- Why is a traumatic hip dislocation typically
associated with more clinical morbidity than a shoulder dislocation?
- Tibia fractures, among others,
might be complicated by a so-called compartment syndrome. What is compartment syndrome and how is it
diagnosed, and treated?
- What are the advantages of treating a mid-shaft
femoral shaft fracture with an intramedullary nail as compared to casting
or traction? (Also: what complications/patient morbidity may be seen despite this treatment?)
- It is well known that if more tissue is resected in a lower extremity amputation, the metabolic cost of walking is greater. For example, the energy requirements for walking with a transfemoral prosthesis are significantly higher than walking with a transtibial prosthesis. Nonetheless, a surgeon addressing an irreparable distal tibia fracture (an injury close to the ankle) might nonetheless perform a below-the-knee amputation (at the proximal tibia). Why is it reasonable to remove more bone?
- Plating a fracture clearly disrupts the soft tissue
envelope around a fracture. Why, then, is surgical plating ever
- Carpal Tunnel Syndrome might be diagnosed (in part) by the presence of a so-called Tinel’s Sign. What is that and why is it not a true sign?
- Both compression of the 6th cervical nerve root (C6 radiculopathy) and compression of the median nerve at the wrist (carpal tunnel syndrome) can cause painful dysesthesias in the thumb. How can these two conditions be differentiated?
- Why should a patient with negative x-rays but snuff box tenderness be immobilized in a splint or cast?
- What features of a musculoskeletal injury should prompt an examining physician to suspect child abuse?
- Why might successfully treated developmental dysplasia of the hip have a better prognosis than SCFE and Perthes?
- Early Onset Scoliosis can be classified as congenital, syndromic, neuromuscular or idiopathic. How are these types defined, and what are the clinical distinctions?
- What are the cardinal signs of Osteoarthritis of the knee on plain radiographs? How (mechanistically) do they appear?
- What are the important differences that distinguish the management of a cancer-related pathologic fracture from the treatment of ordinary fractures?
- What are the temporal limitations regarding our ability to diagnose septic arthritis definitively? (And how do we get around that?)
- Although bone is part of the vascular system (and therefore fractures can cause hemorrhage and metastatic cells can lodge in the skeleton), why might antibiotics have trouble reaching areas of infected bone in osteomyelitis?
- What are the three fractures typically associated
with osteoporosis? Which of these might be considered “worst”?
Sports (knee, shoulder, ankle)
- Why is the prototypical patient with a ruptured Achilles tendon about 40 years old? What are the biological and mechanical steps leading to tissue failure?
- A meniscal tear might be removed, repaired, or not treated at all. What might dictate the choice of treatment?
- What is a stress fracture? How does a stress fracture present, how is it diagnosed, and how is it treated? What are the consequences of ignoring and not treating a stress fracture?
- What is rotator cuff tendinosis (tendinopathy)? What are the consequences of labeling it as “tendinitis"? What are the consequences of labeling rotator cuff tendinopathy as a “partial rotator cuff tear”? What are the consequences of labeling rotator cuff tendinopathy as “impingement syndrome”?
- What is the function of the ACL? How do ACL tears occur - and why might it be the case (as we suspect) that skiing-related tears of the ACL in the knee occur disproportionately after 2pm?
- The phrase “just a sprain” may understate the impairment such an injury imparts. Why might a Grade I ankle sprain cause impairment?
- Back pain is a common, self-limited condition in many people, often without identified cause. Cauda equina syndrome, discitis and cancer are also causes of back pain which are not so innocent and self-limiting. Describe these conditions and suggest some questions a physician might ask to help detect the diagnoses.
- An MRI report might list a disc herniation, but the report often adds “clinical correlation suggested.” What are the clinical correlations of a herniated disc said to compress the L4, L5 or S1 nerve roots?
- In what way are neurogenic
claudication and vascular claudication similar? In what ways do they