FRACTURES
Name this fracture:
Distal radius fracture with dorsal angulation after a FOOSH
Colles Fracture
A positive Lachman test indicates injury to this structure:
Anterior cruciate ligament (ACL)
Forward slippage of a vertebral body, often due to bilateral pars fractures is called:
Spondylolisthesis
Needle shaped, negatively birefringent crystals in synovial fluid indicates which condition?
Bonus: What are the crystals made of?
Gout
Monosodium urate
Cubital tunnel
Name this fracture:
Presents with external rotation of the femur with shortening of limb length in adults
Femoral neck fracture
The Ottawa Ankle Rules recommend X-ray if there is bone tenderness at this location or inability to bear weight
Posterior edge/tip of either malleolus
Severe low back pain, urinary retention and saddle anesthesia is associated with this condition:
Cauda equina
What are rhomboid-shaped positively birefringent crystals associated with?
Bonus: What are these crystals made of?
Pseudogout
Calcium pyrophosphate
A patient presents with a shoulder dislocation after having a seizure, what is the most likely direction of displacement?
Posterior
Name this fracture:
Base of the 5th metatarsal due to inversion injury - located at the metaphyeal diaphyseal junction
BONUS: What is the name of the fracture that occurs at the base of the 5th metatarsal d/t peroneus brevis tendon traction
Jones fracture
Pseudojones
Pain with valgus stress at at 30 degree knee flexion suggests injury to this structure:
Medial collateral ligament (MCL)
A positive straight leg raise suggests impingement of which nerve root levels?
L4-S1
What is the first line treatment of an acute gout flare in a patient with normal renal function
(Note: Colchicine takes time to work and is not considered an acute treatment)
What nerve is of greatest risk during an anterior shoulder dislocation?
BONUS: Where is there loss of sensation?
Axillary
Deltoid/Lateral shoulder
Name this fracture:
Radial fracture with ulnar deviation
Galeazzi fracture
This test is performed to determine if there has been a tear/rupture of the Achilles tendon:
Thompson test
Thenar atrophy accompanied by numbness of the thumb, index and middle fingers that worsens at night is caused by compression of which nerve?
BONUS: What ligament is cut to treat this?
Median nerve
Transverse carpal ligament
Fibromyalgia is characterized by widespread pain and this physical exam finding:
Tender points in >11 of the 18 specific sites
What is the terrible triad?
1. Posterior elbow dislocation
2. Radial head fracture
3. Coronoid fracture
Name this fracture:
A proximal fibula fracture associated with syndesmotic injury and deltoid ligament tear
Maisonneuve fracture
This injury - named after the past-time it is associated with - occurs when the ulnar collateral ligament is torn:
BONUS: What is the name of the lesion caused by the retraction of the ligament?
Skiier's thumb
Stenner lesion
What are the four Kanavel's signs?
Finger held in flexion, Fusiform swelling, Tenderness along the tendon sheath, Pain with passive extension
What is the name for the medical term/name for the joint most commonly affected by gout?
Podagra
This carpal bone, most commonly fractured after a FOOSH is at high risk of avascular necrosis:
BONUS: what workup (if any) is required after a negative injury
Scaphoid
Repeat x-ray after 7-10 days