musculoskeletal
Trauma
2018
,1*A B36-year-old Bman Bhas Bright Bshoulder Bpain Bafter Ba Bfall Bfrom Ba Bbicycle. BWhat Bis Bthe Bmost Blikely
Bcomplication Bof Bnonsurgical Btreatment Bof Bthe Binjury Bshown Bin BFigure B1?
1- Nonunion
2- Symptomatic
malunion B3-Skin
B
breakdown
B
4-Acromioclavicular Bjoint Barthrosis
Correct Banswer B:1
The Bpatient Bhas Ba BNeer Btype BII Bdistal Bclavicle Bfracture Bwith Bradiographic Bevidence Bof
Bcoracoclavicular Bligament Bdisruption. BWith Bnon-surgical Btreatment, Bthe Bmost Bcommonly Breported
Bcomplication Bis Bnonunion, Bwith Brates Breported Bto Bbe Bas Bhigh Bas B44%. BHowever, Bmany Bpatients
Bwith Bdistal Bclavicular Bnonunion Bremain Basymptomatic. BSymptomatic Bmalunion Band Bskin Bbreakdown
Bover Bthe Bfracture Bsite Bare Bcertainly Bpossible, Bbut Bare Bless Bcommon Bthan Bnonunion. BBecause Bthe
Bfracture Bdoes Bnot Bextend Binto Bthe Bacromioclavicular Bjoint, Bpost-traumatic Barthrosis Bwould Bnot Bbe
expected.
B
,2*A B99-year-old Bwoman Bsustains Bthe Binjury Bshown Bin BFigure B1 Bafter Bfalling Bfrom Ba Bstanding
Bposition. BWhat Bis Bthe Bmost Bcost-effective Btreatment?
1- Three Bcannulated Bscrews
2- Long Bintramedullary Bnail
3- Sliding Bhip Bscrew
4- Short Bintramedullary Bnail
Correct B answer B : B3
Intertrochanteric Bhip Bfractures Bremain Ba Bcommon Binjury Bthat Borthopaedic Bsurgeons Bmanage. BThe
Boptimal Bform Bof Bsurgical Bstabilization Bfor Bthese Binjuries Bhas Bbeen Ba Btopic Bof Bdebate Bover Bthe
Byears. BRecent Bstudies B Bhave Bdemonstrated Bequivalent Boutcomes Bbetween Bthe Buse Bof Bsliding Bhip
Bscrews Band Bintramedullary Bnails B Bfor Bstable Bfracture Bpatterns. BRecent Bguidelines Bhave Bsuggested
Bthat Bthe Buse Bof Bsliding Bhip Bscrews Bfor Bstable Bfracture Bpatterns Bcan Bhave Ba Bsignificant Breduction Bin
Bcost Bper Bcase.
, Figure Bfor Bquestion B3+4+5
Trauma
2018
,1*A B36-year-old Bman Bhas Bright Bshoulder Bpain Bafter Ba Bfall Bfrom Ba Bbicycle. BWhat Bis Bthe Bmost Blikely
Bcomplication Bof Bnonsurgical Btreatment Bof Bthe Binjury Bshown Bin BFigure B1?
1- Nonunion
2- Symptomatic
malunion B3-Skin
B
breakdown
B
4-Acromioclavicular Bjoint Barthrosis
Correct Banswer B:1
The Bpatient Bhas Ba BNeer Btype BII Bdistal Bclavicle Bfracture Bwith Bradiographic Bevidence Bof
Bcoracoclavicular Bligament Bdisruption. BWith Bnon-surgical Btreatment, Bthe Bmost Bcommonly Breported
Bcomplication Bis Bnonunion, Bwith Brates Breported Bto Bbe Bas Bhigh Bas B44%. BHowever, Bmany Bpatients
Bwith Bdistal Bclavicular Bnonunion Bremain Basymptomatic. BSymptomatic Bmalunion Band Bskin Bbreakdown
Bover Bthe Bfracture Bsite Bare Bcertainly Bpossible, Bbut Bare Bless Bcommon Bthan Bnonunion. BBecause Bthe
Bfracture Bdoes Bnot Bextend Binto Bthe Bacromioclavicular Bjoint, Bpost-traumatic Barthrosis Bwould Bnot Bbe
expected.
B
,2*A B99-year-old Bwoman Bsustains Bthe Binjury Bshown Bin BFigure B1 Bafter Bfalling Bfrom Ba Bstanding
Bposition. BWhat Bis Bthe Bmost Bcost-effective Btreatment?
1- Three Bcannulated Bscrews
2- Long Bintramedullary Bnail
3- Sliding Bhip Bscrew
4- Short Bintramedullary Bnail
Correct B answer B : B3
Intertrochanteric Bhip Bfractures Bremain Ba Bcommon Binjury Bthat Borthopaedic Bsurgeons Bmanage. BThe
Boptimal Bform Bof Bsurgical Bstabilization Bfor Bthese Binjuries Bhas Bbeen Ba Btopic Bof Bdebate Bover Bthe
Byears. BRecent Bstudies B Bhave Bdemonstrated Bequivalent Boutcomes Bbetween Bthe Buse Bof Bsliding Bhip
Bscrews Band Bintramedullary Bnails B Bfor Bstable Bfracture Bpatterns. BRecent Bguidelines Bhave Bsuggested
Bthat Bthe Buse Bof Bsliding Bhip Bscrews Bfor Bstable Bfracture Bpatterns Bcan Bhave Ba Bsignificant Breduction Bin
Bcost Bper Bcase.
, Figure Bfor Bquestion B3+4+5
