testable concepts, what should you remember about: Nerve transfers considered for irreparable nerve injuries.?
QuestionWhat is Advantage?
QuestionIn Testable concepts, what should you remember about: Classic nerve transfers for upper brachial plexus injury.?
QuestionWhat is Oberlin?
QuestionWhat is Leechavengvong?
QuestionWhat is Tendon/muscle transfers?
QuestionWhat is Priorities?
QuestionIn Testable concepts, what should you remember about: Basic tenets of tendon transfers.?
QuestionIn Testable concepts, what should you remember about: Donor must be expendable.?
QuestionIn Testable concepts, what should you remember about: Donor must be of similar excursion and power.?
QuestionIn Testable concepts, what should you remember about: One transfer should perform one function.?
QuestionWhat are Synergistic transfers?
QuestionWhat is A straight line of pull?
QuestionIn Testable concepts, what should you remember about: One grade of motor strength will be lost?
QuestionIn Testable concepts, what should you remember about: Tendon transfers for high radial nerve palsy.?
QuestionWhat is Wrist extension?
QuestionWhat is Finger extension?
QuestionWhat is Thumb extension?
QuestionIn Testable concepts, what should you remember about: Tendon transfer (opponensplasty) options for low median nerve?
QuestionIn Testable concepts, what should you remember about: FDS of ring digit, EIP, abductor digiti minimi?
QuestionWhat is Voluntary muscle control?
QuestionWhat is Hand OA?
QuestionIn Testable concepts, what should you remember about: MCP more commonly involved in inflammatory arthritis.?
QuestionWhat is Surgical treatment?
QuestionWhat is PIP fusion position?
QuestionWhat is Thumb CMC joint (basal joint or trapeziometacarpal)?
QuestionWhat is Nonoperative treatment?
QuestionWhat is Surgical treatment?
QuestionWhat is Aaaarthrodesis (young laborers)?
QuestionWhat is MCP hyperextension?
QuestionWhat is RA?
QuestionWhat is Manifestations?
source p. 29
QuestionWhat is Vaughan-Jackson syndrome?
QuestionWhat is Mannerfelt syndrome?
QuestionWhat is Caput ulnae syndrome?
QuestionWhat is Rheumatoid wrist?
QuestionIn Testable concepts, what should you remember about: Total wrist arthroplasty versus total wrist aaaarthrodesis for?
QuestionWhat is Z deformity?
QuestionWhat is Common procedures?
QuestionWhat is Kienböck disease (idiopathic osteonecrosis of the lunate)?
QuestionIn Testable concepts, what should you remember about: Unexplained dorsal wrist pain in a young adult?
QuestionWhat is Risks?
QuestionIn Testable concepts, what should you remember about: Lichtman classification directs treatment.?
QuestionIn Testable concepts, what should you remember about: Stage IIIA (lunate collapse with normal carpal alignment?
QuestionIn Testable concepts, what should you remember about: Stage IIIB (fixed scaphoid rotation with decreased carpal?
QuestionWhat is First-line surgical treatment?
QuestionWhat is Ulnar-negative variance?
QuestionIn Testable concepts, what should you remember about: Supplemental vascularized bone grafting described.?
QuestionWhat is Stage IIIB?
QuestionIn Testable concepts, what should you remember about: Preiser disease (idiopathic osteonecrosis of scaphoid).?
QuestionWhat does Initial treatment nonoperative; surgical procedures include?
QuestionWhat is Benign fibroproliferative disorder that?
QuestionWhat is Myofibroblasts?
QuestionIn Testable concepts, what should you remember about: Increase in ratio of type III to type?
QuestionWhat are Cleland (dorsal) ligaments?
QuestionWhat is PIP contracture?
QuestionIn Testable concepts, what should you remember about: Neurovascular bundle at risk during surgery from central?
QuestionWhat is Surgical indications?
QuestionWhat is Open limited fasciectomy?
QuestionWhat is Complications?
QuestionWhat is Use of collagenase injection or needle aponeurotomy?
QuestionIn Testable concepts, what should you remember about: Pooled study results show average MCP correction up?
QuestionWhat are Pain, swelling, and bruising?
QuestionWhat are Skin tears?
QuestionWhat are Ganglions?
QuestionIn Testable concepts, what should you remember about: Dorsal wristdSL articulation.?
QuestionIn Testable concepts, what should you remember about: Volar wristdradioscaphoid or STT joint.?
QuestionIn Testable concepts, what should you remember about: IP joint osteophyte.?
QuestionIn Testable concepts, what should you remember about: Distal palmdflexor tendon sheath.?
QuestionIn Testable concepts, what should you remember about: Giant cell tumor of tendon sheath, the second?
QuestionWhat is the treatment for Treatment?
QuestionWhat is Other soft tissue tumors in the differential diagnosis?
QuestionIn Testable concepts, what should you remember about: Box 7.3 lists the most common tumors (and?
QuestionWhat is Staphylococcus aureus?
QuestionIn Testable concepts, what should you remember about: MRSA more common in urban areas.?
QuestionIn Testable concepts, what should you remember about: IV treatment with vancomycin or clindamycin; oral treatment?
QuestionWhat is Gram-negative and anaerobic bacteria?
QuestionWhat is Paronychia (nail fold)?
QuestionWhat is Felon (fingertip pulp)?
QuestionWhat is Human bites (fight bite)?
QuestionWhat are Most commonly isolated organisms?

