CCEB PART B SET 2 EXAM
Supracondylar process: ANSWER Bony exostosis pointing towards the elbow.
Osteochondroma is a benign bone protrusion covered by cartilage.
Keinboch Disease - Answer: AVN of the lunate.
ANSWER: Negative ulnar variance The ulna is unusually shorter than the radius,
as observed in scapho-lunate dislocation.
Associated with AVN (keinbock disease) of lunates.
Carpal coalition: ANSWER MC of lunate/triquetrium. Fusion of Carpals
Syndactyly is the fusion of soft tissues.
ADI - ANSWER: Adontoid? 3mm maximum in adults.
Soft tissue retropharyngeal - C1 = 10mm.
C2= 6mm
C6 = 22mm
Vacuum cleft sign - answer the Black spot on the endplate
When do you do Flex/Ext, oblique, or pillar views? - ANSWER When a suspected
fracture is not visible on the first examination or there are mobility concerns.
, Steele's Rule of Thirds - Answer: 1/3 chord.
- One-third odontoid.
- One-third of possible space
How much overall offset of the lateral masses is indicative of fracture? What
factors should be considered when measuring this offset? - ANSWER >3mm;
nevertheless, children can have considerable overlap, so >5mm in youngsters is
unusual.
Waldenstrom's sign - ANSWER: *increased medial joint space of the hip*
Teardrop distance was measured bilaterally and compared.
-d/t effusion.
Slipped Capital Femoral Epiphysis – a condition encountered in children
throughout their growth surge years. The proximal epiphysis slides from its usual
position on the femoral head. Take the *AP frog-leg view*.
SCFE: Age range, related diagnosis, and treatment. - ANSWER Age: 10-15
Associated with Rickets (and others).
Complicated by DJD and AVN.
Tx: (MC) Pinned in situ.
Conservatives may try spicacast.
SCFE Vinette - Answer Obese adolescent teen with knee pain and a limp. Pain is
more concentrated in the thigh (rather than the hip). Limited abduction/int rot.
Supracondylar process: ANSWER Bony exostosis pointing towards the elbow.
Osteochondroma is a benign bone protrusion covered by cartilage.
Keinboch Disease - Answer: AVN of the lunate.
ANSWER: Negative ulnar variance The ulna is unusually shorter than the radius,
as observed in scapho-lunate dislocation.
Associated with AVN (keinbock disease) of lunates.
Carpal coalition: ANSWER MC of lunate/triquetrium. Fusion of Carpals
Syndactyly is the fusion of soft tissues.
ADI - ANSWER: Adontoid? 3mm maximum in adults.
Soft tissue retropharyngeal - C1 = 10mm.
C2= 6mm
C6 = 22mm
Vacuum cleft sign - answer the Black spot on the endplate
When do you do Flex/Ext, oblique, or pillar views? - ANSWER When a suspected
fracture is not visible on the first examination or there are mobility concerns.
, Steele's Rule of Thirds - Answer: 1/3 chord.
- One-third odontoid.
- One-third of possible space
How much overall offset of the lateral masses is indicative of fracture? What
factors should be considered when measuring this offset? - ANSWER >3mm;
nevertheless, children can have considerable overlap, so >5mm in youngsters is
unusual.
Waldenstrom's sign - ANSWER: *increased medial joint space of the hip*
Teardrop distance was measured bilaterally and compared.
-d/t effusion.
Slipped Capital Femoral Epiphysis – a condition encountered in children
throughout their growth surge years. The proximal epiphysis slides from its usual
position on the femoral head. Take the *AP frog-leg view*.
SCFE: Age range, related diagnosis, and treatment. - ANSWER Age: 10-15
Associated with Rickets (and others).
Complicated by DJD and AVN.
Tx: (MC) Pinned in situ.
Conservatives may try spicacast.
SCFE Vinette - Answer Obese adolescent teen with knee pain and a limp. Pain is
more concentrated in the thigh (rather than the hip). Limited abduction/int rot.
