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

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

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source p. 1

I. Bone#

QuestionWhat is the key point about Haversian canals?

Cellular biology#

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

Bone grafts have three properties#

QuestionIn Bone grafts have three properties, what should you remember about: Osteoconductive acts as a scaffold for bone growth?
QuestionIn Bone grafts have three properties, what should you remember about: Osteoinductivedgrowth factors that stimulate bone formation; BMP?
QuestionIn Bone grafts have three properties, what should you remember about: Osteogenicdcells that will produce bone; primitive mesenchymal cells?
QuestionWhat is the key point about Calcium phosphate-based grafts?
QuestionWhat should you know about Resorption rates?
QuestionWhat is the key point about The primary homeostatic regulators of serum calcium?
QuestionIn Bone grafts have three properties, what should you remember about: Bone mass peaks between 16 and 25 years?
QuestionWhat is the key point about Both urinary hydroxyproline and pyridinoline cross-links?
QuestionIn Bone grafts have three properties, what should you remember about: Serum alkaline phosphatase increases when bone formation increases.?
QuestionWhat is the key point about The most common cause of hypercalcemia?
QuestionWhat is the key point about Renal osteodystrophy?
QuestionWhat is the key point about Rickets (in children) and osteomalacia (in adults)?
QuestionWhat is the key point about Premature arrest following growth plate injury?
QuestionWhat is the key point about Osteoporosis?
QuestionWhat is the key point about Loss of function of the OPG gene?
QuestionWhat is the key point about Treatment of osteoporosis?
QuestionWhat is the key point about Scurvy?
source p. 2
QuestionWhat is the key point about Osteogenesis imperfecta?

II Cartilage and Joint#

QuestionWhat is the key point about Cartilage?
QuestionIn II Cartilage and Joint, what should you remember about: Composed of water (75%) > collagen (25% wet?
QuestionIn II Cartilage and Joint, what should you remember about: Collagen contributes to viscoelastic behavior by restraining “swelling”?
QuestionWhat is the key point about Aggrecan?
QuestionWhat is the key point about Increases osmotic pressure and?
QuestionWhat is the key point about Chondrocytes?
QuestionIn II Cartilage and Joint, what should you remember about: BMP-2 and the transcriptional factor SOX-9 important in?
QuestionIn II Cartilage and Joint, what should you remember about: Have cilia that serve as mechanosensory organs or?

Articular (hyaline) cartilage layers#

QuestionWhat is the key point about Zone 1 (superficial)?
QuestionWhat is the key point about Zone 2 (middle or transition)?
QuestionWhat is the key point about Zone 3 (deep)?
QuestionIn Articular (hyaline) cartilage layers, what should you remember about: Zone 4 (calcified cartilage) contains type X collagen?

Growth factors#

QuestionIn Growth factors, what should you remember about: IL-1 stimulates MMP, COX-2, and nitric oxide synthetase?
QuestionIn Growth factors, what should you remember about: TGF-b stimulates synthesis of ECM and decreased activity?

Mechanical Stress Response#

QuestionWhat is the key point about Physiologic loading?
QuestionIn Mechanical Stress Response, what should you remember about: Physiologic stress stimulates matrix synthesis?
QuestionIn Mechanical Stress Response, what should you remember about: Excess stress promotes chondrolysis?
QuestionIn Mechanical Stress Response, what should you remember about: Both strenuous loading and underloading lead to cartilage?

Changes with aging#

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

Changes with arthritis#

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

Rheumatoid arthritis#

QuestionWhat is the key point about Rheumatoid factor?
QuestionIn Rheumatoid arthritis, what should you remember about: Anti-CCP test more sensitive and specific, and presence?

DMARDs#

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

Crystalline arthropathies#

QuestionWhat should you know about Gout?
QuestionWhat should you know about Pseudogout?

III Muscle#

QuestionWhat is the key point about A-band?
QuestionWhat is the key point about I-band?
QuestionWhat is the key point about Z-disk?
QuestionWhat is the key point about Motor unit?

Contraction#

QuestionIn Contraction, what should you remember about: ACh diffuses across the synaptic cleft and binds?
QuestionWhat is the key point about Myasthenia gravis?
QuestionIn Contraction, what should you remember about: Botulinum A reduces spasticity by blocking presynaptic acetylcholine?
QuestionIn Contraction, what should you remember about: Following muscle injury, TGF-b stimulates proliferation of myofibroblasts?
QuestionWhat is the key point about Delayed-onset muscle soreness?

IV Tendon#

QuestionIn IV Tendon, what should you remember about: Composed of water (50%-60%), collagen (75% dry weight?
QuestionWhat is the key point about Elastin?
QuestionWhat is the key point about Decorin?
QuestionWhat is the key point about Sheathed tendons?
QuestionWhat should you know about Note?
QuestionIn IV Tendon, what should you remember about: Following injury, the inflammatory stage is the weakest?
QuestionIn IV Tendon, what should you remember about: Tendon enthesis responsible for nociception.?
QuestionIn IV Tendon, 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?
QuestionIn V. Ligament, what should you remember about: Following injury, healing ligament demonstrates increased collagen fibers?
QuestionIn V. Ligament, what should you remember about: Like tendons, ligaments have direct or indirect (Sharpey?

VI Neural Tissue and Intervertebral Disc#

QuestionWhat is the key point about Myelin sheath?
QuestionIn VI Neural Tissue and Intervertebral Disc, what should you remember about: Action potential created when neurotransmitters cross synapse and?

Intervertebral disc#

QuestionWhat is the key point about Nucleus pulposus derived from notochord and?
QuestionIn Intervertebral disc, what should you remember about: Annulus fibrosis derived from mesoderm?
QuestionIn Intervertebral disc, what should you remember about: Avascular; nutrients and fluid diffuse from vertebral end?
source p. 3
QuestionWhat is the key point about Early degenerative disc disease?
QuestionWhat is the key point about Aging disc?
QuestionIn this topic, what should you remember about: Fibronectin cleavage and fragmentation associated with degeneration?

I. Cellular and Molecular Biology#

QuestionWhat is the key point about Antibodies against nuclear content (ANAs)?
QuestionWhat is the key point about Alterations in ploidy?
QuestionWhat is the key point about Marfan syndrome and malignant hyperthermia?
QuestionWhat is the key point about Duchenne muscular dystrophy?
QuestionWhat is the key point about Fluorescent in situ hybridization?
QuestionWhat should you know about t(X;18)?
QuestionWhat should you know about t(11;22)?
QuestionWhat should you know about t(12;22)?
QuestionWhat is the key point about Bacterial lipopolysaccharide?
QuestionWhat is the key point about Adaptive immunity?
QuestionWhat is the key point about Cell-mediated hypersensitivity (type IV)?

II Infection and Microbiology#

QuestionIn II Infection and Microbiology, what should you remember about: Roughly 80% of orthopaedic infections are due to?
QuestionWhat should you know about CA-MRSA at-risk groups?
QuestionWhat is the key point about C-reactive protein?
QuestionWhat is the key point about Necrotizing fasciitis?
QuestionIn II Infection and Microbiology, what should you remember about: Requires early debridement/amputation above level of infection.?
QuestionWhat is the key point about Only 100 bacteria?
QuestionWhat should you know about Three basic mechanisms of antibiotic resistance have been identified?
QuestionIn II Infection and Microbiology, what should you remember about: Superantigens like TSS toxin-1 trigger cytokine release from?
QuestionWhat is the key point about Smoking?
QuestionIn II Infection and Microbiology, what should you remember about: Hyperglycemia impairs wound healing and decreases ability to?
QuestionIn II Infection and Microbiology, what should you remember about: Lyme arthritis can be treated effectively with oral?
QuestionIn II Infection and Microbiology, what should you remember about: Clostridium tetani produces an exotoxin leading to tetanospasm.?
QuestionWhat is the key point about Sequestrum?
QuestionWhat is the key point about MRI?
QuestionIn II Infection and Microbiology, what should you remember about: Kingella kingae can be difficult to culture; PCR?
QuestionWhat is the key point about Staphylococcus epidermidis?
QuestionIn II Infection and Microbiology, what should you remember about: Antibiotic therapy according to the Gustilo classification of?
QuestionWhat should you know about Gustilo I and II?
QuestionWhat should you know about Gustilo IIIA?
QuestionWhat should you know about Gustilo IIIB (grossly contaminated)?

Antibiotics#

QuestionIn Antibiotics, what should you remember about: Aminoglycosides inhibit translation through irreversible binding of the?
QuestionIn Antibiotics, what should you remember about: Cephalosporins inhibit cell wall production by preventing peptidoglycan?
QuestionIn Antibiotics, what should you remember about: Glycopeptides, such as vancomycin, inhibit cell wall production?
QuestionIn Antibiotics, what should you remember about: Rifamycin inhibits DNA-dependent RNA polymerase F and displays?
QuestionIn Antibiotics, what should you remember about: Macrolides, like erythromycin, bind the 50S ribosomal subunits.?
QuestionIn Antibiotics, what should you remember about: Fluoroquinolones, such as ciprofloxacin, inhibit DNA gyrase.?
QuestionIn Antibiotics, what should you remember about: Beta-lactam antibiotics, like penicillin, inhibit peptidoglycan synthesis by?

I. Thromboprophylaxis#

QuestionWhat should you know about 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 the key point about Rivaroxaban?
QuestionWhat is the key point about Lactate?

II Perioperative Disease and Comorbidities#

QuestionWhat should you know about Ratio of 1?
QuestionIn II Perioperative Disease and Comorbidities, what should you remember about: Fat embolism syndrome classical triad 1⁄4 petechial rash?
QuestionWhat is the key point about Malignant hyperthermia?
QuestionIn II Perioperative Disease and Comorbidities, what should you remember about: Caused by an uncontrolled release of calcium?
QuestionIn II Perioperative Disease and Comorbidities, what should you remember about: Triggered by volatile anesthetics (and succinylcholine)?
QuestionWhat is the key point about Early sign?
QuestionWhat is the key point about Treatment?

Increased radiation exposure associated with#

QuestionIn Increased radiation exposure associated with, what should you remember about: Imaging of larger body parts?
QuestionIn Increased radiation exposure associated with, what should you remember about: Positioning the extremity closer to the x-source?
QuestionIn Increased radiation exposure associated with, what should you remember about: Use of large C-arm rather than mini C-arm?
QuestionIn Increased radiation exposure associated with, what should you remember about: 3.0 T MRI has 9x greater proton energy?
source p. 4

II Biomaterials and Biomechanics#

QuestionWhat is the key point about Work?
QuestionWhat is the key point about Energy?
QuestionWhat is the key point about Potential energy?
QuestionWhat should you know about Kinetic energy is energy caused by motion?
QuestionWhat is the key point about Stress?
QuestionWhat is the key point about Strain?
QuestionIn II Biomaterials and Biomechanics, what should you remember about: Young’s modulus of elasticity (E) 1⁄4 stress/strain.?
QuestionIn II Biomaterials and Biomechanics, what should you remember about: Unique for every material?
QuestionWhat should you know about High E to low E?
QuestionWhat is the key point about Viscoelastic materials?
QuestionWhat is the key point about Isotropic materials?
QuestionWhat is the key point about Anisotropic materials?

Corrosion#

QuestionWhat is the key point about Galvanic corrosion?
QuestionWhat is the key point about Crevice corrosion?
QuestionIn Corrosion, what should you remember about: Fretting corrosion comes from small movements abrading the?
QuestionWhat is the key point about Stress corrosion?

Joint arthrodesis#

QuestionWhat should you know about Hip?
QuestionWhat should you know about Knee?
QuestionWhat should you know about Ankle?
QuestionWhat should you know about Shoulder?
QuestionWhat should you know about Elbow?
QuestionWhat should you know about Wrist?
source p. 5
QuestionIn this topic, what should you remember about: The mnemonic “SAME” can be used to help?

SECTION 2 UPPER EXTREMITY#

QuestionWhat should you know about Suprascapular notch?
QuestionWhat is the key point about Coracoacromial ligament?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Beware of the anterosuperior glenoid labral variantdmay cause?
QuestionWhat is the key point about Posterior sternoclavicular ligament?
QuestionWhat is the key point about Conoid ligament?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Radial head should line up with capitellum at?
QuestionWhat is the key point about Anterior bundle of ulnar collateral ligament?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Ossification of the bones of the wrist begins?
QuestionWhat should you know about Space of Poirier?
QuestionWhat is the key point about 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 should you know about Four preclavicular brachial plexus branches?
QuestionWhat is the key point about All minor medial and lateral cord branches?
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 is the key point about Each part of the axillary artery?
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 shoulder, watch out for?
QuestionIn SECTION 2 UPPER EXTREMITY, what should you remember about: Keep dissection above teres minor during posterior approach?
QuestionWhat is the key point about Brachialis?
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?
QuestionIn SECTION 3 LOWER EXTREMITY, what should you remember about: Posterior approach to the hip, quadratus transection leads?
QuestionWhat is the key point about Slipped capital femoral epiphysis?
QuestionWhat is the key point about Distal femur?
QuestionWhat is the key point about Iliofemoral ligament?
QuestionWhat should you know about Three lower extremity 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 is the key point about ACL?
QuestionWhat is the key point about Posterior oblique ligament resists internal rotation and?
QuestionWhat is the key point about PCL?
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 the key point about 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 this topic, what should you remember about: Intermediate cuneiform does not extend as far distally?
QuestionWhat is the key point about Bony avulsion of AITFL in adolescents?
QuestionIn this topic, what should you remember about: CFL crosses both the ankle and the subtalar?
QuestionIn this topic, what should you remember about: Plantar calcaneonavicular ligament (spring ligament) supports head of?
QuestionIn this topic, what should you remember about: Lisfranc ligament connects medial (shortest) cuneiform to second?
QuestionIn this topic, what should you remember about: Digital nerve courses in a plantar direction under?
QuestionWhat should you know about L5 nerve root on anterior sacrum?

