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Content text 21 Orthopedics LMV 4.6.pdf

1 | P a g e [ O r t h o p a e d i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Orthopaedics Version 4.6 Corrected, Updated, Lighter With the Most Recent Recalls and the UK Guidelines ATTENTION: This file will be updated online on our website frequently! (example: Version 2.2 is more recent than Version 2.1, and so on) Key 1 Slipped Upper Femoral Epiphysis (SUFE) ◙ 11-15 YO Boy ◙ Limping ◙ The affected leg is shorter than the other Plab1keys.com Strict Copyrights! No Sharing or Copying Allowed by any means Compensations and Penalties Worldwide System is Active
2 | P a g e [ O r t h o p a e d i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com ◙ Externally rotated hip that ↑ with hip flexion ◙ Painful knee/ hip/ thigh/ groin ◙ Limited hip abduction.
3 | P a g e [ O r t h o p a e d i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Key 2 On Foot bone Fractures: ◙ Falling “Vertically” on feet, the likely foot bone to fracture → Calcaneus. (Also check for spinal Fracturs as they are also common in vertical falls) ◙ Stress Fracture of Foot, the likely affected bones → Metatarsals.
4 | P a g e [ O r t h o p a e d i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Key 3 Bone pain (e.g. in a long bone such as a leg) especially in young people that is unrelated to activity and responds quickly to NSAIDs (e.g. Aspirin) → Osteoid Osteoma. “benign long bones tumour e.g. femur, tibia” Key 4 Sensory Loss Responsible Nerve Roots 3 in the thigh ▐ 2 in the shin ▐ 1 in the foot • Groin and pelvic Girdle → L1 • Anterior thigh → L2 • Inner (Medial) thigh and distal anterior thigh → L3 • Inner (medial) shin → L4 • Outer (Lateral) shin and Dorsum of the foot → L5
5 | P a g e [ O r t h o p a e d i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com • Lateral Foot → S1 Key 5 Prostate cancer can metastasise to spine causing → Cauda Equina Syndrome → Perianal/ groin numbness (Saddle Paraesthesia) ▐ Inability to initiate voiding “urination” ▐ Back pain. Cauda Equina Syndrome • Cauda equina = bundle of nerves and nerve roots at the lower end of spinal cord. • It resembles the horse’s tail, starts from (T12/L1 to Coccyx). • Compression of the cauda equina is a surgical emergency! • Features: ♦ Sciatica (pain along the sciatic nerve course Low back, hips, buttocks, legs). ♦ Saddle Paraesthesia (anal/ perianal/ groin numbness).

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