4 ORTHOPEDICS
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ORTHOPEDICS
BONUS-BTR
Fractures
VS: Shin splints/ Medial tibial stress syndrome
Local care
Antibiotics
Debridement
External fixator
Delayed primary closure : > Hours
AVN
IOC for AVN:
Fractures head to toe
Jumper’s :
Malgaigne:
Straddle:
UPPER ARM FRACTURES
MC at birth, MC overall Baumann angle
Medial 2/3-lateral 1/3 Dunlop traction
FIGURE OF 8 bandage 3 point maintained in
Arm by side lifting shoulder IR + K-wire
FOREARM FRACTURES
DISTAL END OF RADIUS FRACTURES
SPINE FRACTURES
LOWER LIMB FRACTURES
FRACTURE PROXIMAL FEMUR
NOF management:
>65yrs:
<65yrs, <3weeks:
<65yrs,>3weeks –VIABLE
<65yrs,>3weeks –NON-VIABLE
More age
More trauma
More pain
More shortening
More ER >45 degrees
INSTRUMENTS
INSTRUMENTS
Distraction osteogenesis
SPLINTS AND TRACTIONS
SPLINTS AND TRACTIONS
SHOULDER DISLOCATIONS
MC type:
Limb attitude:
MC nerve:
Modified Kocher’s:
TESTS:
T
Ruler touched acromion and lateral epicondyle
E
Difficulty touching opposite shoulder
A
Increased girth
M
HIP XRAYS
FUSED SPINES
HAND XRAYS
EXPANSILE TUMORS
BONE TUMORS BONUS
INITIAL-
IOC-
GOLD STANDARD-
MC bone tumor:
MC primary bone tumor:
MC benign bone tumor:
MC true benign bone tumor:
Most chemo-radio sensitive:
Most chemo-radio resistant:
MC radiation induced tumor:
MC mets:
MC bone to bone mets:
CD99/mic2: Giant cell containing lesions
Fluid-fluid levels on MRI:
p53/RB/INK4/CDK4/MDM2
Chromothrypsis ECG
H3-G34W Closest variant
Denosumab role: 4Fs
USP 6 rearrangement:
EXT1/EXT2:
BRACHURY marker:
PEDIATRIC ORTHOPEDICS EXTRA-EDGE
PEDIATRIC ORTHOPEDICS EXTRA-EDGE
Miscellaneous
Radial N palsy
BUZZ WORDS
High (Axilla)-
PAIN ON PASSIVE STRETCH:
Muscle mc:
Low (spiral groove)-
MASSAGE:
MC muscle:
PIN (Monteggia/Radial head)-
Petechiae, dyspnea:
Miscellaneous
CLASSIFICATION
JUDET and LETOURNEL
YOUNG AND BURGESS
DENIS
SCHATZKER
NEER
GARTLAND
MILCH
BADO
Kocher-Lagenbach approach: PIPKIN, GARDEN,
PAUWEL
Hawkin sign:
EVAN
DANIS- WEBER
KUWADA