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

QuestionIn Mnemonic: “POP’S IQ” (nerves exiting below piriformis), what should you remember about: Pudendal nerve, internal pudendal artery and vein, and?
QuestionIn Mnemonic: “POP’S IQ” (nerves exiting below piriformis), what should you remember about: Femoral nerve lies between the iliacus and psoas?
QuestionIn Mnemonic: “POP’S IQ” (nerves exiting below piriformis), what should you remember about: Pain from the hip can be referred to?
QuestionIn Mnemonic: “POP’S IQ” (nerves exiting below piriformis), what should you remember about: Sciatic nerve passes anterior to piriformis and posterior?
QuestionIn Mnemonic: “POP’S IQ” (nerves exiting below piriformis), what should you remember about: Tibial nerve supplies all intrinsic foot muscles except?
QuestionWhat is the key point about Most proximal branch of the lateral plantar nerve?
QuestionIn Mnemonic: “POP’S IQ” (nerves exiting below piriformis), what should you remember about: Superior gluteal nerve approximately 5 cm proximal to?
QuestionIn Mnemonic: “POP’S IQ” (nerves exiting below piriformis), what should you remember about: Obturator artery and vein jeopardized by anteroinferior screws?
QuestionWhat is the key point about Corona mortis?
QuestionIn Mnemonic: “POP’S IQ” (nerves exiting below piriformis), what should you remember about: Ascending branch of LFCA (at risk for injury?

SECTION 4 SPINE#

QuestionWhat should you know about Normal spine sagittal alignment?
QuestionIn SECTION 4 SPINE, what should you remember about: 50% of total neck flexion and extension occurs?
QuestionIn SECTION 4 SPINE, what should you remember about: Vertebral artery travels in the transverse foramina of?
QuestionIn SECTION 4 SPINE, what should you remember about: 66% of lordosis occurs in the region from?
QuestionWhat is the key point about Lumbar spinedthe 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?
QuestionIn SECTION 4 SPINE, what should you remember about: Injury to the recurrent laryngeal nerve with right-sided?
QuestionWhat is the key point about 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 the key point about Sprengel deformity?
QuestionWhat is the key point about 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 should you know about Proximal femur?
QuestionWhat should you know about Distal femur?
QuestionWhat should you know about Proximal tibia?

SECTION 3 HIP AND FEMUR#

QuestionWhat is the key point about Risk factors for developmental dysplasia of the hip (DDH)?
QuestionWhat is the key point about Obstructions to closed reduction for DDH?
QuestionWhat is the key point about Pavlik harness treatment?
QuestionIn SECTION 3 HIP AND FEMUR, what should you remember about: Hyperflexion can cause femoral nerve palsy.?
QuestionIn SECTION 3 HIP AND FEMUR, what should you remember about: If unsuccessful in helping with reduction, can cause?
QuestionIn SECTION 3 HIP AND FEMUR, what should you remember about: Most prognostic classification for Legg-Calvé-Perthes disease is the?
QuestionWhat is the key point about Maintaining sphericity of the femoral head?
QuestionWhat is the key point about SCFE?
QuestionIn SECTION 3 HIP AND FEMUR, what should you remember about: Approximately 25% of SCFE cases are bilateral.?
QuestionWhat is the key point about Treatment for SCFE?
QuestionWhat is the key point about Blood culture medium?
QuestionIn SECTION 3 HIP AND FEMUR, what should you remember about: Methicillin-resistant Staphylococcus aureus with a PVL gene mutation?
QuestionWhat is the key point about Joints with intraarticular metaphyses?

SECTION 4 KNEE AND LEG#

QuestionWhat is the key point about Blount disease treatment?
QuestionWhat is the key point about Posteromedial bowing?
QuestionWhat is the key point about Anteromedial bowing?
QuestionWhat is the key point about Anterolateral bowing?
QuestionWhat is the key point about Healing rates for osteochondritis dissecans?

I Clubfoot#

QuestionIn I Clubfoot, what should you remember about: CAVEdcavus, adduction of forefoot, varus of hindfoot, equinus.?
QuestionWhat is the key point about Also?
QuestionIn I Clubfoot, what should you remember about: Most cases require Achilles tenotomy at end of?
QuestionIn I Clubfoot, what should you remember about: Associated with absence of or diminutive anterior tibial?
QuestionIn I Clubfoot, what should you remember about: Foot abduction brace critical for preventing recurrence.?
QuestionIn I Clubfoot, what should you remember about: Recurrence treated with trial of recasting.?

II Pes Cavus#

QuestionIn II Pes Cavus, what should you remember about: Up to 67% of cases due to neurologic?
QuestionIn II Pes Cavus, what should you remember about: Charcot-Marie-Tooth disease most common (PMP22).?
QuestionIn II Pes Cavus, what should you remember about: Spinal magnetic resonance imaging (MRI) required to evaluate.?

III Congenital Vertical Talus#

QuestionIn III Congenital Vertical Talus, what should you remember about: Irreducible dorsal dislocation of the navicular on the?
QuestionIn III Congenital Vertical Talus, what should you remember about: Navicular does not reduce on forced plantar-flexion lateral?
QuestionIn III Congenital Vertical Talus, what should you remember about: Initial treatment with serial manipulation and casting followed?

IV Tarsal Coalition#

QuestionWhat is the key point about Sinus tarsi pain?
QuestionIn IV Tarsal Coalition, what should you remember about: Limited subtalar motion on examination.?
QuestionIn IV Tarsal Coalition, what should you remember about: Computed tomography best study for assessing talocalcaneal (TC)?

Treatment for TC coalitions#

QuestionWhat should you know about Less than 50% of the middle facet involved?
QuestionWhat should you know about More than 50% of the middle facet involved?

V Calcaneovalgus Foot#

QuestionIn V Calcaneovalgus Foot, what should you remember about: Dorsiflexed (calcaneus) hindfoot.?
QuestionIn V Calcaneovalgus Foot, what should you remember about: In contrast to congenital vertical talus, in which?
QuestionIn V Calcaneovalgus Foot, what should you remember about: Associated with posteromedial bowing of tibia and leg?

VI Kohler Disease (Osteonecrosis of Navicular)#

QuestionIn VI Kohler Disease (Osteonecrosis of Navicular), what should you remember about: Sclerosis and flattening of navicular.?
QuestionIn VI Kohler Disease (Osteonecrosis of Navicular), what should you remember about: Spontaneous resolution; can be treated with immobilization.?

VII Pes Planus#

QuestionIn VII Pes Planus, what should you remember about: Asymptomatic patients should be monitored with observation.?
QuestionWhat should you know about Symptomatic patients?

I Adolescent Idiopathic Scoliosis#

QuestionIn I Adolescent Idiopathic Scoliosis, what should you remember about: Abnormal neurologic findings, left thoracic curves, or painful?
source p. 8

Observation#

QuestionIn Observation, what should you remember about: Skeletally immature patients with curves less than 20?
QuestionIn Observation, what should you remember about: Skeletally mature patients with curves less than 45?
QuestionIn Observation, what should you remember about: Bracing for curves of more than 25 degrees?
QuestionIn Observation, what should you remember about: 90% effective when worn more than 12 to?
QuestionIn Observation, what should you remember about: Surgery (posterior spine fusion) for curves greater than?
QuestionWhat is the key point about Intraoperative spinal cord monitoring?
QuestionWhat is the key point about If changes?

II Infantile Idiopathic Scoliosis#

QuestionWhat is the key point about Idiopathic scoliosis that?
QuestionIn II Infantile Idiopathic Scoliosis, what should you remember about: Most curves resolve spontaneously.?
QuestionIn II Infantile Idiopathic Scoliosis, what should you remember about: Rib-vertebra angle difference predicts risk of progression.?
QuestionWhat should you know about Less than 20 degrees?
QuestionWhat should you know about More than 20 degrees?
QuestionIn II Infantile Idiopathic Scoliosis, what should you remember about: Initial treatment with Mehta derotational cast.?

III Congenital Spinal Deformities#

QuestionIn III Congenital Spinal Deformities, what should you remember about: High incidence of associated abnormalities.?
QuestionWhat should you know about Intraspinal abnormality?
QuestionWhat should you know about Cardiac system?
QuestionWhat should you know about Genitourinary system?
QuestionIn III Congenital Spinal Deformities, what should you remember about: Unilateral bar with contralateral fully segmented hemivertebrae associated?

IV Neuromuscular Scoliosis#

QuestionIn IV Neuromuscular Scoliosis, what should you remember about: Duchenne muscular dystrophy.?
QuestionWhat is the key point about Surgery indicated when curve?
QuestionWhat is the key point about Curve progression?
QuestionIn IV Neuromuscular Scoliosis, what should you remember about: Cerebral palsy (CP)?
QuestionIn IV Neuromuscular Scoliosis, what should you remember about: Fusion from T2 to the pelvis in nonambulatory?
QuestionIn IV Neuromuscular Scoliosis, what should you remember about: High complication rates but improved caregiver satisfaction.?

A Klippel-Feil#

QuestionIn A Klippel-Feil, what should you remember about: Abnormalities in multiple cervical segments as a result?
QuestionIn A Klippel-Feil, what should you remember about: Associated with renal and congenital h-art disease, auditory?
QuestionIn A Klippel-Feil, what should you remember about: With multilevel fusion of the cervical spine, any?

Treatment#

QuestionWhat should you know about Symptoms for less than 1 week?
QuestionWhat should you know about Symptoms for between 1 and 4 weeks?
QuestionWhat should you know about Symptoms for longer than 1 month?
QuestionWhat should you know about Irreducible dislocation of C1eC2 or recurrent instability of C1eC2?

VI Spondylolysis and Spondylolisthesis#

QuestionIn VI Spondylolysis and Spondylolisthesis, what should you remember about: Seen in athletes who use hyperextension.?
QuestionIn VI Spondylolysis and Spondylolisthesis, what should you remember about: Patient with high-grade listhesis (>50%) may have flexed?

Slip angle#

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

Pelvic incidence (PI)#

QuestionWhat should you know about Sum of pelvic tilt (PT) and sacral slope (SS)?
QuestionWhat is the key point about Increased PI?
QuestionIn Pelvic incidence (PI), what should you remember about: Acute spondylolysis treated with an antilordotic brace (thoracolumbosacral?

A Infectious Spondylitis#

QuestionWhat is the key point about Loss of lumbar lordosis?

B Osteoid Osteoma#

QuestionIn B Osteoid Osteoma, what should you remember about: Night pain relieved by nonsteroidal anti-inflammatory drugs; central?
QuestionIn B Osteoid Osteoma, what should you remember about: Can be associated with scoliosis.?

C Sacral Agenesis#

QuestionIn C Sacral Agenesis, what should you remember about: Associated with maternal diabetes.?
QuestionWhat is the key point about 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 the key point about Botulinum toxin’s mechanism of action?
QuestionWhat is the key point about CP hips at risk?

SECTION 8 NEUROMUSCULAR DISORDERS#

QuestionWhat should you know about Lowest functional level in myelodysplasia?
QuestionWhat is the key point about Myelomeningocele?
QuestionWhat is the key point about Duchenne muscular dystrophy?
QuestionWhat is the key point about Friedreich ataxia?

I. Achondroplasia#

QuestionIn I. Achondroplasia, what should you remember about: Most common disproportionate short-limbed dwarfism.?
QuestionWhat is the key point about Most commonly?
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 should you know about Pelvic radiographs?
source p. 9

II Pseudoachondroplasia#

QuestionIn II Pseudoachondroplasia, what should you remember about: Defect of cartilage oligomeric matrix protein (COMP) on?

III Multiple Epiphyseal Dysplasia#

QuestionWhat is the key point about Most common gene mutation?
QuestionIn III Multiple Epiphyseal Dysplasia, what should you remember about: Can be confused with Legg-Calvé-Perthes disease. Multiple epiphyseal?

IV Mucopolysaccharidosis#

QuestionIn IV Mucopolysaccharidosis, what should you remember about: Most autosomal recessive (except Hurler syndrome, which is?
QuestionIn IV Mucopolysaccharidosis, what should you remember about: Pr-operative cervical spine radiographs should always be obtained?

V Diastrophic Dysplasia#

QuestionIn V Diastrophic Dysplasia, what should you remember about: Deficiency in DTDST gene, which codes for sulfate?
QuestionIn V Diastrophic Dysplasia, what should you remember about: Associated with rigid clubfeet, cauliflower ears, and hitchhiker’s?

VI Osteopetrosis#

QuestionIn VI Osteopetrosis, what should you remember about: Failure of osteoclastic resorption leading to dense bone?
QuestionWhat is the key point about The mild form?
QuestionWhat is the key point about 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 should you know about Atlantodens interval (ADI) less than 4.5 mm?
QuestionWhat should you know about ADI 4.5 to 10 mm?
QuestionIn Cervical spine instability general recommendations, what should you remember about: ADI over 10 mm or symptoms/cord signal changes?
QuestionIn Cervical spine instability general recommendations, what should you remember about: Complication rate of up to 50% reported.?

II Marfan Syndrome#

QuestionIn II Marfan Syndrome, what should you remember about: Defect in fibrillin-1 (FBN1).?
QuestionIn II Marfan Syndrome, what should you remember about: Autosomal dominant inheritance.?
QuestionIn II Marfan Syndrome, what should you remember about: Associated with pectus deformities, scoliosis, acetabular protrusion.?
QuestionWhat is the key point about Echocardiographic and cardiologic evaluation?

III Beckwith-Wiedemann Syndrome#

QuestionIn III Beckwith-Wiedemann Syndrome, what should you remember about: Mutation of chromosome 11 near the IGF gene.?
QuestionIn III Beckwith-Wiedemann Syndrome, what should you remember about: Hemihypertrophy, spasticity, organomegaly, omphalocele, macroglossia.?
QuestionIn III Beckwith-Wiedemann 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 should you know about 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 should you know about Osteomyelitis?

II Rickets#

QuestionIn II Rickets, what should you remember about: Short stature and genu varum.?
QuestionIn II Rickets, what should you remember about: Physeal widening and metaphyseal cupping on radiographs.?
QuestionWhat should you know about X-linked hypophosphatemic (vitamin D-resistant) rickets?

III Osteogenesis Imperfecta#

QuestionWhat is the key point about Defect in type I collagen (COL1A1 and COL1A2 genes) that?
QuestionIn III Osteogenesis Imperfecta, what should you remember about: Blue sclerae in types I and II.?
QuestionIn III Osteogenesis Imperfecta, what should you remember about: Basilar invagination in more severe types.?
QuestionIn III Osteogenesis Imperfecta, what should you remember about: Bisphosphonates reduce the incidence of fractures.?

