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    Ortho Mrcs

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    Anna See
    This document summarizes various topics in orthopaedics. It discusses common locations and characteristics of osteoid osteoma, giant cell tumor, and Ewing's sarcoma. It also outlines the most common sites of bone metastases and typical causes of septic arthritis and osteomyelitis in different age groups. Additionally, it provides details on the innervation and function of various muscles like the pectoralis minor, teres major, subscapularis, and muscles of the leg. It concludes with summaries of lumbar and sacral nerve contributions to lower limb sensation and lymph node drainage patterns.

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    Ortho Mrcs

    Uploaded by

    Anna See
    179 views2 pages
    This document summarizes various topics in orthopaedics. It discusses common locations and characteristics of osteoid osteoma, giant cell tumor, and Ewing's sarcoma. It also outlines the most common sites of bone metastases and typical causes of septic arthritis and osteomyelitis in different age groups. Additionally, it provides details on the innervation and function of various muscles like the pectoralis minor, teres major, subscapularis, and muscles of the leg. It concludes with summaries of lumbar and sacral nerve contributions to lower limb sensation and lymph node drainage patterns.

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    This document summarizes various topics in orthopaedics. It discusses common locations and characteristics of osteoid osteoma, giant cell tumor, and Ewing's sarcoma. It also outlines the most common sites of bone metastases and typical causes of septic arthritis and osteomyelitis in different age groups. Additionally, it provides details on the innervation and function of various muscles like the pectoralis minor, teres major, subscapularis, and muscles of the leg. It concludes with summaries of lumbar and sacral nerve contributions to lower limb sensation and lymph node drainage patterns.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    179 views2 pages

    Ortho Mrcs

    Uploaded by

    Anna See
    This document summarizes various topics in orthopaedics. It discusses common locations and characteristics of osteoid osteoma, giant cell tumor, and Ewing's sarcoma. It also outlines the most common sites of bone metastases and typical causes of septic arthritis and osteomyelitis in different age groups. Additionally, it provides details on the innervation and function of various muscles like the pectoralis minor, teres major, subscapularis, and muscles of the leg. It concludes with summaries of lumbar and sacral nerve contributions to lower limb sensation and lymph node drainage patterns.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Orthopaedics

    Bone resorption (inc serum ca): PTH, cortisol, glucocorticoids, androgens, thyroid hormones,
    prostaglandins

    Bone deposition: Estrogen, bisphosphonates, calcitonin

    Osteoid osteoma commonest in femur and tibia radiolucent core with radioopaque sclerotic rim

    Giant cell tumour: lytic lesion, involves epiphysis and erodes thru into soft tissue. Common in 20s-30s,
    always recur after surgical excision. Treatment: curettage, KIV bone graft or cement to pack the defect

    Commonest benign bone tumour under age 21 exostosis (osteochondroma)

    Ewings small blue cell tumour in teens Painful swelling. Onion skin appearance

    Bone mets: Bronchus, lung, prostate, breast, kidney, thyroid, seldom colon

    Septic arthritis: 1) HI 2) SA in <5yo, 1) SA> 5yo and >50yo, NG <50yo, Salmonella in SCA

    Osteomyelitis: HS <5yo

    Supracondylar #: AIN FPL and FDP of thumb, no sensory component.

    Pec minor depresses the glenoid fossa. Arises from 3/4/5 ribs Inserts at coracoids process of scapula.
    Innervated by medial anterior thoracic nerve (C8, T1)

    Teres major and subscapularis are supplied by Lower subscapular nerve. Subscapularis attaches to
    crest of lesser tubercle.

    Dorsal scapular n. C5 supplies rhomboids & levator scapula tt elevate & retract e scapula (same A)

    Accessory n supplies trapezius

    Transverse cervical artery supplies trapezius, accessory nerve supplies trap

    Suprascapular nerve: Arises from trunk of C5/C6. Runs laterally beneath trapezius and omohyoid and
    enters supraspinatus fossa through suprascapular notch. Passes beneath supraspinatus and curves
    around lat border of spine of scapula to the infraspin. fossa. 2 branches in supraspin fossa i)
    supraspinatus muscle, ii) shoulder joint. 2 branches in infraspin fossa i) infraspinatus muscle, ii)
    shoulder.
    Hypothenar: Palmaris brevis, ODM, ABDM, FDM
    Pectineus: Quadrangular piece of muscle at medial aspect of thigh. Supplied by L2,3,4.
    Femoral nerve supplies anterior thigh via anterior cutaneous branches.
    Peroneus brevis/longus (lateral compartment): Supplied L4,5, S1 thru superficial peroneal n
    (terminal br of common pero)
    Peroneus tertius: Supplied by L5, S1 thru deep peroneal nerve
    Attachment of PCL: posterior intercondyloid fossa of tibial to anterior medial condyle of femur post\ant
    ACL:

    Klumpkes palsy: If T1 is involved Remember to look out for Horners syndrome!!!

    Sensory nerve supply of LL: Sural nerve from tibial nerve (pure sensory) arises 1cm posterior to distal
    fibular, supplies lateral part of leg and foot. Deep peroneal nerve from common peroneal / common
    fibular nerve, supplies 1st webspace. Superficial peroneal nerve: rest of dorsum. TIbial nerve supplies
    sole and posterior leg
    LN of lower limb. Skin superificial inguinal. Testes/ovaries Lumbar/paraaortic. LL ext iliac.
    Gluteal and pelvis to internal iliac. Bladder,rectum,prostate sacral.
    Line connecting iliac crests = supracrestal line = L4

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