S. aureus, Eikenella corrodens, and Bacteroides spp.#

QuestionWhat does Dog bites occur?
QuestionIn S. aureus, Eikenella corrodens, and Bacteroides spp., what should you remember about: Antibiotic therapy should cover Pasteurella canis, Pasteurella multocida?
QuestionWhat is Pooosteogenic flexor tenosynovitis?
QuestionWhat is Kanavel signs?

Early (<24e48 hours) with less than four Kanavel signs#

QuestionIn S. aureus, Eikenella corrodens, and Bacteroides spp., what should you remember about: If signs improve within first 24 hours, surgery?
QuestionWhat is Late (>24e48 hours) or all four Kanavel signs?
QuestionWhat is Deep potential-space infections?
QuestionWhat is Necrotizing fasciitis?
QuestionIn S. aureus, Eikenella corrodens, and Bacteroides spp., what should you remember about: Most commonly b-hemolytic Streptococcus.?
QuestionWhat is Groups at risk?
source p. 30
QuestionWhat is Gas gangrene?
QuestionWhat is Herpetic whitlow?
QuestionIn Testable concepts, what should you remember about: Atypical mycobacterial infections (e.g., Mmmmycobacterium marinum) commonly involve?
QuestionWhat does Treatment generally require?
QuestionIn Testable concepts, what should you remember about: High-pressure injection injuries can be devastating.?
QuestionIn Testable concepts, what should you remember about: Rate of digital amputation high with organic solvent?
QuestionIn Testable concepts, what should you remember about: Treated urgently with I&D. CONGENITAL HAND DIFFERENCES?

The three signaling centers that control limb development#

QuestionIn Testable concepts, what should you remember about: The apical ectodermal ridge controls proximal-to-distal growth.?
QuestionIn Testable concepts, what should you remember about: The zone of polarizing activity formation controls radial-to-ulnar?
QuestionIn Testable concepts, what should you remember about: Wingless-type controls dorsal-to-volar growth.?
QuestionIn Testable concepts, what should you remember about: Radial clubhand.?
QuestionWhat is Associated with systemic syndromes?
QuestionIn Testable concepts, what should you remember about: Wrist centralization performed if elbow ROM adequate.?
QuestionWhat is Ulnar clubhand?
QuestionWhat is Cleft hand?
QuestionWhat is Radioulnar synostosis?
QuestionWhat is Camptodactyly?
QuestionWhat is Clinodactyly?
QuestionWhat is Flexed thumb?
QuestionWhat is Arthrogryposis?
QuestionIn Testable concepts, what should you remember about: Duplication can be preaxial (radial) or postaxial (ulnar).?
QuestionWhat is Preaxial polydactyly (thumb duplication)?
QuestionWhat is Postaxial polydactyly (small finger duplication)?
QuestionWhat is Ssssyndactyly?
QuestionIn Testable concepts, what should you remember about: Characterized as simple (soft tissue) or complex (bony)?
QuestionIn Testable concepts, what should you remember about: Long-ring most common.?
QuestionIn Testable concepts, what should you remember about: Border digit ssssyndactyly released earlier.?
QuestionWhat is Web creep?
QuestionIn Testable concepts, what should you remember about: Poland syndrome (absence of pectoralis major, abnormalities of?
QuestionWhat is Macrodactyly?
QuestionWhat is Thumb hypoplasia?
QuestionWhat is Madelung deformity?
QuestionWhat is Anterior bundle of the medial (ulnar) collateral ligament?
QuestionWhat is Lateral ulnar collateral ligament (LUCL)?
QuestionWhat is Lateral epicondylitis (tennis elbow)?
QuestionWhat does Histologic examination demonstrate?
QuestionIn Testable concepts, what should you remember about: No clear benefit from corticosteroid injection.?
QuestionIn Testable concepts, what should you remember about: Operative treatment for select recalcitrant cases in which?
QuestionWhat is Medial epicondylitis (golfer’s elbow)?
QuestionWhat is Distal biceps tendon rupture?
QuestionWhat is Diagnosis?
QuestionWhat does Partial ruptures occur?
QuestionWhat is Untreated?
QuestionIn Testable concepts, what should you remember about: Complete tears with retraction treated expediently.?
QuestionIn Testable concepts, what should you remember about: Single-incision technique risks the lateral antebrachial cutaneous nerve?
QuestionWhat does Two-incision technique has?
QuestionIn Testable concepts, what should you remember about: Biceps muscle belly unlikely to be proximally retracted?
QuestionWhat does Titanium fixation button (Endobutton) has?
QuestionWhat do Chronic untreated tears may require?
QuestionWhat is Distal triceps injury?
QuestionWhat is Risks?
QuestionWhat is “Flake Sign”?
QuestionIn Testable concepts, what should you remember about: Distal humerus fracture?
QuestionIn Testable concepts, what should you remember about: Nonoperative treatment only in elderly patients with comorbidities?
QuestionIn Testable concepts, what should you remember about: Surgical treatment?
QuestionWhat is ORIF?
QuestionWhat is TEA (semi-constrained)?
QuestionWhat is Radial head fracture?
QuestionWhat is Associated injuries?
QuestionWhat is Olecranon fracture?
QuestionIn Testable concepts, what should you remember about: “Terrible triad” injury consists of radial head fracture?
QuestionWhat is Treatment?
source p. 31