IV Juvenile Idiopathic Arthritis#

QuestionIn IV Juvenile Idiopathic Arthritis, what should you remember about: Persistent noninfectious arthritis without other etiology lasting longer?
QuestionWhat is the key point about Commonly?
QuestionWhat is the key point about Ophthalmology consultation with slit-lamp examination?
QuestionIn IV Juvenile Idiopathic Arthritis, what should you remember about: Cervical spine involvement can lead to kyphosis, facet?
source p. 10

SECTION 1 KNEE#

QuestionWhat should you know about The most common causes of an acute hemarthrosis?
QuestionWhat is the key point about The vascular supply of the meniscus?
QuestionWhat is the key point about The gold standard for meniscal repair?
QuestionWhat should you know about ACL anatomy?
QuestionWhat is the key point about The superficial medial collateral ligament origin?
QuestionWhat is the key point about The posterior oblique ligament?
QuestionWhat is the key point about The medial patellofemoral ligament (MPFL) femoral attachment?
QuestionWhat is the key point about The lateral collateral ligament (LCL) femoral origin?
QuestionWhat is the key point about The popliteus femoral insertion?
QuestionWhat is the key point about The 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 the key point about The gold standard for meniscal repair?
QuestionWhat is the key point about Meniscal cysts?
QuestionIn SECTION 1 KNEE, what should you remember about: Discoid menisci should be observed if asymptomatic.?
QuestionWhat is the key point about If meniscal transplantation?
QuestionIn SECTION 1 KNEE, what should you remember about: Following meniscal transplantation, allograft tissue often remains hypocellular?
QuestionWhat is the key point about The ACL injury rate?
QuestionWhat is the key point about The Lachman test?
QuestionWhat is the key point about Magnetic resonance imaging (MRI) evaluation of ACL injuries?
QuestionIn SECTION 1 KNEE, what should you remember about: Initial management consists of physical therapy for mobilization.?
QuestionWhat is the key point about A more horizontal graft position?
QuestionIn SECTION 1 KNEE, what should you remember about: Boneepatellar tendonebone autografts demonstrate faster incorporation into the?
QuestionWhat is the key point about The most common technical error in ACL surgery?
QuestionWhat is the key point about Arthrofibrosis?
QuestionWhat is the key point about There?
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?
QuestionIn SECTION 1 KNEE, what should you remember about: Multiple-ligament knee injuries require an immediate neurovascular examination.?
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 is the key point about No definitive research?
QuestionWhat is the key point about Patellar tendinitis?
source p. 11
QuestionWhat is the key point about Iliotibial band friction syndrome?
QuestionWhat is the key point about MRI evaluation of patellar dislocation?
QuestionWhat is the key point about Patellofemoral pain syndrome?
QuestionWhat is the key point about Conservative management?
QuestionIn this topic, what should you remember about: Lateral patellar facet compression syndrome should be treated?

SECTION 2 PELVIS, HIP, AND THIGH#

QuestionWhat is the key point about Quadriceps contusions?
QuestionWhat is the key point about Athletic pubalgia (sports hernia)?
QuestionWhat is the key point about MRI?
QuestionWhat is the key point about Femoral neck stress fractures that?
QuestionWhat is the key point about Femoroacetabular impingement?
QuestionWhat is the key point about External snapping hip?
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 the key point about The most common location for an os acromiale?
QuestionWhat is the key point about Humeral head blood supply?
QuestionWhat is the key point about The contents of the rotator interval?
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 shoulder, the scapula must rotate?
QuestionIn SECTION 3 SHOULDER, what should you remember about: In shoulder arthroscopy, the posterior portal puts the?
QuestionIn SECTION 3 SHOULDER, what should you remember about: Traumatic anterior shoulder dislocations typically result when the?
QuestionWhat is the key point about Instability?
QuestionWhat is the key point about A humeral avulsion of the glenohumeral ligaments lesion?
QuestionWhat is the key point about Age at time of initial dislocation?
QuestionWhat is the key point about Several open and arthroscopic techniques?
QuestionWhat is the key point about Remplissage?
QuestionWhat is the key point about Post-thermal capsular necrosis?
QuestionWhat is the key point about Physical examination for posterior instability?
QuestionWhat is the key point about A fixed posterior shoulder 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?
QuestionIn SECTION 3 SHOULDER, what should you remember about: The prevalence of asymptomatic rotator cuff tears increases?
QuestionIn SECTION 3 SHOULDER, what should you remember about: Asymptomatic full-thickness rotator cuff tears should be treated?
QuestionWhat is the key point about 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 this topic, what should you remember about: Studies of rotator cuff repair rehabilitation show no?
QuestionWhat is the key point about Irreparable combined tears of the supraspinatus and infraspinatus?
QuestionWhat is the key point about Signs of a subscapularis tear?
QuestionWhat is the key point about Athletes who participate in throwing activities?
QuestionWhat is the key point about Internal impingement?
QuestionWhat is the key point about Superior labrum from anterior to posterior (SLAP) tear management?
QuestionWhat is the key point about Biceps tenotomy without tenodesis?
QuestionIn this topic, what should you remember about: For type III acromioclavicular separations, recommended management is?
QuestionIn this topic, what should you remember about: Distal clavicle resection for acromioclavicular joint arthritis should?
QuestionWhat is the key point about Sternoclavicular dislocation?
QuestionWhat is the key point about Calcifying tendinitis?
QuestionWhat is the key point about Frozen shoulder histologic evaluation?
QuestionIn this topic, what should you remember about: Suprascapular nerve compression by a ganglion in the?
QuestionWhat is the key point about Quadrilateral space syndrome?
QuestionWhat is the key point about Medial scapular winging?
QuestionIn this topic, what should you remember about: For total shoulder arthroplasty, lesser tuberosity osteotomy and?
QuestionIn this topic, what should you remember about: Reverse total shoulder arthroplasties medialize the center of?

SECTION 4 MEDICAL ASPECTS OF SPORTS MEDICINE#

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

PAIN#

QuestionWhat is the key point about Impingement test result?
QuestionWhat is the key point about Radiographs?
QuestionWhat is the key point about MRI?

SECTION 2 STRUCTURAL HIP DISORDERS IN THE ADULT HIP#

QuestionWhat is the key point about Dysplasia typically?
QuestionWhat is the key point about Surgical correction of the dysplastic acetabulum?
QuestionWhat is the key point about The majority of patients with FAI?
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 the key point about 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 the key point about 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 is the key point about Conservative management?
QuestionWhat is the key point about Arthroscopy?
QuestionWhat is the key point about Hip arthrodesis?
QuestionWhat is the key point about Subsequent conversion of hip arthrodesis to THA?
QuestionWhat is the key point about Hemiarthroplasty?

SECTION 5 TOTAL HIP ARTHROPLASTY#

QuestionWhat is the key point about Different surgical approaches?
QuestionWhat is the key point about The direct anterior approach?
QuestionWhat is the key point about The posterior approach?
QuestionWhat is the key point about Cementless fixation?
QuestionWhat is the key point about Cemented fixation of the femoral component?
QuestionWhat is the key point about Bone ingrowth?
QuestionWhat is the key point about Hydroxyapatite?
QuestionWhat is the key point about Femoral stress shielding?
QuestionWhat is the key point about Femoral stem breakage?

SECTION 6 REVISION TOTAL HIP ARTHROPLASTY#

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

SECTION 7 ARTICULAR BEARINGS AND CORROSION IN THA#

QuestionIn SECTION 7 ARTICULAR BEARINGS AND CORROSION IN THA, what should you remember about: Irradiation of PE creates free radicals, which result?
QuestionWhat is the key point about Highly cross-linked PE?
QuestionWhat is the key point about Submicron-sized PE particles?
QuestionWhat is the key point about Volumetric wear?
QuestionIn SECTION 7 ARTICULAR BEARINGS AND CORROSION IN THA, what should you remember about: With HCLPE, wear rates tend to remain below?
QuestionWhat is the key point about Treatment of PE wear?
QuestionWhat is the key point about Metal debris from MOM bearings?
QuestionIn SECTION 7 ARTICULAR BEARINGS AND CORROSION IN THA, what should you remember about: Standard evaluation for a painful MOM THA or?

MRI with MARS.#

QuestionWhat is the key point about Ceramic-on-ceramic bearings?
QuestionIn MRI with MARS., what should you remember about: Dual-mobility components increase the impingement-free range of motion?
source p. 14
QuestionWhat is the key point about Trunnion corrosion (trunnionosis)?

FRACTURE#

QuestionWhat is the key point about Intraoperative fracture?
QuestionWhat is the key point about Early postoperative fracture?
QuestionWhat is the key point about Vancouver classification?
QuestionWhat is the key point about A loose stem?

SECTION 9 TOTAL HIP ARTHROPLASTYdMISCELLANEOUS#

QuestionIn SECTION 9 TOTAL HIP ARTHROPLASTYdMISCELLANEOUS, what should you remember about: Risk for sciatic nerve palsy increases with lengthening?
QuestionWhat is the key point about A nerve palsy that develops postoperatively?
QuestionWhat is the key point about There?
QuestionWhat is the key point about Iliopsoas impingement?
QuestionWhat is the key point about 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 the key point about Best stability?
QuestionWhat is the key point about Abductor complex?
QuestionIn SECTION 10 TOTAL HIP ARTHROPLASTYdJOINT STABILITY, what should you remember about: Patients with fixed spinopelvic alignment during movement from?
QuestionWhat is the key point about The treatment of instability?

SECTION 11 KNEE ARTHRITIS ASSESSMENT#

QuestionWhat is the key point about 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 the key point about The 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 the key point about Knee realignment osteotomy?
QuestionIn SECTION 12 KNEE ARTHRITIS TREATMENT, what should you remember about: The most common complication of proximal tibial osteotomy?
QuestionWhat should you know about Remember?
QuestionIn SECTION 12 KNEE ARTHRITIS TREATMENT, what should you remember about: With the ACL and PCL intact, recreating the?
QuestionWhat is the key point about The absolute contraindication to UKA?
QuestionIn SECTION 12 KNEE ARTHRITIS TREATMENT, what should you remember about: For test questions, look at suprapatellar pouch on?

Coronal Plane Balance:#

QuestionIn Coronal Plane Balance:, what should you remember about: To correct varus deformity, a medial compartment release?
QuestionIn Coronal Plane Balance:, what should you remember about: To correct valgus deformity, a lateral compartment release?

Sagittal Plane Balance:#

QuestionWhat is the key point about The most efficient way to answer the gap imbalance questions?
QuestionIn Sagittal Plane Balance:, what should you remember about: For board questions, only learn the single-step solutions?
QuestionIn Sagittal Plane Balance:, what should you remember about: Review Table 5.10, the 4-star recommendations for surgical?

Perioperative Nerve Blocks:#

QuestionIn Perioperative Nerve Blocks:, what should you remember about: Femoral nerve blockdmotor and sensory blockdknee will buckle?
QuestionIn Perioperative Nerve Blocks:, what should you remember about: Adductor nerve blockdsensory block onlydknee will not buckle?
QuestionWhat is the key point about The deformity most likely to cause peroneal nerve palsy in TKA?
QuestionIn Perioperative Nerve Blocks:, what should you remember about: With a lateral retinacular release in TKA, the?
QuestionIn Perioperative Nerve Blocks:, what should you remember about: For arthrofibrosis following primary TKA, manipulation of the?
QuestionWhat is the key point about Osteolysis in TKA?
source p. 15

PDFFx rules#

QuestionWhat is the key point about For a PDFFx where the implant?
QuestionWhat is the key point about A retrograde IM nail?

Periprosthetic Joint Infection:#

QuestionIn Periprosthetic Joint Infection:, what should you remember about: The #1 reason for a painful TKA within?
QuestionIn Periprosthetic Joint Infection:, what should you remember about: Test questions for diagnosis of PJI follow the?
QuestionWhat is the key point about There?
QuestionWhat is the key point about A chronic PJI?
QuestionIn Periprosthetic Joint Infection:, what should you remember about: Bone erosive changes/destructive changes on radiographic evidence means?
QuestionWhat is the key point about An acute PJI diagnosis?
QuestionIn Periprosthetic Joint Infection:, what should you remember about: For treatment of a chronic PJI, the two-stage?
QuestionWhat is the key point about The medial gastrocnemius rotational flap?

SECTION 14 TOTAL KNEE ARTHROPLASTY DESIGN#

QuestionWhat is the key point about Femoral cam jump?
QuestionWhat is the key point about Patella clunk syndrome?
QuestionWhat is the key point about A constrained nonhinged TKA?
QuestionWhat is the key point about Painful TKA due to flexion instability?
QuestionIn SECTION 14 TOTAL KNEE ARTHROPLASTY DESIGN, what should you remember about: In a hinged TKA, the femoral and tibial?

SECTION 15 REVISION TOTAL KNEE ARTHROPLASTY#

QuestionWhat is the key point about Periprosthetic joint infection?
QuestionWhat is the key point about 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 is the key point about If two or more longitudinal incisions?
QuestionWhat should you know about 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 the key point about Patellar resurfacing in TKA?
QuestionIn ARTHROPLASTY, what should you remember about: Catastrophic wear describes the macroscopic failure of PE?

Treatment principles#

QuestionWhat is the key point about Spontaneous osteonecrosis?
QuestionWhat is the key point about Secondary osteonecrosis?

SECTION 19 GLENOHUMERAL ARTHRITIS#

QuestionIn SECTION 19 GLENOHUMERAL ARTHRITIS, what should you remember about: Primary and secondary (e.g., trauma, surgery) causes.?
QuestionWhat should you know about Primary OA?
QuestionWhat should you know about Inflammatory OA?
QuestionWhat should you know about Rotator cuff tear arthropathy (CTA)?
QuestionWhat should you know about Clinical exam is important?
QuestionWhat should you know about 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 the key point about Incidence?
QuestionWhat should you know about Three main indications?
QuestionWhat is the key point about Late glenoid pain?
QuestionWhat is the key point about Reverse shoulder 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?
QuestionIn SECTION 21 TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Incidence of full-thickness cuff tears with primary glenohumeral?
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 is the key point about Complications of TSA?

