Trauma
A 35-year-old male has a closed mid-shaft tibia fracture following a skiing accident. You have recommended intramedullary nailing of the tibia. What is the most common complication he must be advised about?
Anterior knee pain
An 18-year-old male presents with leg pain after tripping during a soccer game. He has no history of leg pain or trauma. Which of the following is the most likely diagnosis of the lesion seen in figure A?
Nonossifying Fibroma
During trialing for a cruciate-retaining total knee arthroplasty, the surgeon is unable to fully extend the knee and is left with a 15 degree flexion contracture. The flexion gap is well balanced. Which of the following options will create a knee that is balanced in both flexion and extension?
Resect more distal femur
Where is the physis with the highest growth rate (in mm per year) located?
Distal Femur
What is Mike Bodine's birthday month?
March
A 32-year-old taxi driver sustains a displaced supination external rotation ankle injury after slipping off of a curb. He subsequently undergoes surgical fixation, and a post-operative radiograph is shown in Figure A. At the eight-week postoperative visit, you are asked to fill out a return to work form. How long from today’s visit will his braking time be expected to return to normal?
One week from now
Radiographs of the right knee of a 21-year-old man are seen in Figures 40a and 40b. What is the inheritance pattern of this disorder?
Autosomal Dominant
After implanting trials during a primary cruciate retaining total knee arthroplasty, the surgeon decides to recut the proximal tibia with increased slope. What intra-operative examination findings in the operative knee would lead to this decision? include both flexion and extension findings.
Balanced in extension. Tight in flexion.
Name all 4 of the Kocher criteria
WBC > 12,000
Inability to bear weight
Fever >101.3
ESR > 40
What is the name of Rob Comrie's undergraduate mascot?
Truman the Tiger (also accept - The Tiger)
A 78-year-old female falls and sustains the fracture seen in Figure A. Surgical treatment is pursued with open reduction internal fixation with a lateral locking plate. Postoperative radiographs are provided in Figure B. What is the most common complication with this mode of fixation?
Screw cut out
A 47-year-old man presents with increasing left knee pain and swelling. There is no history of trauma and he is otherwise healthy. Representative radiograph, MRI, and histology are shown in Figures A through D. What is the most likely diagnosis?
During templating for a total hip arthroplasty, placing the femoral head center of rotation directly superior to the center of rotation of the acetabular component will have which of the following effects?
Increase limb length
An 8-year-old male was seen in the emergency department with his parents after being struck by a car while riding his bicycle. He was found to have the injury seen in Figure A. Which of the following treatment modalities is most appropriate for treating this injury?
ORIF with plates and screws (Length unstable fracture pattern)
What is Saad's hometown?
Salisbury, MD
A 52-year-old woman who is right hand-dominant sustains an injury to her elbow in a fall. A radiograph is shown in Figure 60. The preferred treatment of this injury pattern should include?
Dorsal plating of the proximal ulna and radial head replacement
What is the most common site of metastases from a soft-tissue sarcoma?
Lungs
You are caring for an 18-year-old boy with severe hip arthritis and pain from a missed slipped capital femoral epiphysis. You decide that a hip arthrodesis is the best treatment option. What is the optimum position for a hip arthrodesis to maximize function and prevent complications?
5° external rotation, 5° adduction, 20° hip flexion
Figures A and B show an AP and lateral radiographs of a 15-year old boy who injured his ankle after skateboarding. What is the mechanism of injury with this type of fracture?
External Rotation
What is the name of Michael Dirkx newly born child?
Claire Catherine Dirkx
In patients with ipsilateral femoral neck and shaft fractures, what percent of femoral neck fractures are diagnosed on a delayed basis if fine cut CT is not utilized?
30%
A 36-year-old female presents with worsening left foot pain. Physical examination reveals a palpable, firm, non-mobile mass. MRI and biopsy results are shown in Figures A and B. What cytogenetic abnormality would confirm this suspected diagnosis?
X:18
A 72-year old female who underwent an uncemented right total hip arthroplasty 2 years ago complains of right hip pain after a fall. Figure A shows her current radiograph. Which acetabular bone defect classification and treatment option best describes this scenario?
AAOS Type IV - anti-protrusio cage with screw fixation and a posterior column plate
A 5-year-old boy has a history of delayed walking and difficulty climbing stairs. Physical examination shows a positive Gower sign and scoliosis. Laboratory tests show elevated serum creatine phosphokinase. A mutation of what protein results in this disorder?
Dystrophin
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