SECTION 1 INTRODUCTION#

QuestionWhat is Careful history?
QuestionWhat does Physical examination should include?
QuestionWhat are In absence of trauma and red-flag signs, plain radiographs?
QuestionWhat is False-positive magnetic resonance imaging (MRI)?

SECTION 2 CERVICAL SPINE#

QuestionWhat do Cervical spondylosis most commonly occur?
QuestionIn SECTION 2 CERVICAL SPINE, what should you remember about: Cervical nerve roots exit above their corresponding vertebrae?
QuestionWhat is Natural history of cervical spondylotic myelopathy?
QuestionWhat are False-positive MRIs?
QuestionWhat does Operative indications include?
QuestionWhat do Complications of anterior cervical discectomy and fusion include?
QuestionWhat is Canal-expanding laminoplasty?
QuestionIn SECTION 2 CERVICAL SPINE, what should you remember about: In selected cases, cervical total disc replacement may?
QuestionWhat are Surgical options for discogenic neck pain?
QuestionIn SECTION 2 CERVICAL SPINE, what should you remember about: Cervical stenosis.?
QuestionIn SECTION 2 CERVICAL SPINE, what should you remember about: Pavlov (Torg) ratio of less than 0.80 or?
QuestionWhat is Absolute stenosis?
QuestionIn SECTION 2 CERVICAL SPINE, what should you remember about: Rheumatoid spondylitis.?
QuestionWhat do In the cervical spine can commonly be asymptomatic but can present?
QuestionIn SECTION 2 CERVICAL SPINE, what should you remember about: Progressive cervical instability ssssecondary to pannus formation and?
QuestionWhat is AAS?
QuestionWhat is Surgery?
QuestionIn SECTION 2 CERVICAL SPINE, what should you remember about: Consideration for flexion/extension lateral cervical spine radiographs should?
QuestionWhat does Ankylosing spondylitis (AS) patients who present?
QuestionIn SECTION 2 CERVICAL SPINE, what should you remember about: Cervical spine injury can be associated with spinal?
QuestionWhat is Spinal shock?
QuestionWhat is Neurogenic shock?
QuestionWhat are Iiiincomplete spinal cord syndromes?
QuestionWhat is Central cord syndrome?
QuestionWhat is Anterior cord syndrome?
QuestionWhat does Brown-Séquard syndrome present?
QuestionWhat is Posterior cord syndrome?
QuestionWhat is Autonomic dysreflexia?

SECTION 3 THORACIC SPINE#

QuestionWhat are Most thoracic herniated discs?
QuestionWhat does Indications for surgery include?
QuestionWhat do Anterior transthoracic approaches allow direct access to the herniation but require?
QuestionWhat is Posterior laminectomy alone?
QuestionIn SECTION 3 THORACIC SPINE, what should you remember about: Posterior transpedicular, costotransversectomy, or posterolateral extracavitary approaches may?

I. Lumbar Degenerative Disc Disease#

QuestionWhat is Lumbar disc?
QuestionWhat is Most herniations are posterolateral, where the posterior longitudinal ligament?
source p. 32
QuestionIn Testable concepts, what should you remember about: Far lateral herniation or foraminal stenosis involves the?
QuestionIn Testable concepts, what should you remember about: Greater than 90% of patients seeking treatment for?
QuestionWhat are Failure to improve after 6 weeks warrants further investigation. Radiographs?
QuestionWhat is Surgery?
QuestionIn Testable concepts, what should you remember about: Outcomes from the Spine Patient Outcomes Research Trial?
QuestionIn Testable concepts, what should you remember about: No significant differences in primary outcome measures for?
QuestionIn Testable concepts, what should you remember about: However, trends favoring surgical intervention in primary outcome?
QuestionIn Testable concepts, what should you remember about: Statistically significant improvement in ssssecondary outcome measures for?
QuestionWhat are Workers’ compensation patients?
QuestionWhat does Complications include?
QuestionWhat do Treatment of dural tear include?