SECTION 22 REVERSE TOTAL SHOULDER ARTHROPLASTY#

QuestionIn SECTION 22 REVERSE TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Involves placing a bas-plate 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 the key point about Elevation power?
QuestionIn SECTION 22 REVERSE TOTAL SHOULDER ARTHROPLASTY, what should you remember about: Component position largely focuses on the glenosphere, which?
QuestionWhat is the key point about The most common location of instability after rTSA?
QuestionWhat is the key point about Rates of scapular notching?
QuestionWhat is the key point about Periprosthetic fractures can?

SECTION 23 INFECTION IN SHOULDER ARTHROPLASTY#

QuestionIn SECTION 23 INFECTION IN SHOULDER ARTHROPLASTY, what should you remember about: Periprosthetic shoulder infections manifest differently from periprosthetic hip?
QuestionWhat is the key point about 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?
QuestionIn SECTION 23 INFECTION IN SHOULDER ARTHROPLASTY, what should you remember about: Serum laboratory tests and aspiration with analysis of?
QuestionWhat is the key point about Tissue culture?
QuestionWhat is the key point about Management options?
QuestionWhat is the key point about 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 is the key point about Ankle dorsiflexion?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: Calcaneofibular ligament (CFL) extends from tip of lateral?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: Can lead to avulsion injuries of distal tip?
QuestionWhat is the key point about There?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: In hammer toes/crossover toes, the plantar plate is?
QuestionIn SECTION 1 BIOMECHANICS OF THE FOOT AND ANKLE, what should you remember about: Intrinsic tendons pass plantar to MTP joint axis?
QuestionWhat is the key point about One full gait cycle from heel strike to heel strike?
QuestionWhat is the key point about There?
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 is the key point about There?

SECTION 2 PHYSICAL EXAMINATION OF THE FOOT AND ANKLE#

QuestionIn SECTION 2 PHYSICAL EXAMINATION OF THE FOOT AND ANKLE, what should you remember about: Inability to sense a Semmes-Weinstein 5.07 monofilament (10?
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 the key point about Peroneus brevis?
QuestionWhat is the key point about 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 is the key point about Pronation?
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 the key point about Hallux valgus recurrence can follow any procedure but?
QuestionWhat is the key point about There?

SECTION 4 JUVENILE AND ADOLESCENT HALLUX VALGUS#

QuestionIn SECTION 4 JUVENILE AND ADOLESCENT HALLUX VALGUS, what should you remember about: In treatment of juvenile/adolescent hallux valgus, recurrence is?
QuestionWhat is the key point about If the IMA?
source p. 18

SECTION 5 HALLUX VARUS#

QuestionWhat is the key point about Hallux varus can?
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 the key point about FDL contracture?
QuestionIn SECTION 6 LESSER-TOE DEFORMITIES, what should you remember about: Flexor-to-extensor tendon transfer can lead to stiffness of?
QuestionIn SECTION 6 LESSER-TOE DEFORMITIES, what should you remember about: Crossover toe (second toe) deformity develops from disruption?
QuestionWhat is the key point about Claw toes?
QuestionIn SECTION 6 LESSER-TOE DEFORMITIES, what should you remember about: For hammer-toe/claw-toe deformities, if there is skin breakdown?
QuestionWhat is the key point about 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?
QuestionIn SECTION 6 LESSER-TOE DEFORMITIES, what should you remember about: In high-level athletes, repair of the plantar plate?
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 the key point about Bunionette deformity can cause shoewear issues and?
QuestionWhat is the key point about Type I?
QuestionWhat should you know about Surgical management is based on the type?

SECTION 8 SESAMOIDS#

QuestionWhat is the key point about 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#

QuestionIn Turf toe comes in three grades (grade 1: capsular strain; grade 2, what should you remember about: For persistent sesamoid issues refractory to nonoperative measures?
QuestionWhat should you know about Freiberg disease?

SECTION 9 NEUROLOGIC DISORDERS#

QuestionWhat is the key point about Interdigital neuromas?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: Symptoms can be alleviated with metatarsal pads placed?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: Neuromas often demonstrate perineural fibrosis.?
QuestionWhat is the key point about Lateral plantar nerve?
QuestionWhat is the key point about Wasting of the abductor hallucis (ABH) or abductor digiti quinti?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: Tibial nerve innervates all foot intrinsics except for?
QuestionWhat should you know about Tarsal tunnel?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: Patients with anterior tarsal tunnel syndrome present with?
QuestionIn SECTION 9 NEUROLOGIC DISORDERS, what should you remember about: The superficial peroneal nerve can also be damaged?
source p. 19
QuestionWhat is the key point about Popliteal nerve blocks do not typically?
QuestionWhat is the key point about CMT disease?
QuestionWhat is the key point about Deformity and awkward gait?
QuestionIn this topic, what should you remember about: Correction of cavovarus deformity depends on flexibility of?
QuestionWhat is the key point about First branch of the lateral plantar nerve (Baxter nerve)?

SECTION 10 ARTHRITIC DISEASE#

QuestionWhat is the key point about Gout?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Ruling out an acute septic jointdwhich would be?
QuestionWhat is the key point about White blood cell (WBC) count of the aspirate?
QuestionWhat is the key point about Infected joint?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: In pseudogout, polarized light microscopy examination of joint?
QuestionWhat is the key point about Seronegative spondyloarthropathies?
QuestionWhat is the key point about Nonoperative treatment of osteoarthritis of the foot/ankle should?
QuestionWhat is the key point about Osteophytes at dorsal talonavicular (TN) joint?
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 should you know about Fusion of the great toe?
QuestionWhat is the key point about Best way to check sagittal alignment?
QuestionWhat is the key point about Toe?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Placement of plate too proximal (6 mm) can?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: Ankle arthrodesis often indicated in patients with peripheral?
QuestionWhat is the key point about Open arthrodesis?
QuestionWhat is the key point about Ankle arthrodesis malunion?
QuestionWhat is the key point about If fibula?
QuestionIn SECTION 10 ARTHRITIC DISEASE, what should you remember about: TAR can be used for valgus arthritis of?
QuestionWhat is the key point about Syndesmotic fusion when the Agility ankle replacement system?
QuestionWhat is the key point about Salvage of implant failure?
QuestionWhat is the key point about Wound breakdown in the acute period (3 weeks) after TAR?
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 the key point about Most common cause of adult-acquired flatfoot?
QuestionWhat is the key point about Tarsal coalitions cause rigid flatfeet and?
source p. 20
QuestionWhat is the key point about The spring (calcaneonavicular) ligament?
QuestionWhat is the key point about Patients?
QuestionWhat is the key point about Operative management of PTT dysfunction (PTTD)?
QuestionWhat is the key point about If subtalar arthrodesis (alone or as part of triple)?
QuestionWhat is the key point about Patients with pes cavus?
QuestionIn this topic, what should you remember about: On an adequate weight-bearing, lateral foot radiograph, visibility?
QuestionWhat is the key point about Nonoperative modalities?

SECTION 12 TENDON DISORDERS#

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

SECTION 13 HEEL PAIN#

QuestionIn SECTION 13 HEEL PAIN, what should you remember about: In evaluation of plantar fasciitis, weight-bearing x-rays are?
QuestionWhat is the key point about Nonoperative management?
QuestionIn SECTION 13 HEEL PAIN, what should you remember about: Operative treatment indicated in less than 5% of?
QuestionWhat is the key point about Sever disease?
QuestionIn SECTION 13 HEEL PAIN, what should you remember about: In management of insertional Achilles tendinosis, evaluation of?
QuestionIn SECTION 13 HEEL PAIN, what should you remember about: Patients with noninsertional Achilles tendinopathy often present with?
QuestionIn SECTION 13 HEEL PAIN, what should you remember about: Operative management of a chronic Achilles tendon rupture?
QuestionWhat is the key point about Plantaris rupture?
source p. 21
QuestionWhat should you know about 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?
QuestionIn SECTION 14 ANKLE PAIN AND SPORTS INJURIES, what should you remember about: In lateral ankle sprain, physical therapy is important?
QuestionWhat is the key point about Additional physical therapy should be considered if there?
QuestionWhat is the key point about Ankle instability can?
QuestionWhat is the key point about Posterior ankle impingement?
QuestionWhat is the key point about Osteochondral defects?
QuestionIn SECTION 14 ANKLE PAIN AND SPORTS INJURIES, what should you remember about: Large lesions need alternative treatment; autologous osteochondral grafting?
QuestionWhat is the key point about Larger lesions with cystic component?
QuestionWhat is the key point about Chronic exertional compartment syndrome?
QuestionWhat is the key point about The most common complication after ankle arthroscopy?
QuestionWhat should you know about Gastrocnemius strain?

SECTION 15 THE DIABETIC FOOT#

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

Classifying ulcers can help guide management. Depth grade 0#

QuestionWhat is the key point about Plastazote (closed cellecross linked polyethylene)?
QuestionIn Classifying ulcers can help guide management. Depth grade 0, what should you remember about: Dorsal toe ulcers best served with flexor tenotomies.?
QuestionIn Classifying ulcers can help guide management. Depth grade 0, what should you remember about: Ischemia-based classification; grade A (normal vascularity), grade B?
QuestionWhat is the key point about Treatment often?
QuestionWhat is the key point about Presence of infection?
QuestionWhat is the key point about Charcot arthropathy?
QuestionWhat is the key point about Initial treatment of Charcot arthropathy?
QuestionIn Classifying ulcers can help guide management. Depth grade 0, what should you remember about: Unstable/unbraceable deformities should be addressed with a tibiotalocalcaneal?
source p. 22
QuestionWhat is the key point about Infections in the diabetic foot or ankle?
QuestionWhat is the key point about Labeled WBC scan or dual-image technetium/indium (Tc/In) scan?
QuestionIn this topic, what should you remember about: Contiguous osteomyelitis present in 67% of foot ulcerations?
QuestionWhat is the key point about Osteomyelitis?
QuestionIn this topic, what should you remember about: Elevated A1c increases risk for failure of transmetatarsal?
QuestionWhat is the key point about Syme amputation?
QuestionIn this topic, what should you remember about: Transtibial amputations.?
QuestionIn this topic, what should you remember about: 25% more energy exerted compared to baseline (trauma).?
QuestionIn this topic, what should you remember about: 40% more energy exerted compared to baseline (vasculopathy).?
QuestionIn this topic, what should you remember about: Transfemoral.?
QuestionIn this topic, what should you remember about: Increased rates of oxygen consumption, metabolic rate, h-art?
QuestionWhat should you know about Traumatic?
QuestionWhat should you know about Vascular?
QuestionIn this topic, what should you remember about: No significant difference with regards to stride length?
QuestionIn this topic, what should you remember about: To avoid deformity of Chopart amputation, anterior tibialis?
QuestionIn this topic, what should you remember about: Reduced total protein less than 6.0 g/dL, WBC?

SECTION 16 TRAUMA#

QuestionIn SECTION 16 TRAUMA, what should you remember about: Excessive loading of second metatarsal can lead to?
QuestionWhat is the key point about Second metatarsal stress fracture?
QuestionIn SECTION 16 TRAUMA, what should you remember about: In female athletes, the triad of anorexia, osteoporosis/stress?
QuestionWhat is the key point about 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 the key point about Fracture of all five metatarsals?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Dislocation of the ankle, a lower Sanders calcaneal?
QuestionWhat is the key point about The Lisfranc articulation?
QuestionIn SECTION 16 TRAUMA, what should you remember about: Anteroposterior (AP), lateral, and oblique radiographs should be?
QuestionWhat is the key point about Cuboid injuries (nutcracker cuboid)?
QuestionWhat is the key point about If there?
QuestionWhat is the key point about Anatomic reduction?
QuestionWhat is the key point about Anatomic reduction?
QuestionWhat is the key point about Primary arthrodesis?
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 is the key point about Missed diagnosis or improper treatment?
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 this topic, what should you remember about: Lateral process acts as dividing line between talar?
QuestionIn this topic, what should you remember about: For treatment of talar neck fractures, medial compression?
QuestionWhat is the key point about The most common complication after a talar neck fracture?
QuestionIn this topic, what should you remember about: Most later studies show no correlation between time?
QuestionWhat is the key point about Early fixation?
QuestionWhat is the key point about Failure to restore alignment?
QuestionIn this topic, what should you remember about: In the setting of AVN of the talus?
QuestionIn this topic, what should you remember about: Lateral transfibular approach to a tibiotalocalcaneal arthrodesis to?
QuestionIn this topic, what should you remember about: Talar body extrusions need to be evaluated closely.?
QuestionWhat is the key point about Most frequent complication?
QuestionIn this topic, what should you remember about: Small or comminuted lateral process fractures can be?
QuestionWhat is the key point about Avulsion fractures of the calcaneal tuberosity?
QuestionIn this topic, what should you remember about: With calcaneal fractures one must evaluate for concomitant?
QuestionIn this topic, what should you remember about: Patients with an overall normal morphology of the?
QuestionWhat is the key point about Clinical outcomes?
QuestionWhat is the key point about The lateral wall?
QuestionIn this topic, what should you remember about: 20% of patients may have peroneal tendon dislocation.?
QuestionIn this topic, what should you remember about: Best seen on axial CT sequences.?
QuestionWhat is the key point about Extensile lateral exposure?
QuestionWhat is the key point about Delayed wound healing can?
QuestionIn this topic, what should you remember about: Treat wound issues initially with dressing changes and?
QuestionIn this topic, what should you remember about: In cases with significant loss of calcaneal height?
QuestionIn this topic, what should you remember about: Near 90% of medial subtalar dislocations can be?
QuestionWhat is the key point about Diagnosis of ankle fractures?
QuestionWhat is the key point about Measurements for syndesmotic issues?
QuestionWhat is the key point about Ankle fracture spur sign (at inferomedial tibial metaphysis)?
QuestionIn this topic, what should you remember about: Multiple classifications systems of ankle fractures. LaugeHansen and?
QuestionWhat should you know about Log splitter injury?
QuestionIn this topic, what should you remember about: Medial clear space widening with stress indicates deep?
QuestionWhat is the key point about External rotation?
QuestionWhat is the key point about One millimeter of lateral talar shift?
QuestionIn this topic, what should you remember about: Braking response time for vehicle driving returns (on?
QuestionIn this topic, what should you remember about: Stabilization of the posterior malleolus restores 70% of?
QuestionIn this topic, what should you remember about: With lateral approaches, need to protect the superficial?
QuestionWhat is the key point about Supination-adduction injuries?
QuestionWhat is the key point about Malreduction of the syndesmosis?
source p. 24

ANATOMY#

QuestionWhat should you know about Central slip?
QuestionWhat should you know about Lateral bands?
QuestionWhat should you know about Transverse retinacular ligament?
QuestionWhat should you know about Injury?
QuestionWhat should you know about Triangular ligament?
QuestionWhat should you know about Injury?
QuestionWhat should you know about Vascular supply of flexor tendons?
QuestionWhat should you know about A2 and A4 pulleys?
QuestionIn ANATOMY, what should you remember about: The carpal tunnel contains the median nerve and?
QuestionWhat is the key point about FPL?
QuestionWhat should you know about Lumbrical muscles?
QuestionWhat should you know about Intrinsic tightness?
QuestionIn ANATOMY, what should you remember about: Intrinsics on stretch, extrinsics relaxed.?
QuestionWhat should you know about Bunnell test?
QuestionWhat is the treatment or management for this concept?
QuestionWhat should you know about Extrinsic tightness?
QuestionIn ANATOMY, what should you remember about: Extrinsics on stretch, intrinsics relaxed.?
QuestionWhat is the treatment or management for this concept?
QuestionWhat should you know about Median nerve?
QuestionWhat should you know about Ulnar nerve?
QuestionWhat should you know about Radial nerve proper?
QuestionWhat should you know about Posterior interosseous nerve (PIN)?
QuestionWhat should you know about Anastomoses?

