Orthopaedic Surgery & p g y

Musculoskeletal
Medicine for the
Surgery Shelf Exam
What do I ask
these kids?
1. Trauma
2. Infection
3. Tumor
4 H d (?) 4. Hand (?)
5. Musculoskeletal/
Surgical overlap
Arthritis Arthritis
TRAUMA TRAUMA
Associated Associated
Injuries Injuries
Associated Associated
Injuries: visceral Injuries: visceral
Associated
Injuries: ARDS Injuries: ARDS
Associated Associated
Injuries: Shock Injuries: Shock
Compartment p
Syndrome Syndrome
Dx:
RRx:
More on
Fractures Fractures
O F t Open Fracture:
S i l E Surgical Emergency
Immobilization = DVT
Prevention! Prevention!
Perfect Rx Perfect Rx,
Imperfect
outcome
Dislocation Dislocation
Tumors
Multiple Multiple
Myeloma y
Ranson Question Ranson Question
Do not Biopsy p y
(unless you treat) ( y )
But if you do, y ,
culture all! culture all!
Infection Infection
S ti A th iti Septic Arthritis
Osteomyelitis Osteomyelitis
Why Surgical? Why Surgical?
Diabetic
Arthropathy p y
(Charcot) (Charcot)
Pediatric Pediatric
S lt H i Salter Harris
G h Pl F Growth Plate Fx
SCFE and Perthes SCFE and Perthes