II. Lumbar Spinal Stenosis#

QuestionIn II. Lumbar Spinal Stenosis, what should you remember about: Spinal stenosis can be classified anatomically into central?
QuestionWhat is Central stenosis?
QuestionWhat is Lateral stenosis?
QuestionWhat is Foraminal stenosis?
QuestionIn II. Lumbar Spinal Stenosis, what should you remember about: Central stenosis that fails nonoperative management should be?
QuestionIn II. Lumbar Spinal Stenosis, what should you remember about: Lateral recess stenosis that fails nonoperative management should?
QuestionWhat is Residual foraminal stenosis?
QuestionIn II. Lumbar Spinal Stenosis, what should you remember about: Outcomes from the SPORT trial (4-year follow-up) demonstrated?

III. Spondylolysis And Spondylolisthesis#

QuestionWhat is Spondylolysis?
QuestionIn III. Spondylolysis And Spondylolisthesis, what should you remember about: Wiltse classification divided spondylolisthesis into six types, with?
QuestionWhat does Isthmic spondylolisthesis can present?

Pediatric#

QuestionIn III. Spondylolysis And Spondylolisthesis, what should you remember about: Low-grade (<50%) slips typically respond to nonoperative treatment?
QuestionWhat are High-grade (>50%) slips?

Adult#

QuestionIn III. Spondylolysis And Spondylolisthesis, what should you remember about: Associated with increased pelvic incidence.?
QuestionWhat does Operative treatment frequently require?
QuestionWhat is Degenerative spondylolisthesis?
QuestionWhat does Can present?
QuestionIn III. Spondylolysis And Spondylolisthesis, what should you remember about: Operative treatment for degenerative spondylolisthesis involves decompression of?
QuestionIn III. Spondylolysis And Spondylolisthesis, what should you remember about: Outcomes from the SPORT trial (4-year follow-up) demonstrated?

IV. Cauda Equina#

QuestionIn IV. Cauda Equina, what should you remember about: Typically ssssecondary to large extruded disc, surgical trauma?
QuestionIn IV. Cauda Equina, what should you remember about: Presents with bowel and bladder dysfunction, saddle anesthesia?
QuestionIn IV. Cauda Equina, what should you remember about: Urgent/emergent MRI can help assess for compression of?

I. ScoliosisdCoronal Plane Deformity#

QuestionWhat is Adult scoliosis?
QuestionWhat are Right thoracic curves greater than 50 degrees?
QuestionWhat is Sagittal plane imbalance?
QuestionWhat is Whether to end a fusion at L5 or S1 distally?

II. KyphosisdSagittal Plane Deformity#

QuestionWhat is Kyphosis?
QuestionWhat do Can occur ssssecondary to a variety of sources; however, common cause?
source p. 33

SECTION 6 SACROPELVIS#

QuestionWhat are Sacroiliac joint dysfunction and coccygodynia?
QuestionIn SECTION 6 SACROPELVIS, what should you remember about: In selected cases, sacroiliac fusions may be an?
QuestionWhat do Sacral insufficiency fractures can occur?

SECTION 7 SPINAL TUMORS#

QuestionWhat is Metastatic disease?
QuestionWhat do Red flags for metastatic disease include?
QuestionWhat is Multispecialty involvement?
QuestionWhat is MRI with gadolinium?
QuestionIn SECTION 7 SPINAL TUMORS, what should you remember about: CT scan of chest, abdomen, and pelvis can?
QuestionWhat is Wide excision?

Decompressive surgery techniques#

QuestionIn SECTION 7 SPINAL TUMORS, what should you remember about: Upper cervical spine (occiptio-atlanto-axial junction) typically posterior approach?
QuestionIn SECTION 7 SPINAL TUMORS, what should you remember about: Posterior element tumors addressed posteriorly with or without?
QuestionIn SECTION 7 SPINAL TUMORS, what should you remember about: Vertebral body tumors typically addressed anteriorly with or?
QuestionIn SECTION 7 SPINAL TUMORS, what should you remember about: Multilevel involvement.?

I. Osteodiscitis#

QuestionWhat does Most commonly present?
QuestionWhat are Radiographs?
QuestionWhat is the treatment for Treatment?
QuestionWhat are Surgical irrigation and débridement and bone grafting?
QuestionWhat is Pooosteogenic vertebral oooosteomyelitis?

II. Epidural Abscess#

QuestionWhat does Typically present?
QuestionWhat is the treatment for Management?

III. Tuberculosis Spondylitis#

Differs from posteogenic infections in several ways#

QuestionIn III. Tuberculosis Spondylitis, what should you remember about: Disc spaces typically preserved with tuberculosis spondylitis.?
QuestionIn III. Tuberculosis Spondylitis, what should you remember about: Associated spinal deformity more common (typically kyphosis).?
QuestionIn III. Tuberculosis Spondylitis, what should you remember about: More typically associated with large paravertebral abscess/ phlegmon.?
QuestionIn III. Tuberculosis Spondylitis, what should you remember about: More likely to spread along anterior longitudinal ligament?