DISTAL RADIUS FRACTURES#

QuestionWhat should you know about Concomitant injuries?
QuestionWhat should you know about Acute carpal tunnel syndrome (CTS)?
QuestionWhat should you know about Normal anatomy (11?
QuestionIn DISTAL RADIUS FRACTURES, what should you remember about: Radial height 11 mm, radial inclination 22 degrees?
QuestionIn DISTAL RADIUS FRACTURES, what should you remember about: Acceptable reduction.?
QuestionIn DISTAL RADIUS FRACTURES, what should you remember about: Radial shortening less than 3 mm, dorsal tilt?
QuestionWhat should you know about Nonoperative treatment?
QuestionWhat are the complications?
QuestionWhat is the treatment or management for this concept?
QuestionWhat should you know about Dorsal approach?
QuestionWhat should you know about The most common complication after distal radius fracture?

Extensor pollicis longus (EPL) tendon rupture#

QuestionIn Extensor pollicis longus (EPL) tendon rupture, what should you remember about: Occurs after ORIF because of long screw, or?
QuestionIn Extensor pollicis longus (EPL) tendon rupture, what should you remember about: Treated with extensor indicis proprius (EIP)-to-EPL tendon transfer.?
QuestionWhat is the key point about FPL rupture?
QuestionWhat should you know about Associated distal ulnar styloid fracture?
QuestionIn Extensor pollicis longus (EPL) tendon rupture, what should you remember about: triangular fibrocartilage complex (TFCC) injury most common associated?
QuestionIn Extensor pollicis longus (EPL) tendon rupture, what should you remember about: Vitamin C (500 mg/day for 50 days) prescribed?
QuestionWhat should you know about DRUJ instability?

CARPAL FRACTURES AND INSTABILITY#

QuestionWhat should you know about Scaphoid fracture?
QuestionWhat should you know about Radiographs nondiagnostic in one-third of cases?
QuestionWhat should you know about Acute operative indications?
QuestionIn CARPAL FRACTURES AND INSTABILITY, what should you remember about: ORIF with long, central screw (percutaneous/arthroscopic procedure for?
QuestionWhat should you know about Approach?
QuestionWhat should you know about Scaphoid fracture complications?

SNAC#

QuestionWhat should you know about Stage 1?
QuestionWhat should you know about Stage 2?
QuestionWhat should you know about Stage 3?
QuestionWhat is the key point about Radiolunate joint?
QuestionWhat should you know about Nonunion?
QuestionWhat should you know about Lunate fracture?
QuestionWhat should you know about Triquetrum fracture?
QuestionWhat should you know about Capitate neck fracture?
QuestionWhat should you know about Pisiform fracture?
QuestionWhat should you know about Hook of hamate fracture?
QuestionHow is this condition diagnosed or investigated?
source p. 25
QuestionWhat is the treatment or management for this concept?

ORIF.#

QuestionWhat should you know about Four types of carpal instability?
QuestionIn ORIF., what should you remember about: Dissociative (same row; e.g., dorsal intercalated segmental instability?
QuestionWhat is the key point about DISI?
QuestionIn ORIF., what should you remember about: SL ligament (dorsal portion strongest).?
QuestionWhat should you know about SL advanced collapse (SLAC) wrist?
QuestionWhat is the key point about VISI?
QuestionIn ORIF., what should you remember about: LT ligament (volar portion strongest).?
QuestionWhat is the key point about Perilunate dislocations?
QuestionWhat should you know about Mayfield described four stages of progressive disruption?
QuestionIn ORIF., what should you remember about: Prompt treatment with closed reduction (especially in acute?
QuestionIn ORIF., what should you remember about: Definitive treatment with early ORIF using dorsal with?
QuestionWhat is the key point about LT coalition (fusion of the lunate to the triquetrum)?

METACARPAL AND PHALANGEAL INJURIES#

QuestionWhat is the key point about Most metacarpal and phalangeal fractures?
QuestionWhat should you know about Operative indications?
QuestionWhat is the key point about Volar PIP joint dislocation?
QuestionWhat should you know about Rotatory dislocation?
QuestionWhat should you know about PIP joint fracture-dislocations?
QuestionWhat should you know about Less than 30% involvement?
QuestionIn METACARPAL AND PHALANGEAL INJURIES, what should you remember about: Unstable injuries with larger (>30%) P2 base fragments?
QuestionWhat is the key point about Irreducibility of MCP and DIP dislocations?
QuestionIn METACARPAL AND PHALANGEAL INJURIES, what should you remember about: Treated via open reduction and extraction of the?
QuestionWhat should you know about MCP head fracture?
QuestionWhat should you know about MCP neck fracture?
QuestionWhat should you know about Acceptable angulation?
QuestionWhat should you know about MCP shaft fracture?
QuestionWhat should you know about Acceptable angulation?
QuestionWhat is the key point about Most common PIP joint dislocation?
QuestionWhat is the key point about Bennett fracture?
QuestionIn METACARPAL AND PHALANGEAL INJURIES, what should you remember about: Abductor pollicis longus (APL) and extensors cause proximal?
QuestionIn METACARPAL AND PHALANGEAL INJURIES, what should you remember about: Anterior oblique or “beak” ligament keeps volar-ulnar base?
QuestionIn METACARPAL AND PHALANGEAL INJURIES, what should you remember about: Skier’s thumb (acute ulnar collateral ligament [UCL] injury)?
QuestionIn METACARPAL AND PHALANGEAL INJURIES, what should you remember about: Instability in 30 degrees of flexion indicates injury?
QuestionWhat is the key point about Stener lesion?
QuestionWhat is the key point about RCL instability?

TENDON INJURIES AND OVERUSE SYNDROMES#

QuestionWhat should you know about Mallet finger (zone I)?
QuestionWhat should you know about Controversial indication for surgery?
QuestionWhat should you know about Dorsal extensor tendon injury over the PIP (zone III)?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Boutonnière deformity (PIP flexion, DIP extension).?
QuestionWhat is the key point about Central slip injury?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Acute injuries treated with PIP extension splinting.?
QuestionWhat should you know about Chronic boutonnière deformity?
QuestionWhat should you know about Extensor hood over MCP (zone V) (fight bite)?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Principles of partial laceration treatment.?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Painful catching in tendon sheath treated with “trimming.”?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Lacerations more than 60% of tendon width treated?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Principles of flexor tendon repair.?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Increasing strength with increasing number of core sutures?
QuestionWhat is the key point about Dorsally placed core sutures?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Gap formation decreased with use of a locking-loop?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Overall strength increased (w10%-50%) with epitendinous repair.?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Purchase distance 0.7 to 1.2 cm from ends?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Preservation of A2 (most important) and A4 (oblique?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Early protected range of motion (ROM) increases tendon?
QuestionWhat is the key point about Active flexion to reduce adhesions?
QuestionIn TENDON INJURIES AND OVERUSE SYNDROMES, what should you remember about: Young children unable to comply with protocols; require?
QuestionWhat should you know about Rugger jersey finger (zone I)?
QuestionWhat should you know about Quadrigia?
QuestionWhat should you know about Zone II (“no man’s land”) flexor tendon injury?
QuestionWhat is the key point about Tendon lacerations?
source p. 26
QuestionWhat should you know about Trigger finger (stenosing flexor tenosynovitis)?
QuestionWhat should you know about Key pulleys?
QuestionWhat should you know about Comorbidities?
QuestionIn this topic, what should you remember about: Failure of injection higher with diabetes.?
QuestionWhat should you know about Pediatric trigger thumb?
QuestionWhat is the key point about Treatment?
QuestionWhat is the key point about Radial digital nerve?
QuestionWhat should you know about Pediatric trigger finger (less common than trigger thumb)?
QuestionIn this topic, what should you remember about: Treated with A1 pulley release and procedures to?
QuestionWhat should you know about de Quervain tenosynovitis?
QuestionWhat should you know about Nonoperative treatment for most?
QuestionWhat should you know about Surgical release?
QuestionWhat should you know about Intersection syndrome?
QuestionIn this topic, what should you remember about: Treatment nonoperative in vast majority.?
QuestionWhat should you know about Extensor carpi ulnaris (ECU) tendinitis?
QuestionWhat should you know about ECU subluxation?
QuestionWhat is the treatment or management for this concept?
QuestionIn this topic, what should you remember about: Subsheath reconstruction if immobilization fails.?

DRUJ, TFCC, WRIST ARTHROSCOPY#

QuestionWhat should you know about Components of TFCC?
QuestionWhat should you know about Neutral variance?
QuestionWhat should you know about þ2 mm variance?
QuestionWhat is the key point about Acute (class I) TFCC tears?
QuestionWhat should you know about Arthroscopy?
QuestionIn DRUJ, TFCC, WRIST ARTHROSCOPY, what should you remember about: No clear clinical outcome difference between open and?
QuestionWhat is the treatment or management for this concept?
QuestionWhat is the key point about Degenerative (class II) tears?
QuestionWhat is the treatment or management for this concept?
QuestionIn DRUJ, TFCC, WRIST ARTHROSCOPY, what should you remember about: Chronic DRUJ instability treated with TFCC repair or?
QuestionWhat should you know about DRUJ osteoarthritis (OA) treatment?
QuestionWhat should you know about Wrist arthroscopy?
QuestionWhat should you know about Most common complication?

NAIL AND FINGERTIP INJURIES#

QuestionWhat should you know about Nail bed injuries?
QuestionWhat should you know about Subungual hematoma less than 50% nail area?
QuestionWhat should you know about Subungual hematoma more than 50% nail area?
QuestionWhat should you know about Repair technique?
QuestionWhat are the complications?
QuestionWhat should you know about Principles of fingertip injury treatment?
QuestionIn NAIL AND FINGERTIP INJURIES, what should you remember about: Treatment guided by orientation of amputation, degree of?
QuestionWhat should you know about Less than 1 cm2 exposed bone?
QuestionWhat should you know about Larger wounds without exposed bone?
QuestionWhat should you know about Fingertip injury with more than 1 cm2 exposed bone?
QuestionWhat should you know about Volar oblique injury?
QuestionWhat should you know about Transverse or dorsal oblique injury?
QuestionWhat should you know about Alternative?
QuestionWhat should you know about Dorsal thumb injury?
QuestionWhat should you know about Lumbrical-plus finger?
QuestionIn NAIL AND FINGERTIP INJURIES, what should you remember about: FDP tendon retracts, leading to PIP extension through?
QuestionIn NAIL AND FINGERTIP INJURIES, what should you remember about: Treated with release of the radial lateral band.?
QuestionWhat should you know about Quadrigia effect?
QuestionIn NAIL AND FINGERTIP INJURIES, what should you remember about: Complete finger amputations.?
QuestionWhat should you know about Index?
QuestionWhat should you know about Middle/ring?

SOFT TISSUE COVERAGE AND MICROSURGERY#

QuestionWhat should you know about Reconstruction priorities?
QuestionWhat should you know about Primary closure?
QuestionWhat should you know about Healing by second intention (vacuum-assisted closure)?
QuestionWhat should you know about Skin grafts?
QuestionWhat should you know about Split-thickness skin grafts?
QuestionWhat should you know about Flap failure?
QuestionIn SOFT TISSUE COVERAGE AND MICROSURGERY, what should you remember about: Primary indications for replantation.?
source p. 27
QuestionIn this topic, what should you remember about: Level of amputation outside of zone II flexor?
QuestionIn this topic, what should you remember about: Amputation of multiple digits or thumb, proximal amputations?
QuestionIn this topic, what should you remember about: Primary contraindications to replantation.?
QuestionIn this topic, what should you remember about: Level of amputation within zone II flexor tendon?
QuestionWhat should you know about Ischemia?
QuestionWhat should you know about Replantation sequence?
QuestionIn this topic, what should you remember about: Structure-by-structure technique better than finger-by-finger.?
QuestionWhat is the key point about Factor most predictive of digit survival after replantation?
QuestionIn this topic, what should you remember about: Failure less than 12 hours due to arterial?
QuestionIn this topic, what should you remember about: Failure more than 12 hours due to venous?
QuestionWhat is the key point about Tenolysis?
QuestionWhat should you know about Forearm replantation?
QuestionWhat should you know about Ring avulsion injury?
QuestionWhat is the key point about Thumb reconstruction?

