100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Summary Orthopaedic Notes CA$12.00   Add to cart
Quickly navigate to
Preview
  2.  
  3. Queens University Belfast (QUB)
  4.  
  5. Medicine

Summary

Summary Orthopaedic Notes
 7 views  0 purchase
  • Course
  • Medicine
  • Institution
  • Queens University Belfast (QUB)

Orthopaedic notes detailing orthopaedics pathologies and conditions. Notes made from multiple resources such as oxford handbook, question banks, university lectures and UK guidelines. Look at specialty section and content list for the summary contents of this file.

Preview 3 out of 25  pages

Document information

  • September 5, 2022
  • 25
  • 2022/2023
  • Summary

Subjects

  • orthopaedics
  • orthopaedic notes
  • osteoporosis
  • osteochondroses
  • bone cancer
  • skeletal disorders
  • tendon disorders
  • medical notes
  • med notes
  • medical school
  • medicine

Written for

  • Queens University Belfast (QUB)
  • Unknown
  • Medicine
All documents for this subject (59)

Seller

avatar-seller
sk25

Reviews received

Content preview

Orthopaedics

Seán Keenan

2022

,The Neck


Neck and Orthopaedics in General
Imaging - Bone contour (Fractures)
- Imaging Modalities o Obs: Intervertebral; Pedicles; Vertebral body
o CT: 1L if there is a clear spinal cord injury - Cartilages
o MRI: Fractures; Subluxation; Disc injury o Obs: Disc margins
o Evaluate: ABCS Acronym - Soft tissues
- Alignment o Obs: Retropharyngeal shadows
o Obs: Vertebral bodies; Spinal canal; Spinous process
o NB: 40 % <7 YO have pseudosubluxation of C2-3




n




Cervical Spondylosis (see neurology notes)
Description Presentation
- Prevalence: 90 % of Men >60 YO + Women >50 YO - Asx: Usually asymptomatic
- Path: Degenerative changes in cervical spine - Nerve: Paraesthesia; Pain in neck and arms
- NB: Narrows spinal canal and intervertebral foramina - Cc: 10 % of Sx develop cervical myelopathy

Cervical Spondylolisthesis
Causes Description
- Odontoid process - Path: One vertebrae slips forward over one below
o Congenital: Failure in fusion of dens with axis - NB: Result of untreated cervical spondylosis
o Dens: Fracture (skull, atlas and dens slip forward) Management
- Transverse ligament of atlas - Basic: Immobilisation in plaster jackets
o Inflammation: RA; Complicating throat infection Complications
o NB: Inflammation softens ligament - Instability: Can increase in severity post-trauma

Cervical Rib
Description Investigations
- Incidence: 1:500 have cervical rib abnormality - Exam: Weak radial pulse ± Forearm cyanosis
- Congenital: Development of costal process of C7 - Arteriography: Subclavian compression
Presentation - XR: May or may not show abnormality
- Scalenus / 1st Rib Syndrome - NB: Fibrous bands may cause sx so XR not useful
o Features: Similar Sx; No radiological abnormality Management
o NB: May be caused by fibrous band - Physio: May improve symptoms
- Thoracic Outlet Compression (TOC) - Surgery: Rib removal or fibrous band division
o Features: See below
- UL Pain or Paraesthesia
o Features: Often affects ulnar side
o NB: hand muscle weakness / wasting LT

, Thoracic Outlet Syndrome
Description Investigations
- Age: AOO peaks at 40 YO - Adson Manoeuvre: Extend + rotate neck
- Path: Compression at thoracic outlet - NB: ↓ RA Pulse on inspiration
- NB: Affects Brachial plexus; Subclavian artery/vein - Rule Out: Cervical spondylosis; Carpal tunnel
Classifications - XR: Osseus abnormalities
- Soft Tissue: 70 % of TOC; Scalenus m. banding - CT/MRI: Rules out tumours and cervical lesions
- Osseous: 30 % of TOC; Cervical rib - Vascular: Venography; Arteriography
- Neurogenic: 90 % of TOC presentations Management
- Vascular: 10 % of TOC presentations - 1L: Physiotherapy + Rehabilitation if neurogenic
Presentation - Surgery: If there is a physical abnormality
- Trauma: Preceding neck trauma Hx
- Neurogenic: Numbness; Paraesthesia; Cold hands
- Vein: Arm swelling; Distended veins
- Artery: Arm claudication (Pain); Ulcers; Gangrene
- NB: Worse on arm abduction

Spasmodic Torticollis (Cervical Dystonia)
Description Management
- Prevalence: Commonest adult focal dystonia - Medical: Botox; Deep brain stimulus
Presentation - Surgical: Selective ramisection
- Features: Episodes of a sudden stiff painful neck Prognosis
Causes - Recovery: Spontaneous recovery in 20 % in 5 yrs
- Torticollis: Sternocleidomastoid or Trapezius spasm - Life-long: Generally a life-long condition

Infantile Torticollis
Description Management
- Age: Typically affects 1-36 MO - Limiting: Self-limiting in 97 %
- Path: birth damage to sternocleidomastoid - Persistent: Physiotherapy if persistent

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller sk25. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$12.00. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

70840 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$12.00
  • (0)
  Add to cart