IV. Ankylosing Spondylitis#

QuestionWhat does Associated with HLA-B27, but only 2% of patients with HLA-B27 have?
QuestionIn IV. Ankylosing Spondylitis, what should you remember about: Sacroiliac joint obliteration (iliac side affected first) and?
QuestionIn IV. Ankylosing Spondylitis, what should you remember about: Spine often becomes fused in kyphosis. Posterior extension?

V. Diffuse Idiopathic Skeletal Hyperostosis#

QuestionIn V. Diffuse Idiopathic Skeletal Hyperostosis, what should you remember about: Typically seen in older patients and more common?
QuestionWhat does Radiographs typically demonstrate?

I. Upper Cervical Spine Injuries (C1eC2)#

QuestionWhat is American Spine Injury Association classification of spinal cord injury?
QuestionIn I. Upper Cervical Spine Injuries (C1eC2), what should you remember about: C1 ring fractures may be stable or unstable?
QuestionWhat is the treatment for Odontoid fracture treatment?
QuestionWhat is Type I?
QuestionWhat is Type 2?
QuestionWhat do Risk factors for nonunion include?
QuestionWhat is the treatment for Surgical treatment?
QuestionWhat is Type 3?

Traumatic spondylolisthesis of C2 (hangman’s fracture)#

QuestionIn I. Upper Cervical Spine Injuries (C1eC2), what should you remember about: Fracture through pars of C2.?
QuestionWhat is Trial of external rigid orthosis?
QuestionWhat are Axial distraction with significant angulation/flexion (type IIa)?

II. Lower Cervical Spine (C3eC7)#

QuestionWhat does Bilateral facet joint dislocations demonstrate?
QuestionWhat is Timing of MRI in reduction of facet dislocations?
QuestionIn II. Lower Cervical Spine (C3eC7), what should you remember about: Most authors recommend obtaining an MRI prior to?
QuestionIn II. Lower Cervical Spine (C3eC7), what should you remember about: Closed reduction before MRI can be considered in?
source p. 34
QuestionWhat are syndromes most commonly associated with osteosarcoma?
QuestionWhat is A mass that?
QuestionWhat is the treatment for Radiation therapy?
QuestionIn Testable concepts, what should you remember about: External beam irradiation (most common) can be delivered?
QuestionIn Testable concepts, what should you remember about: Radiation may be delivered preoperatively (5000 cGy/50 Gy)?
QuestionIn Testable concepts, what should you remember about: Postoperative external beam irradiation (6600 cGy/66 Gy) yields?
QuestionIn Testable concepts, what should you remember about: Residual tumor may exist at the site of?
QuestionWhat is STS metastasis?
QuestionIn Testable concepts, what should you remember about: Epithelioid sarcoma, synovial sarcoma, angiosarcoma, rhabdomyosarcoma, and clear-cell?
QuestionWhat is Immunohistochemistry (IHC) marker that differentiates lipoma from liposarcoma?
QuestionWhat is Synovial sarcoma?
QuestionWhat does Translocation between chromosome 18 and the X chromosome dt(X;18)dis always present?
QuestionWhat does balanced translocation results in?
QuestionWhat is the treatment for Wide surgical resection with adjuvant radiotherapy?
QuestionWhat is Synovial sarcoma?
QuestionIn Testable concepts, what should you remember about: Lymph nodes may be involved (ESARC).?
QuestionWhat is Epithelioid sarcoma?
QuestionWhat is IHC?
QuestionWhat is Differential diagnosis?
QuestionWhat is Desmoid fibromatosis IHC?
QuestionWhat is Neurofibromatosis (von Recklinghausen disease)dgenes?
QuestionWhat does colony-stimulating factor-1 pathway that has?
QuestionWhat are Bone sarcomas metastasize primarily via the hematogenous route; the lungs?
QuestionIn Testable concepts, what should you remember about: Osteosarcoma and Ewing sarcoma may also metastasize to?
QuestionWhat does Osteoid osteoma has?
QuestionWhat is nidus?
QuestionWhat is Computed tomographyeguided radiofrequency ablation?
QuestionWhat is Osteoblastoma?
QuestionWhat is Size?
QuestionWhat is Osteosarcoma?
QuestionWhat is IHC?
QuestionWhat is Osteosarcoma?
QuestionIn Testable concepts, what should you remember about: Parosteal osteosarcoma (low-grade surface).?
QuestionWhat is Resection with a wide margin?
QuestionWhat is Low-grade lesion?
QuestionIn Testable concepts, what should you remember about: Ollier and Maffuci.?
QuestionWhat are Patients with multiple enchondromatosis?
QuestionWhat does Patients with Maffucci syndrome also have?
QuestionIn Testable concepts, what should you remember about: Osteochondroma?
QuestionWhat is Underlying cortex?
QuestionIn Testable concepts, what should you remember about: Multiple hereditary exostoses?
QuestionWhat is This?
QuestionWhat is Chondroblastoma treatment?
QuestionIn Testable concepts, what should you remember about: Chondromas of the hand (enchondromas)dthe lesions in patients?
QuestionWhat is Chondrosarcoma IHC?
QuestionIn Testable concepts, what should you remember about: Treatment.?
QuestionIn Testable concepts, what should you remember about: Wide surgical resection.?
QuestionWhat does Chemotherapy has?
QuestionIn Testable concepts, what should you remember about: Lymphoma of bone (non-Hodgkin lymphoma).?
QuestionIn Testable concepts, what should you remember about: A large soft tissue mass out of proportion?
QuestionWhat is IHC?