VASCULAR DISORDERS#

QuestionWhat is the key point about Allen test?
QuestionIn VASCULAR DISORDERS, what should you remember about: Approximately 20% of hands have an incomplete arch.?
QuestionIn VASCULAR DISORDERS, what should you remember about: Ulnar arch mainly supplies superficial palmar arch, and?
QuestionWhat should you know about Other tests?
QuestionWhat should you know about Hypothenar hammer syndrome?
QuestionHow is this condition diagnosed or investigated?
QuestionWhat is the treatment or management for this concept?
QuestionWhat should you know about Raynaud phenomenon?
QuestionIn VASCULAR DISORDERS, what should you remember about: Treatment focused on underlying cause.?
QuestionWhat should you know about Raynaud disease?
QuestionWhat is the treatment or management for this concept?
QuestionIn VASCULAR DISORDERS, what should you remember about: Smoking cessation and avoidance of cold exposure for?
QuestionWhat should you know about Compartment syndrome?
QuestionWhat should you know about Ten hand compartments?
QuestionHow is this condition diagnosed or investigated?
QuestionWhat should you know about Volkmann ischemic contracture?
QuestionIn VASCULAR DISORDERS, what should you remember about: Claw hand or intrinsic-minus posture.?
QuestionWhat should you know about Frostbite treatment?

COMPRESSION NEUROPATHY#

QuestionWhat should you know about Sequence of sensory losses?
QuestionWhat should you know about Electrodiagnostics?
QuestionWhat should you know about Double-crush phenomenon?

Median Nerve#

QuestionWhat should you know about CTS?
QuestionIn Median Nerve, what should you remember about: Associated with vibratory exposure at work but not?
QuestionWhat should you know about Clinical diagnosis?
QuestionIn Median Nerve, what should you remember about: Treatment?
QuestionIn Median Nerve, what should you remember about: Corticosteroid injection, which achieves pain relief in approximately?
QuestionWhat should you know about Carpal tunnel release (CTR)?
QuestionIn Median Nerve, what should you remember about: Neurolysis and flexor tenosynovectomy offer no additional benefit.?
QuestionWhat should you know about At risk?
QuestionWhat should you know about Endoscopic CTR?
QuestionWhat is the key point about Adults with chronic severe CTS?
QuestionWhat should you know about Pronator syndrome?
QuestionWhat should you know about Sites of compression (SLAPS)?
QuestionIn Median Nerve, what should you remember about: Differentiated from CTS by presence of proximal forearm?
QuestionWhat should you know about Anterior interosseous nerve syndrome?
QuestionIn Median Nerve, what should you remember about: Precision sign (ask patient to make “OK” sign).?
QuestionIn Median Nerve, what should you remember about: No sensory loss.?

Signs of motor weakness#

QuestionWhat should you know about Froment?
QuestionWhat should you know about Jeanne?
QuestionWhat should you know about Wartenberg?
source p. 28
QuestionWhat should you know about Cubital tunnel syndrome?
QuestionWhat should you know about Potential sites of compression (AO TEAM)?
QuestionIn this topic, what should you remember about: No difference between in situ decompression and anterior?
QuestionIn this topic, what should you remember about: Better outcome after surgery if performed before motor?
QuestionWhat should you know about Ulnar tunnel syndrome (compression in Guyon canal)?
QuestionIn this topic, what should you remember about: Zone I (mixed motor/sensory), zone II (motor), zone?
QuestionWhat should you know about Concurrent CTS?

Radial Nerve#

QuestionWhat is the key point about Palsy of radial nerve proper (Saturday night palsy)?
QuestionWhat should you know about PIN compression syndrome?
QuestionWhat should you know about Potential sites of compression (LEAFS)?
QuestionWhat is the key point about Radial tunnel syndrome?
QuestionWhat should you know about Sites of compression?
QuestionIn Radial Nerve, what should you remember about: Outcome of surgical decompression less predictable than for?
QuestionWhat should you know about Cheiralgia paresthetica (Wartenberg syndrome)?
QuestionIn Radial Nerve, what should you remember about: Inability to wear wristwatch; pain and paresthesias over?

Thoracic Outlet Syndrome#

QuestionWhat should you know about Vascular?
QuestionWhat should you know about Adson test?
QuestionWhat should you know about Neurogenic?
QuestionWhat should you know about Roos sign?
QuestionWhat should you know about Nonspecific?
QuestionIn Thoracic Outlet Syndrome, what should you remember about: Pancoast tumor should be ruled out with chest?
QuestionIn Thoracic Outlet Syndrome, what should you remember about: Nonoperative management should be maximized, including shoulder and?
QuestionIn Thoracic Outlet Syndrome, what should you remember about: If present cervical rib should be resected.?

NERVE INJURIES AND TENDON TRANSFERS#

QuestionWhat should you know about Good prognosis?
QuestionWhat should you know about Poor prognosis?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Seddon classification divides nerve injury into neurapraxia (stretch)?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Wallerian degeneration for axonotmesis and neurotmesis.?
QuestionWhat should you know about Peripheral nerve repair?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: No technique deemed superior.?
QuestionWhat is the key point about Gaps?
QuestionWhat should you know about Brachial plexus injury?
QuestionWhat should you know about Preganglionic lesions?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: EMG (loss of innervation to paraspinal muscles), chest?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Nerve transfers considered for irreparable nerve injuries.?
QuestionWhat is the key point about Advantage?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Classic nerve transfers for upper brachial plexus injury.?
QuestionWhat should you know about Oberlin?
QuestionWhat should you know about Leechavengvong?
QuestionWhat should you know about Tendon/muscle transfers?
QuestionWhat should you know about Priorities?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Basic tenets of tendon transfers.?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Donor must be expendable.?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Donor must be of similar excursion and power.?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: One transfer should perform one function.?
QuestionWhat is the key point about Synergistic transfers?
QuestionWhat is the key point about A straight line of pull?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: One grade of motor strength will be lost?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Tendon transfers for high radial nerve palsy.?
QuestionWhat should you know about Wrist extension?
QuestionWhat should you know about Finger extension?
QuestionWhat should you know about Thumb extension?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: Tendon transfer (opponensplasty) options for low median nerve?
QuestionIn NERVE INJURIES AND TENDON TRANSFERS, what should you remember about: FDS of ring digit, EIP, abductor digiti minimi?
QuestionWhat is the key point about Voluntary muscle control?

ARTHRITIS#

QuestionWhat should you know about Hand OA?
QuestionIn ARTHRITIS, what should you remember about: MCP more commonly involved in inflammatory arthritis.?
QuestionWhat is the treatment or management for this concept?
QuestionWhat should you know about PIP fusion position?
QuestionWhat should you know about Thumb CMC joint (basal joint or trapeziometacarpal)?
QuestionWhat should you know about Nonoperative treatment?
QuestionWhat is the treatment or management for this concept?
QuestionWhat should you know about Arthrodesis (young laborers)?
QuestionWhat should you know about MCP hyperextension?
QuestionWhat should you know about RA?
QuestionWhat should you know about Manifestations?
source p. 29
QuestionWhat should you know about Vaughan-Jackson syndrome?
QuestionWhat should you know about Mannerfelt syndrome?
QuestionWhat should you know about Caput ulnae syndrome?
QuestionWhat should you know about Rheumatoid wrist?
QuestionIn this topic, what should you remember about: Total wrist arthroplasty versus total wrist arthrodesis for?
QuestionWhat should you know about Z deformity?
QuestionWhat should you know about Common procedures?

IDIOPATHIC OSTEONECROSIS OF THE CARPUS#

QuestionWhat should you know about Kienböck disease (idiopathic osteonecrosis of the lunate)?
QuestionIn IDIOPATHIC OSTEONECROSIS OF THE CARPUS, what should you remember about: Unexplained dorsal wrist pain in a young adult?
QuestionWhat should you know about Risks?
QuestionIn IDIOPATHIC OSTEONECROSIS OF THE CARPUS, what should you remember about: Lichtman classification directs treatment.?
QuestionIn IDIOPATHIC OSTEONECROSIS OF THE CARPUS, what should you remember about: Stage IIIA (lunate collapse with normal carpal alignment?
QuestionIn IDIOPATHIC OSTEONECROSIS OF THE CARPUS, what should you remember about: Stage IIIB (fixed scaphoid rotation with decreased carpal?
QuestionWhat should you know about First-line surgical treatment?
QuestionWhat should you know about Ulnar-negative variance?
QuestionIn IDIOPATHIC OSTEONECROSIS OF THE CARPUS, what should you remember about: Supplemental vascularized bone grafting described.?
QuestionWhat should you know about Stage IIIB?
QuestionIn IDIOPATHIC OSTEONECROSIS OF THE CARPUS, what should you remember about: Preiser disease (idiopathic osteonecrosis of scaphoid).?
QuestionIn IDIOPATHIC OSTEONECROSIS OF THE CARPUS, what should you remember about: Initial treatment nonoperative; surgical procedures include core decompression?

DUPUYTREN DISEASE#

QuestionWhat is the key point about Benign fibroproliferative disorder that?
QuestionWhat should you know about Myofibroblasts?
QuestionIn DUPUYTREN DISEASE, what should you remember about: Increase in ratio of type III to type?
QuestionWhat is the key point about Cleland (dorsal) ligaments?
QuestionWhat should you know about PIP contracture?
QuestionIn DUPUYTREN DISEASE, what should you remember about: Neurovascular bundle at risk during surgery from central?
QuestionWhat should you know about Surgical indications?
QuestionWhat is the key point about Open limited fasciectomy?
QuestionWhat are the complications?
QuestionWhat is the key point about Use of collagenase injection or needle aponeurotomy?
QuestionWhat is the key point about Pooled study?
QuestionIn DUPUYTREN DISEASE, what should you remember about: Pain, swelling, and bruising are likely temporary adverse?
QuestionWhat is the key point about Skin tears?

HAND TUMORS#

QuestionWhat is the key point about Ganglions?
QuestionIn HAND TUMORS, what should you remember about: Dorsal wristdSL articulation.?
QuestionIn HAND TUMORS, what should you remember about: Volar wristdradioscaphoid or STT joint.?
QuestionIn HAND TUMORS, what should you remember about: IP jointdosteophyte.?
QuestionIn HAND TUMORS, what should you remember about: Distal palmdflexor tendon sheath.?
QuestionIn HAND TUMORS, what should you remember about: Giant cell tumor of tendon sheath, the second?
QuestionWhat is the key point about Treatment?
QuestionWhat should you know about Other soft tissue tumors in the differential diagnosis?
QuestionIn HAND TUMORS, what should you remember about: Box 7.3 lists the most common tumors (and?

HAND INFECTIONS#

QuestionWhat is the key point about Staphylococcus aureus?
QuestionIn HAND INFECTIONS, what should you remember about: MRSA more common in urban areas.?
QuestionIn HAND INFECTIONS, what should you remember about: IV treatment with vancomycin or clindamycin; oral treatment?
QuestionWhat should you know about Gram-negative and anaerobic bacteria?
QuestionWhat should you know about Paronychia (nail fold)?
QuestionWhat should you know about Felon (fingertip pulp)?
QuestionWhat should you know about Human bites (fight bite)?
QuestionWhat is the key point about Most commonly isolated organisms?

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

QuestionWhat is the key point about Dog bites?
QuestionIn S. aureus, Eikenella corrodens, and Bacteroides spp., what should you remember about: Antibiotic therapy should cover Pasteurella canis, Pasteurella multocida?
QuestionWhat is the key point about Pyogenic flexor tenosynovitis?
QuestionWhat should you know about Kanavel signs?

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

QuestionIn Early (<24e48 hours) with less than four Kanavel signs, what should you remember about: If signs improve within first 24 hours, surgery?
QuestionWhat should you know about Late (>24e48 hours) or all four Kanavel signs?
QuestionWhat should you know about Deep potential-space infections?
QuestionWhat should you know about Necrotizing fasciitis?
QuestionIn Early (<24e48 hours) with less than four Kanavel signs, what should you remember about: Most commonly b-hemolytic Streptococcus.?
QuestionWhat should you know about Groups at risk?
source p. 30
QuestionWhat should you know about Gas gangrene?
QuestionWhat should you know about Herpetic whitlow?
QuestionIn this topic, what should you remember about: Atypical mycobacterial infections (e.g., Mycobacterium marinum) commonly involve?
QuestionWhat is the key point about Treatment generally?
QuestionIn this topic, what should you remember about: High-pressure injection injuries can be devastating.?
QuestionIn this topic, what should you remember about: Rate of digital amputation high with organic solvent?
QuestionIn this topic, what should you remember about: Treated urgently with I&D.?

The three signaling centers that control limb development#

QuestionIn The three signaling centers that control limb development, what should you remember about: The apical ectodermal ridge controls proximal-to-distal growth.?
QuestionIn The three signaling centers that control limb development, what should you remember about: The zone of polarizing activity formation controls radial-to-ulnar?
QuestionIn The three signaling centers that control limb development, what should you remember about: Wingless-type controls dorsal-to-volar growth.?
QuestionIn The three signaling centers that control limb development, what should you remember about: Radial clubhand.?
QuestionWhat should you know about Associated with systemic syndromes?
QuestionIn The three signaling centers that control limb development, what should you remember about: Wrist centralization performed if elbow ROM adequate.?
QuestionWhat should you know about Ulnar clubhand?
QuestionWhat should you know about Cleft hand?
QuestionWhat should you know about Radioulnar synostosis?
QuestionWhat should you know about Camptodactyly?
QuestionWhat should you know about Clinodactyly?
QuestionWhat should you know about Flexed thumb?
QuestionWhat should you know about Arthrogryposis?
QuestionIn The three signaling centers that control limb development, what should you remember about: Duplication can be preaxial (radial) or postaxial (ulnar).?
QuestionWhat should you know about Preaxial polydactyly (thumb duplication)?
QuestionWhat should you know about Postaxial polydactyly (small finger duplication)?
QuestionWhat should you know about Syndactyly?
QuestionIn The three signaling centers that control limb development, what should you remember about: Characterized as simple (soft tissue) or complex (bony)?
QuestionIn The three signaling centers that control limb development, what should you remember about: Long-ring most common.?
QuestionIn The three signaling centers that control limb development, what should you remember about: Border digit syndactyly released earlier.?
QuestionWhat is the key point about Web creep?
QuestionIn The three signaling centers that control limb development, what should you remember about: Poland syndrome (absence of pectoralis major, abnormalities of?
QuestionWhat should you know about Macrodactyly?
QuestionWhat should you know about Thumb hypoplasia?
QuestionWhat should you know about Madelung deformity?

