Orthopaedics & MSK — Flashcards

Flashcard 171: High-energy trauma patient with severe back pain & spinal misalignment = _____

Answer: fracture-dislocation; unstable with high neurological risk

Flashcard 172: Spot diagnosis = _____

Answer: anterior cord syndrome

Flashcard 173: Upper motor neuron lesion presents with _____ which is a series of rapid, rhythmic contractions of a muscle in response to a sudden stretch

Answer: clonus

Flashcard 174: _____ is a spinal cord injury that is commonly seen in the elderly followed by forced hyperextension of the neck (rear-end collision)

Answer: Central cord syndrome

Flashcard 175: The _____ tract is responsible for fine touch, vibration, & proprioception

Answer: dorsal column medial lemniscus

Flashcard 176: Patient in a car accident with a lap-belt injury causing sudden excessive flexion of the spine resulting in back pain = _____

Answer: Flexion-distraction fracture (Chance fracture); unstable but usually neurologically intact

Extra: Chance fractures are most common at the thoracolumbar junction (T12-L2). They are strongly associated with intra-abdominal injuries (e.g., bowel perforation or solid organ injury).

Flashcard 177: Pelvic fracture with loss of hip flexion, leg extension & loss of sensation of anterior thigh and medial leg & loss of patellar reflex = _____ nerve damage

Answer: femoral

Flashcard 178: A posterior urethral injury is seen more commonly with _____

Answer: pelvic fractures

Flashcard 179: What is the management of stable pelvic fractures? _____

Answer: Non-weight bearing with crutches/walker

Flashcard 180: Pelvic fractures often results from _____-energy trauma (e.g. road traffic accidents, high falls) and ~60% also have polytrauma

Answer: high