Treatment#

QuestionWhat is the treatment for Multiagent chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone)?
QuestionWhat is Surgery?
QuestionIn Testable concepts, what should you remember about: Giant cell tumor of bone.?
QuestionWhat does Stromal malignant cells produce?
QuestionIn Testable concepts, what should you remember about: Multinucleated giant cells express receptor activator for nuclear?
QuestionIn Testable concepts, what should you remember about: Aimed at removing the lesion, with preservation of?
QuestionWhat do Denosumab (Prolia), a human monoclonal antibody that binds RANKL, inhibit?
source p. 35
QuestionIn Testable concepts, what should you remember about: Extensive intralesional resection (removal of a large cortical?
QuestionIn Testable concepts, what should you remember about: Chemical cauterization may be used (phenol, peroxide).?
QuestionWhat is Area of defect?
QuestionIn Testable concepts, what should you remember about: Ewing sarcoma?
QuestionWhat is soft tissue component?
QuestionWhat is ICH?
QuestionWhat is A classic t(11?
QuestionWhat is Bone marrow biopsy?
QuestionWhat is Treatment?
QuestionWhat does Sstandard treatment include?
QuestionWhat is Sstandard for local tumor control?
QuestionIn Testable concepts, what should you remember about: Radiation therapy may be used primarily for pelvic?
QuestionIn Testable concepts, what should you remember about: Metastatic disease involves the lungs (50%), bone (25%)?

Poor prognostic factors include the following#

QuestionIn Testable concepts, what should you remember about: Spine and pelvic tumors.?
QuestionIn Testable concepts, what should you remember about: Tumors greater than 100 cm3 in diameter.?
QuestionIn Testable concepts, what should you remember about: A poor response to chemotherapy (<90% tumor cell?
QuestionIn Testable concepts, what should you remember about: P53 mutation and gene fusion products other than?
QuestionWhat is Treatment?
QuestionIn Testable concepts, what should you remember about: Aneurysmal bone cyst?
QuestionWhat is IHC?
QuestionWhat is Treatment?
QuestionIn Testable concepts, what should you remember about: Fibrous dysplasia?
QuestionWhat is Genetic mutation?
QuestionIn Testable concepts, what should you remember about: Increased production of cAMP.?
QuestionIn Testable concepts, what should you remember about: When endocrine abnormalities (especially precocious puberty) accompany multiple?
QuestionIn Testable concepts, what should you remember about: Metastatic bone disease?
QuestionIn Testable concepts, what should you remember about: In a patient older than 50 years with?
QuestionWhat are five carcinomas that?
QuestionWhat does Tumor cells secrete parathyroid hormone related peptide (PTHrP), which stimulate?
QuestionIn Testable concepts, what should you remember about: RANKL binds to the RANK receptor on the?
QuestionIn Testable concepts, what should you remember about: In the presence of granulocyte colony-stimulating factor, the?
QuestionIn Testable concepts, what should you remember about: With bone resorption, transforming growth factor-b, insulin-like growth?
QuestionWhat are Lesions distal to elbow and knee?
QuestionWhat is Lung primary?
QuestionWhat are Cortical metastases?
source p. 36
QuestionWhat is gait cycle?
QuestionWhat is Muscle action across the joints?
QuestionWhat do Loss of gluteus medius function leads to?
QuestionIn Testable concepts, what should you remember about: The soft tissue in the residual limb serves?
QuestionWhat is Risk factors for poor outcomes after amputation?
QuestionWhat do Common complications of amputation include?
QuestionWhat is More energy expenditure?
QuestionWhat is Pistoning of the transtibial prosthesis during swing phase?
QuestionWhat is Pistoning of the transtibial prosthesis during the stance phase?
QuestionIn Testable concepts, what should you remember about: Amputees ascend stairs by leading with the normal?
QuestionWhat do Medicare functional classification level provide?
QuestionWhat are Orthoses?
QuestionIn Testable concepts, what should you remember about: Oooorthopedic surgery can be considered for spasticity if?
source p. 37

TOP TESTABLE CONCEPTS#

QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Damage control oooorthopaedic principles involve staging the definitive?
QuestionWhat do Early appropriate care can lead to?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Lactate to <4.0 mmol/L.?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: pH >7.25.?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Base excess >5.5 mmol/L.?
QuestionWhat is Post-traumatic stress disorder (PTSD)?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Early identification of PTSD can shorten recovery.?
QuestionWhat are Women?
QuestionWhat is Antibioticsdadminister within 3 hours of injury. This?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Wounds should be primarily closed without undue tension?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Goal of definitive coverage in <7 days for?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: To correct angular deformity when nailingda blocking screw?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Compartment syndrome diagnosis intracompartmental pressure within 30 mm?
QuestionWhat is Tuberosity healing?
QuestionWhat are Low-demand/elderly patients most often?
QuestionWhat is Medial metadiaphyseal extension less than 8 mm (calcar <8 mm)?