ELBOW#

QuestionWhat is the key point about Anterior bundle of the medial (ulnar) collateral ligament?
QuestionWhat is the key point about Lateral ulnar collateral ligament (LUCL)?
QuestionWhat should you know about Lateral epicondylitis (tennis elbow)?
QuestionWhat is the key point about Histologic examination?
QuestionIn ELBOW, what should you remember about: No clear benefit from corticosteroid injection.?
QuestionIn ELBOW, what should you remember about: Operative treatment for select recalcitrant cases in which?
QuestionWhat should you know about Medial epicondylitis (golfer’s elbow)?
QuestionWhat should you know about Distal biceps tendon rupture?
QuestionHow is this condition diagnosed or investigated?
QuestionWhat is the key point about Partial ruptures?
QuestionWhat should you know about Untreated?
QuestionIn ELBOW, what should you remember about: Complete tears with retraction treated expediently.?
QuestionIn ELBOW, what should you remember about: Single-incision technique risks the lateral antebrachial cutaneous nerve?
QuestionWhat is the key point about Two-incision technique?
QuestionIn ELBOW, what should you remember about: Biceps muscle belly unlikely to be proximally retracted?
QuestionWhat is the key point about Titanium fixation button (Endobutton)?
QuestionWhat is the key point about Chronic untreated tears?
QuestionWhat should you know about Distal triceps injury?
QuestionWhat should you know about Risks?
QuestionWhat should you know about “Flake Sign”?
QuestionIn ELBOW, what should you remember about: Distal humerus fracture?
QuestionIn ELBOW, what should you remember about: Nonoperative treatment only in elderly patients with comorbidities?
QuestionIn ELBOW, what should you remember about: Surgical treatment?
QuestionWhat should you know about ORIF?
QuestionWhat should you know about TEA (semi-constrained)?
QuestionWhat should you know about Radial head fracture?
QuestionWhat should you know about Associated injuries?
QuestionWhat should you know about Olecranon fracture?
QuestionIn ELBOW, what should you remember about: “Terrible triad” injury consists of radial head fracture?
QuestionWhat is the treatment or management for this concept?
source p. 31

SECTION 1 INTRODUCTION#

QuestionWhat is the key point about Careful history?
QuestionWhat is the key point about Physical examination should?
QuestionIn SECTION 1 INTRODUCTION, what should you remember about: In absence of trauma and red-flag signs, plain?
QuestionWhat is the key point about False-positive magnetic resonance imaging (MRI)?

SECTION 2 CERVICAL SPINE#

QuestionWhat is the key point about Cervical spondylosis most commonly?

by C6 to C7.#

QuestionIn by C6 to C7., what should you remember about: Cervical nerve roots exit above their corresponding vertebrae?
QuestionWhat is the key point about Natural history of cervical spondylotic myelopathy?
QuestionWhat is the key point about False-positive MRIs?
QuestionWhat is the key point about Operative indications?
QuestionWhat is the key point about Complications of anterior cervical discectomy and fusion?
QuestionWhat is the key point about Canal-expanding laminoplasty?
QuestionIn by C6 to C7., what should you remember about: In selected cases, cervical total disc replacement may?
QuestionWhat is the key point about Surgical options for discogenic neck pain?
QuestionIn by C6 to C7., what should you remember about: Cervical stenosis.?
QuestionIn by C6 to C7., what should you remember about: Pavlov (Torg) ratio of less than 0.80 or?
QuestionWhat is the key point about Absolute stenosis?
QuestionIn by C6 to C7., what should you remember about: Rheumatoid spondylitis.?
QuestionIn by C6 to C7., what should you remember about: In the cervical spine can commonly be asymptomatic?
QuestionIn by C6 to C7., what should you remember about: Progressive cervical instability secondary to pannus formation and?
QuestionWhat is the key point about AAS?
QuestionWhat is the key point about Surgery?
QuestionIn by C6 to C7., what should you remember about: Consideration for flexion/extension lateral cervical spine radiographs should?
QuestionIn by C6 to C7., what should you remember about: Ankylosing spondylitis (AS) patients who present with neck?
QuestionIn by C6 to C7., what should you remember about: Cervical spine injury can be associated with spinal?
QuestionWhat is the key point about Spinal shock?
QuestionWhat is the key point about Neurogenic shock?
QuestionWhat is the key point about Incomplete spinal cord syndromes?
QuestionWhat is the key point about Central cord syndrome?
QuestionWhat is the key point about Anterior cord syndrome?
QuestionIn by C6 to C7., what should you remember about: Brown-Séquard syndrome presents as ipsilateral motor weakness on?
QuestionWhat is the key point about Posterior cord syndrome?
QuestionWhat is the key point about Autonomic dysreflexia?

SECTION 3 THORACIC SPINE#

QuestionWhat is the key point about Most thoracic herniated discs?
QuestionWhat is the key point about Indications for surgery?
QuestionIn SECTION 3 THORACIC SPINE, what should you remember about: Anterior transthoracic approaches allow direct access to the?
QuestionWhat is the key point about 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 the key point about Lumbar disc?
QuestionWhat is the key point about Most herniations?
source p. 32
QuestionWhat is the key point about Far lateral herniation or foraminal stenosis?
QuestionIn this topic, what should you remember about: Greater than 90% of patients seeking treatment for?
QuestionIn this topic, what should you remember about: Failure to improve after 6 weeks warrants further?
QuestionWhat is the key point about Surgery?
QuestionIn this topic, what should you remember about: Outcomes from the Spine Patient Outcomes Research Trial?
QuestionIn this topic, what should you remember about: No significant differences in primary outcome measures for?
QuestionIn this topic, what should you remember about: However, trends favoring surgical intervention in primary outcome?
QuestionIn this topic, what should you remember about: Statistically significant improvement in secondary outcome measures for?
QuestionWhat is the key point about Workers’ compensation patients?
QuestionWhat is the key point about Complications?
QuestionWhat is the key point about Treatment of dural tear?

II. Lumbar Spinal Stenosis#

QuestionIn II. Lumbar Spinal Stenosis, what should you remember about: Spinal stenosis can be classified anatomically into central?
QuestionWhat is the key point about Central stenosis?
QuestionWhat is the key point about Lateral stenosis?
QuestionWhat is the key point about 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 the key point about 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 the key point about Spondylolysis?
QuestionIn III. Spondylolysis And Spondylolisthesis, what should you remember about: Wiltse classification divided spondylolisthesis into six types, with?
QuestionIn III. Spondylolysis And Spondylolisthesis, what should you remember about: Isthmic spondylolisthesis can present in childhood or in?

Pediatric#

QuestionIn Pediatric, what should you remember about: Low-grade (<50%) slips typically respond to nonoperative treatment?
QuestionIn Pediatric, what should you remember about: High-grade (>50%) slips are typically more symptomatic and?

Adult#

QuestionIn Adult, what should you remember about: Associated with increased pelvic incidence.?
QuestionWhat is the key point about Operative treatment frequently?
QuestionWhat is the key point about Degenerative spondylolisthesis?
QuestionIn Adult, what should you remember about: Can present with symptoms of both central and?
QuestionWhat is the key point about Operative treatment for degenerative spondylolisthesis?
QuestionIn Adult, 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 secondary 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 the key point about Adult scoliosis?
QuestionWhat is the key point about Right thoracic curves greater than 50 degrees?
QuestionWhat is the key point about Sagittal plane imbalance?
QuestionWhat is the key point about Whether to end a fusion at L5 or S1 distally?

II. KyphosisdSagittal Plane Deformity#

QuestionWhat is the key point about Kyphosis?
QuestionWhat is the key point about Can?
source p. 33

SECTION 6 SACROPELVIS#

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

SECTION 7 SPINAL TUMORS#

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

Decompressive surgery techniques#

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

I. Osteodiscitis#

QuestionWhat is the key point about Most commonly?
QuestionWhat is the key point about Radiographs?
QuestionWhat is the key point about Treatment?
QuestionIn I. Osteodiscitis, what should you remember about: Surgical irrigation and débridement and bone grafting are?
QuestionWhat is the key point about Pyogenic vertebral osteomyelitis?

II. Epidural Abscess#

QuestionWhat is the key point about Typically?
QuestionWhat is the key point about Management?

Differs from pyogenic infections in several ways#

QuestionIn Differs from pyogenic infections in several ways, what should you remember about: Disc spaces typically preserved with tuberculosis spondylitis.?
QuestionIn Differs from pyogenic infections in several ways, what should you remember about: Associated spinal deformity more common (typically kyphosis).?
QuestionIn Differs from pyogenic infections in several ways, what should you remember about: More typically associated with large paravertebral abscess/ phlegmon.?
QuestionIn Differs from pyogenic infections in several ways, what should you remember about: More likely to spread along anterior longitudinal ligament?

IV. Ankylosing Spondylitis#

QuestionIn IV. Ankylosing Spondylitis, what should you remember about: Associated with HLA-B27, but only 2% of patients?
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?
QuestionIn V. Diffuse Idiopathic Skeletal Hyperostosis, what should you remember about: Radiographs typically demonstrate undulating “nonmarginal syndesmophytes.”?

I. Upper Cervical Spine Injuries (C1eC2)#

QuestionIn I. Upper Cervical Spine Injuries (C1eC2), what should you remember about: American Spine Injury Association classification of spinal cord?
QuestionWhat is the key point about C1 ring fractures?
QuestionWhat is the key point about Odontoid fracture treatment?
QuestionWhat should you know about Type I?
QuestionWhat should you know about Type 2?
QuestionWhat is the key point about Risk factors for nonunion?
QuestionWhat is the key point about Surgical treatment?
QuestionWhat should you know about Type 3?

Traumatic spondylolisthesis of C2 (hangman’s fracture)#

QuestionIn Traumatic spondylolisthesis of C2 (hangman’s fracture), what should you remember about: Fracture through pars of C2.?
QuestionWhat is the key point about Trial of external rigid orthosis?
QuestionWhat is the key point about Axial distraction with significant angulation/flexion (type IIa)?

II. Lower Cervical Spine (C3eC7)#

QuestionIn II. Lower Cervical Spine (C3eC7), what should you remember about: Bilateral facet joint dislocations demonstrate greater than 50%?
QuestionWhat is the key point about 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 is the key point about The syndromes most commonly associated with osteosarcoma?
QuestionWhat is the key point about A mass that?
QuestionWhat is the key point about Radiation therapy?
QuestionIn this topic, what should you remember about: External beam irradiation (most common) can be delivered?
QuestionWhat is the key point about Radiation?
QuestionIn this topic, what should you remember about: Postoperative external beam irradiation (6600 cGy/66 Gy) yields?
QuestionWhat is the key point about Residual tumor?
QuestionWhat should you know about STS metastasis?
QuestionIn this topic, what should you remember about: Epithelioid sarcoma, synovial sarcoma, angiosarcoma, rhabdomyosarcoma, and clear-cell?
QuestionIn this topic, what should you remember about: Immunohistochemistry (IHC) marker that differentiates lipoma from liposarcoma?
QuestionWhat is the key point about Synovial sarcoma?
QuestionIn this topic, what should you remember about: Translocation between chromosome 18 and the X chromosomedt(X;18)dis?
QuestionWhat is the key point about The balanced translocation?
QuestionWhat is the key point about Wide surgical resection with adjuvant radiotherapy?
QuestionWhat is the key point about Synovial sarcoma?
QuestionWhat is the key point about Lymph nodes?
QuestionWhat is the key point about Epithelioid sarcoma?
QuestionWhat should you know about IHC?
QuestionWhat should you know about Differential diagnosis?
QuestionWhat should you know about Desmoid fibromatosis IHC?
QuestionWhat should you know about Neurofibromatosis (von Recklinghausen disease)dgenes?
QuestionWhat is the key point about The colony-stimulating factor-1 pathway that?
QuestionIn this topic, what should you remember about: Bone sarcomas metastasize primarily via the hematogenous route?
QuestionWhat is the key point about Osteosarcoma and Ewing sarcoma?
QuestionWhat is the key point about Osteoid osteoma?
QuestionWhat is the key point about The nidus?
QuestionWhat is the key point about Computed tomographyeguided radiofrequency ablation?
QuestionWhat should you know about Osteoblastoma?
QuestionWhat is the key point about Size?
QuestionWhat should you know about Osteosarcoma?
QuestionWhat should you know about IHC?
QuestionWhat is the key point about Osteosarcoma?
QuestionIn this topic, what should you remember about: Parosteal osteosarcoma (low-grade surface).?
QuestionWhat is the key point about Resection with a wide margin?
QuestionWhat should you know about Low-grade lesion?
QuestionIn this topic, what should you remember about: Ollier and Maffuci.?
QuestionWhat is the key point about Patients with multiple enchondromatosis?
QuestionWhat is the key point about Patients with Maffucci syndrome also?
QuestionIn this topic, what should you remember about: Osteochondroma?
QuestionWhat is the key point about Underlying cortex?
QuestionIn this topic, what should you remember about: Multiple hereditary exostoses?
QuestionWhat is the key point about This?
QuestionWhat should you know about Chondroblastoma treatment?
QuestionIn this topic, what should you remember about: Chondromas of the hand (enchondromas)dthe lesions in patients?
QuestionWhat should you know about Chondrosarcoma IHC?
QuestionIn this topic, what should you remember about: Treatment.?
QuestionIn this topic, what should you remember about: Wide surgical resection.?
QuestionWhat is the key point about Chemotherapy?
QuestionIn this topic, what should you remember about: Lymphoma of bone (non-Hodgkin lymphoma).?
QuestionIn this topic, what should you remember about: A large soft tissue mass out of proportion?
QuestionWhat should you know about IHC?

Treatment#

QuestionIn Treatment, what should you remember about: Multiagent chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone) is?
QuestionWhat is the key point about Surgery?
QuestionIn Treatment, what should you remember about: Giant cell tumor of bone.?
QuestionIn Treatment, what should you remember about: Stromal malignant cells produce receptor activator for nuclear?
QuestionIn Treatment, what should you remember about: Multinucleated giant cells express receptor activator for nuclear?
QuestionIn Treatment, what should you remember about: Aimed at removing the lesion, with preservation of?
QuestionIn Treatment, what should you remember about: Denosumab (Prolia), a human monoclonal antibody that binds?
source p. 35
QuestionIn this topic, what should you remember about: Extensive intralesional resection (removal of a large cortical?
QuestionWhat is the key point about Chemical cauterization?
QuestionWhat is the key point about Area of defect?
QuestionIn this topic, what should you remember about: Ewing sarcoma?
QuestionWhat is the key point about The soft tissue component?
QuestionWhat should you know about ICH?
QuestionWhat should you know about A classic t(11?
QuestionWhat is the key point about Bone marrow biopsy?
QuestionWhat is the treatment or management for this concept?
QuestionWhat is the key point about Standard treatment?
QuestionWhat is the key point about Standard for local tumor control?
QuestionWhat is the key point about Radiation therapy?
QuestionWhat is the key point about Metastatic disease?