Indications for open reduction and internal fixation (ORIF)#

QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Acute ORIF indicated for polytraumatized patients to facilitate?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: After nonoperative trialdtest gross mobility at 6 weeks?
QuestionWhat is Elbow instability?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Terrible triad of the elbow elbow dislocation with?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Aiiinteroposterior (AP) pelvis during the initial trauma evaluation?
QuestionWhat is If there?
QuestionWhat is If there?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: The pelvic outlet view allows optimal visualization of?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: The pelvic inlet view helps identify and minimize?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: The lateral sacral view identifies the iliac cortical?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Posterior wall fracture >15% should be stressed in?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Debride the gluteus minimus to minimize the risk?
QuestionWhat is Supra-acetabular corridor?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Superior ramus screw uses the inlet to avoid?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Sciatic nerve injury associated with posterior dislocations, especially?
QuestionWhat is Transverse posterior wall?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Conversion to a total hip arthroplasty (THA) more?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Comanagement care teams should be used in the?
QuestionWhat is the treatment for Timingddefinitive treatment in 24 hours?
QuestionWhat is Multimodal analgesia incorporating preoperative nerve block?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Tranexamic acid should be administered to reduce blood?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Goal of treatment to allow early weight bearing?
QuestionWhat is Hemiarthroplasty?
QuestionWhat is Cemented femoral component?
QuestionWhat is THA?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: 1-year mortality rate in elderly patients approximately 30%.?
QuestionWhat is Sliding hip screw (SHS)?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Lag screw placed in centerdcenter position with tip-apex?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Cephalomedullary nail (CMN) should be used in all?
QuestionWhat is SHS cheaper than short CMN, which?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: For atypical subtrochanteric fractures, make sure to get?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Hip dislocation divergent open reduction if irreducible after?
QuestionIn TOP TESTABLE CONCEPTS, what should you remember about: Postreduction radiographs (AP pelvis and Judet views) and?
source p. 38
QuestionWhat does Femoral head fracturesPipkin type III; associated femoral neck fracture has?
QuestionIn Testable concepts, what should you remember about: Femoral neck fracturedincreased vertical orientation associated with more?
QuestionIn Testable concepts, what should you remember about: Nonunion and avascular necrosis associated with vertical patterns?
QuestionWhat is Femoral neck nonuniondin young patients this?
QuestionIn Testable concepts, what should you remember about: Femur shaft.?
QuestionIn Testable concepts, what should you remember about: Early stabilization reduces systemic complications associated with multiply?
QuestionWhat does High incidence of malrotation use of a fracture table has?
QuestionWhat are Associated neck fractures?
QuestionIn Testable concepts, what should you remember about: Can be diagnosed with soft tissue windowing on?
QuestionIn Testable concepts, what should you remember about: Hypertrophic shaft nonuniondtreat with exchange nailing with larger?
QuestionIn Testable concepts, what should you remember about: Distal femur fractures.?
QuestionIn Testable concepts, what should you remember about: CT to evaluate for intra-articular extension or coronal?
QuestionWhat does Geriatric patients have?
QuestionWhat is Knee dislocationdif concern for vascular injury?
QuestionIn Testable concepts, what should you remember about: Ankle-brachial index <0.9, CT angiography?
QuestionIn Testable concepts, what should you remember about: Patella fractures.?
QuestionWhat is Nonoperative treatment?
QuestionWhat is Tension band wiring?
QuestionWhat does Quad tendondsuture anchor fixation shown to have?
QuestionIn Testable concepts, what should you remember about: Tibia plateau fracture.?
QuestionIn Testable concepts, what should you remember about: Lateral meniscus tears most common in split depression?
QuestionIn Testable concepts, what should you remember about: Nonoperative treatment indicated in stable knees (<10 degrees?
QuestionIn Testable concepts, what should you remember about: Maintenance of mechanical axis correlates most with a?
QuestionIn Testable concepts, what should you remember about: Best treatment to prevent loss of articular reduction?
QuestionIn Testable concepts, what should you remember about: Tibia shaft fracture.?
QuestionIn Testable concepts, what should you remember about: High rate of compartment syndrome higher in younger?
QuestionIn Testable concepts, what should you remember about: Semiextended nailingdimproved ease of iiiintraoperative imaging; improved reduction?
QuestionWhat does Suprapatellar has?
QuestionIn Testable concepts, what should you remember about: Proximal-third tibial fractures associated with valgus and apex?
QuestionIn Testable concepts, what should you remember about: Blocking screws placed in the metaphyseal segment at?
QuestionIn Testable concepts, what should you remember about: Tibia shaft nonunion.?
QuestionIn Testable concepts, what should you remember about: Infection must be ruled out.?
QuestionWhat is Reamed-exchange nailing?
QuestionIn Testable concepts, what should you remember about: Corner fractures (at junction of metaphysis and physis)?
QuestionWhat is In pediatric patients, multiorgan failure from polytrauma?
QuestionIn Testable concepts, what should you remember about: Supracondylar humerus fracture.?
QuestionIn Testable concepts, what should you remember about: Anterior interosseous nerve injury most common for extension-type?
QuestionIn Testable concepts, what should you remember about: Ulnar nerve injury usually iatrogenic from medial pinning?
QuestionIn Testable concepts, what should you remember about: Immediate surgery indicated in presence of vascular compromise?
QuestionIn Testable concepts, what should you remember about: Well-perfused hand, absence of pulse (“pink, pulseless hand”)dpulse?
QuestionIn Testable concepts, what should you remember about: Poorly perfused hand, absence of pulse then emergent?
QuestionIn Testable concepts, what should you remember about: Medial epicondyle.?
QuestionWhat is If apophysis?
QuestionWhat is Iiiincarceration of the fragment?
QuestionIn Testable concepts, what should you remember about: Femur shaft fracture.?
QuestionIn Testable concepts, what should you remember about: Patient younger than 5 years can be treated?
QuestionWhat is Compartment syndrome?
QuestionIn Testable concepts, what should you remember about: Rigid nailingdtrochanteric or lateral entry nailing required.?
QuestionIn Testable concepts, what should you remember about: Piriformis entry nailing must be avoided because it?
QuestionIn Testable concepts, what should you remember about: Distal femur.?
QuestionIn Testable concepts, what should you remember about: Smooth wires can be placed across the physis?
QuestionIn Testable concepts, what should you remember about: Fixation across the Thurston-Holland fragment to the rest?
QuestionIn Testable concepts, what should you remember about: Growth arrest very common (30%e50%); patients and families?
QuestionIn Testable concepts, what should you remember about: This should be monitored for 1 to 2?
source p. 39
QuestionWhat is Four major principles in medical ethics?
QuestionWhat are Conflicts of interest?
QuestionWhat is Most common conflicts?
QuestionWhat do American Academy of Oooorthopaedic Surgeons Ssstandards of Professionalism represent?
QuestionWhat does Child abuse laws require?
QuestionWhat is Medical negligence comprises four elements?
QuestionWhat is Physician-patient communication?
QuestionWhat are Supervisors?
QuestionWhat are Residents/fellows?
source p. 40
QuestionIn Testable concepts, what should you remember about: Observational research designs can be prospective, retrospective, or?
QuestionWhat are Clinical trials?
QuestionIn Testable concepts, what should you remember about: The gold sstandard and highest level of evidence?
QuestionWhat are Pragmatic clinical research studies (whether experimental or observational)?
QuestionWhat are Confounding variables?
QuestionWhat is Bias?
QuestionIn Testable concepts, what should you remember about: Control groups can help account for potential influence?
QuestionWhat are Studies that have adequate statistical “power”?
QuestionWhat is More subjects/samples/observations are needed if you hypothesize the expected effect?
QuestionWhat does Studies with low statistical power have?
QuestionWhat are Mean, median, mode, range, and sstandard deviation?
QuestionIn Testable concepts, what should you remember about: The confidence interval quantifies the precision of the?
QuestionWhat are Outliers?
QuestionWhat is Prevalence?
QuestionWhat are the complications of Iincidence (absolute risk)?
QuestionIn Testable concepts, what should you remember about: Odds ratios and relative risks can be calculated?
QuestionIn Testable concepts, what should you remember about: Relative risk and odds ratio describe the risk?
QuestionWhat is Sensitivity?
QuestionWhat is Specificity?
QuestionWhat are Receiver operating characteristic curves?
QuestionWhat are Parametric statistics?
QuestionWhat are In general, t-tests?
QuestionWhat is Post hoc testing?
QuestionIn Testable concepts, what should you remember about: Correlation coefficients range in value from 1.0 to?
QuestionWhat is Regression?
QuestionWhat is Logistic regression?
QuestionIn Testable concepts, what should you remember about: Chi-square (c2?
QuestionIn Testable concepts, what should you remember about: Accuracy/validity describes alignment with grounded truth/reality.?
QuestionIn Testable concepts, what should you remember about: Precision/reliability describes the ability to replicate/agree with repeated?
QuestionIn Testable concepts, what should you remember about: Intraclass correlation coefficients range from 0 to 1.0?
QuestionWhat is P values less than 0.05 mean there?
QuestionIn Testable concepts, what should you remember about: However, statistical significance does not imply clinical importance.?
QuestionWhat is Minimal clinically important differences?
QuestionWhat are Effect sizes?
source p. 41
QuestionWhat is Type I error (alpha [a] error)?
QuestionWhat is Type II error (beta [b] error)?
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