Poor prognostic factors include the following#

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

Polytrauma Management#

QuestionIn Polytrauma Management, what should you remember about: Damage control orthopaedic principles involve staging the definitive?
QuestionIn Polytrauma Management, what should you remember about: Early appropriate care can lead to reduced risk?
QuestionIn Polytrauma Management, what should you remember about: Lactate to <4.0 mmol/L.?
QuestionIn Polytrauma Management, what should you remember about: pH >7.25.?
QuestionIn Polytrauma Management, what should you remember about: Base excess >5.5 mmol/L.?
QuestionWhat is the key point about Post-traumatic stress disorder (PTSD)?
QuestionIn Polytrauma Management, what should you remember about: Early identification of PTSD can shorten recovery.?
QuestionWhat is the key point about Women?

Open Fracture Management#

QuestionIn Open Fracture Management, what should you remember about: Antibiotics administer within 3 hours of injury. This?
QuestionIn Open Fracture Management, what should you remember about: Wounds should be primarily closed without undue tension?
QuestionIn Open Fracture Management, what should you remember about: Goal of definitive coverage in <7 days for?

Basics of Fracture Healing and Fixation#

QuestionIn Basics of Fracture Healing and Fixation, what should you remember about: To correct angular deformity when nailingda blocking screw?

Specific Trauma Scenarios#

QuestionIn Specific Trauma Scenarios, what should you remember about: Compartment syndrome diagnosisdintracompartmental pressure within 30 mm Hg?

Proximal Humerus Fractures#

QuestionWhat is the key point about Tuberosity healing?
QuestionWhat is the key point about Low-demand/elderly patients most often?
QuestionIn Proximal Humerus Fractures, what should you remember about: Medial metadiaphyseal extension less than 8 mm (calcar?

Indications for open reduction and internal fixation (ORIF)#

QuestionIn Indications for open reduction and internal fixation (ORIF), what should you remember about: Acute ORIF indicated for polytraumatized patients to facilitate?
QuestionIn Indications for open reduction and internal fixation (ORIF), what should you remember about: After nonoperative trialdtest gross mobility at 6 weeks?

Elbow Injuries#

QuestionWhat is the key point about Elbow instability?
QuestionIn Elbow Injuries, what should you remember about: Terrible triad of the elbowdelbow dislocation with lateral?

Pelvic Ring Injuries and Sacral Fractures#

QuestionIn Pelvic Ring Injuries and Sacral Fractures, what should you remember about: Anteroposterior (AP) pelvis during the initial trauma evaluationdcritical?
QuestionWhat is the key point about If there?
QuestionWhat is the key point about If there?
QuestionIn Pelvic Ring Injuries and Sacral Fractures, what should you remember about: The pelvic outlet view allows optimal visualization of?
QuestionIn Pelvic Ring Injuries and Sacral Fractures, what should you remember about: The pelvic inlet view helps identify and minimize?
QuestionIn Pelvic Ring Injuries and Sacral Fractures, what should you remember about: The lateral sacral view identifies the iliac cortical?

Acetabulum Fractures#

QuestionIn Acetabulum Fractures, what should you remember about: Posterior wall fracture >15% should be stressed in?
QuestionIn Acetabulum Fractures, what should you remember about: Debride the gluteus minimus to minimize the risk?
QuestionWhat is the key point about Supra-acetabular corridor?
QuestionIn Acetabulum Fractures, what should you remember about: Superior ramus screw uses the inlet to avoid?
QuestionIn Acetabulum Fractures, what should you remember about: Sciatic nerve injury associated with posterior dislocations, especially?
QuestionWhat is the key point about Transverse posterior wall?
QuestionIn Acetabulum Fractures, what should you remember about: Conversion to a total hip arthroplasty (THA) more?

Geriatric Hip Fractures#

QuestionIn Geriatric Hip Fractures, what should you remember about: Comanagement care teams should be used in the?
QuestionWhat is the key point about Timingddefinitive treatment in 24 hours?
QuestionWhat is the key point about Multimodal analgesia incorporating pr-operative nerve block?
QuestionIn Geriatric Hip Fractures, what should you remember about: Tranexamic acid should be administered to reduce blood?
QuestionIn Geriatric Hip Fractures, what should you remember about: Goal of treatment to allow early weight bearing?
QuestionWhat is the key point about Hemiarthroplasty?
QuestionWhat is the key point about Cemented femoral component?
QuestionWhat is the key point about THA?
QuestionIn Geriatric Hip Fractures, what should you remember about: 1-year mortality rate in elderly patients approximately 30%.?
QuestionWhat is the key point about Sliding hip screw (SHS)?
QuestionIn Geriatric Hip Fractures, what should you remember about: Lag screw placed in centerdcenter position with tip-apex?
QuestionIn Geriatric Hip Fractures, what should you remember about: Cephalomedullary nail (CMN) should be used in all?
QuestionIn Geriatric Hip Fractures, what should you remember about: SHS cheaper than short CMN, which is cheaper?
QuestionIn Geriatric Hip Fractures, what should you remember about: For atypical subtrochanteric fractures, make sure to get?

Young Adult Proximal Femur Injuries#

QuestionIn Young Adult Proximal Femur Injuries, what should you remember about: Hip dislocationdemergent open reduction if irreducible after closed?
QuestionIn Young Adult Proximal Femur Injuries, what should you remember about: Postreduction radiographs (AP pelvis and Judet views) and?
source p. 38
QuestionIn this topic, what should you remember about: Femoral head fracturesdPipkin type III; associated femoral neck?
QuestionIn this topic, what should you remember about: Femoral neck fracturedincreased vertical orientation associated with more?
QuestionIn this topic, what should you remember about: Nonunion and avascular necrosis associated with vertical patterns?
QuestionWhat is the key point about Femoral neck nonuniondin young patients this?

Femur Fractures#

QuestionIn Femur Fractures, what should you remember about: Femur shaft.?
QuestionIn Femur Fractures, what should you remember about: Early stabilization reduces systemic complications associated with multiply?
QuestionWhat is the key point about High incidence of malrotationduse of a fracture table?
QuestionWhat is the key point about Associated neck fractures?
QuestionIn Femur Fractures, what should you remember about: Can be diagnosed with soft tissue windowing on?
QuestionIn Femur Fractures, what should you remember about: Hypertrophic shaft nonuniondtreat with exchange nailing with larger?
QuestionIn Femur Fractures, what should you remember about: Distal femur fractures.?
QuestionIn Femur Fractures, what should you remember about: CT to evaluate for intra-articular extension or coronal?
QuestionWhat is the key point about Geriatric patients?

Knee Injuries#

QuestionWhat should you know about Knee dislocationdif concern for vascular injury?
QuestionIn Knee Injuries, what should you remember about: Ankle-brachial index <0.9, CT angiography?
QuestionIn Knee Injuries, what should you remember about: Patella fractures.?
QuestionWhat should you know about Nonoperative treatment?
QuestionWhat should you know about Tension band wiring?
QuestionWhat is the key point about Quad tendondsuture anchor fixation shown to?

Tibia Plateau/Shaft Fractures#

QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Tibia plateau fracture.?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Lateral meniscus tears most common in split depression?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Nonoperative treatment indicated in stable knees (<10 degrees?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Maintenance of mechanical axis correlates most with a?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Best treatment to prevent loss of articular reduction?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Tibia shaft fracture.?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: High rate of compartment syndromedhigher in younger age?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Semiextende nailingdimproved ease of intraoperative imaging; improved reduction?
QuestionWhat is the key point about Suprapatellar?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Proximal-third tibial fractures associated with valgus and apex?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Blocking screws placed in the metaphyseal segment at?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Tibia shaft nonunion.?
QuestionIn Tibia Plateau/Shaft Fractures, what should you remember about: Infection must be ruled out.?
QuestionWhat is the key point about Reamed-exchange nailing?

Pediatric Trauma General Topics#

QuestionIn Pediatric Trauma General Topics, what should you remember about: Corner fractures (at junction of metaphysis and physis)?
QuestionIn Pediatric Trauma General Topics, what should you remember about: In pediatric patients, multiorgan failure from polytrauma is?

Pediatric Elbow#

QuestionIn Pediatric Elbow, what should you remember about: Supracondylar humerus fracture.?
QuestionIn Pediatric Elbow, what should you remember about: Anterior interosseous nerve injury most common for extension-type?
QuestionIn Pediatric Elbow, what should you remember about: Ulnar nerve injury usually iatrogenic from medial pinning?
QuestionIn Pediatric Elbow, what should you remember about: Immediate surgery indicated in presence of vascular compromise?
QuestionIn Pediatric Elbow, what should you remember about: Well-perfused hand, absence of pulse (“pink, pulseless hand”)dpulse?
QuestionIn Pediatric Elbow, what should you remember about: Poorly perfused hand, absence of pulse then emergent?
QuestionIn Pediatric Elbow, what should you remember about: Medial epicondyle.?
QuestionWhat is the key point about If apophysis?
QuestionWhat is the key point about Incarceration of the fragment?

Pediatric Femur Fractures#

QuestionIn Pediatric Femur Fractures, what should you remember about: Femur shaft fracture.?
QuestionIn Pediatric Femur Fractures, what should you remember about: Patient younger than 5 years can be treated?
QuestionWhat is the key point about Compartment syndrome?
QuestionIn Pediatric Femur Fractures, what should you remember about: Rigi nailingdtrochanteric or lateral entry nailing required.?
QuestionIn Pediatric Femur Fractures, what should you remember about: Piriformis entry nailing must be avoided because it?
QuestionIn Pediatric Femur Fractures, what should you remember about: Distal femur.?
QuestionIn Pediatric Femur Fractures, what should you remember about: Smooth wires can be placed across the physis?
QuestionIn Pediatric Femur Fractures, what should you remember about: Fixation across the Thurston-Holland fragment to the rest?
QuestionIn Pediatric Femur Fractures, what should you remember about: Growth arrestdvery common (30%-50%); patients and families should?
QuestionIn Pediatric Femur Fractures, what should you remember about: This should be monitored for 1 to 2?
source p. 39
QuestionWhat should you know about Four major principles in medical ethics?
QuestionWhat is the key point about Conflicts of interest?
QuestionWhat should you know about Most common conflicts?
QuestionIn this topic, what should you remember about: American Academy of Orthopaedic Surgeons Standards of Professionalism?

and the American Board of Orthopaedic Surgery.#

QuestionIn and the American Board of Orthopaedic Surgery., what should you remember about: Child abuse laws require reporting all suspected cases?
QuestionWhat should you know about Medical negligence comprises four elements?
QuestionWhat is the key point about Physician-patient communication?
QuestionWhat is the key point about Supervisors?
QuestionWhat is the key point about Residents/fellows?
source p. 40

Clinical Research Designs#

QuestionIn Clinical Research Designs, what should you remember about: Observational research designs can be prospective, retrospective, or?
QuestionWhat is the key point about Clinical trials?
QuestionWhat is the key point about The gold standard and highest level of evidence in clinical trials?
QuestionIn Clinical Research Designs, what should you remember about: Pragmatic clinical research studies (whether experimental or observational)?

Common Flaws in Research Designs#

QuestionWhat is the key point about Confounding variables?
QuestionWhat is the key point about Bias?
QuestionIn Common Flaws in Research Designs, what should you remember about: Control groups can help account for potential influence?

How Many Subjects Are Needed to Complete a Research Study?#

QuestionWhat is the key point about Studies that?
QuestionWhat is the key point about More subjects/samples/observations?
QuestionWhat is the key point about Studies with low statistical power?

Describing Your Data With Simple Statistics#

QuestionIn Describing Your Data With Simple Statistics, what should you remember about: Mean, median, mode, range, and standard deviation are?
QuestionIn Describing Your Data With Simple Statistics, what should you remember about: The confidence interval quantifies the precision of the?
QuestionWhat is the key point about Outliers?

Concepts in Epidemiologic Research Studies#

QuestionWhat is the key point about Prevalence?
QuestionWhat is the key point about Incidence (absolute risk)?
QuestionIn Concepts in Epidemiologic Research Studies, what should you remember about: Odds ratios and relative risks can be calculated?
QuestionIn Concepts in Epidemiologic Research Studies, what should you remember about: Relative risk and odds ratio describe the risk?
QuestionWhat should you know about Sensitivity?
QuestionWhat should you know about Specificity?
QuestionWhat is the key point about Receiver operating characteristic curves?

What Statistical Test to Use for Different Analyses in Research#

QuestionWhat is the key point about Parametric statistics?
QuestionIn What Statistical Test to Use for Different Analyses in Research, what should you remember about: In general, t-tests are used to compare two?
QuestionWhat is the key point about Post hoc testing?
QuestionIn What Statistical Test to Use for Different Analyses in Research, what should you remember about: Correlation coefficients range in value from 1.0 to?
QuestionWhat is the key point about Regression?
QuestionWhat is the key point about Logistic regression?
QuestionWhat should you know about Chi-square (c2 ) test?

Validity and Reliability#

QuestionIn Validity and Reliability, what should you remember about: Accuracy/validity describes alignment with grounded truth/reality.?
QuestionIn Validity and Reliability, what should you remember about: Precision/reliability describes the ability to replicate/agree with repeated?
QuestionIn Validity and Reliability, what should you remember about: Intraclass correlation coefficients range from 0 to 1.0?

Interpretation of Statistical Test Results#

QuestionIn Interpretation of Statistical Test Results, what should you remember about: P values less than 0.05 mean there is?
QuestionIn Interpretation of Statistical Test Results, what should you remember about: However, statistical significance does not imply clinical importance.?
QuestionWhat is the key point about Minimal clinically important differences?
QuestionWhat is the key point about Effect sizes?
source p. 41
QuestionWhat should you know about Type I error (alpha [a] error)?
QuestionWhat should you know about Type II error (beta [b] error)?
figure