[Dongzhimen] Key Review Points for Orthopedics and Traumatology in 2021

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50 Multiple Choice — 40A, 10B

10 Fill-in-the-blanks

8 Short Answer Questions (40 points)

Page markers based on “Orthopedics and Traumatology” (China Traditional Chinese Medicine Press, 13th Five-Year Edition)

For example, P122 refers to page 122 of the textbook

Osteoarthritis Predisposed Population P321 #flashcard

  1. Middle-aged and older

  2. Joints bearing heavy loads and with high activity, such as spine, knee, hip, etc.

  3. #Key/Traditional Chinese Medicine Orthopedics and Traumatology

Types of Fractures and Predisposed Population P113 #flashcard

Greenstick fractures are common in children; epiphyseal separations are common in children and adolescents

#Key/Traditional Chinese Medicine Orthopedics and Traumatology

Purpose of Exercise after Shoulder Joint Dislocation Reduction P217 #flashcard

To prevent soft tissue adhesion and contracture of the shoulder joint

#Key/Traditional Chinese Medicine Orthopedics and Traumatology

Concept of Stiff Neck #flashcard

Muscle spasm and tenderness in the neck region, palpable cord-like indurations, tenderness often present in trapezius and rhomboid major and minor muscles

#Key/Traditional Chinese Medicine Orthopedics and Traumatology

Causes and Types of Fractures P111 #flashcard

  1. External causes: direct violence, indirect violence, muscle traction force, cumulative force
  2. Internal causes: age and health status, anatomical location and structural condition of bone, skeletal pathological changes
  3. #Key/Traditional Chinese Medicine Orthopedics and Traumatology

Manifestations of Common Peroneal Nerve Injury P96 #flashcard

Foot drop

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Most Common Fracture Displacement Mode Clinically #flashcard

Mixed-type displacement

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Which Finger is Prone to Flexor Tendon Sheath Tenosynovitis P260 #flashcard

Thumb

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Indications for Small Splint Fixation P64 #flashcard

  1. Closed fractures of limbs (including intra-articular and periarticular fractures successfully reduced by manual manipulation). Femoral shaft fractures require continuous traction due to strong muscle contraction force
  2. Open limb fractures with small wounds or wounds closed after treatment
  3. Old limb fractures treated by manual reduction
  4. #Key/Traditional Chinese Medicine Orthopedics and Traumatology

Physical Examination of Patellar Chondromalacia P269 #flashcard

  1. No obvious swelling of the knee, patellar tenderness, tenderness around patella, rough friction sound when patella is moved, occasional joint effusion, mild atrophy of quadriceps femoris
  2. Patellar grind test positive (with affected knee extended, examiner pushes patella towards femoral condyles with palm and performs grinding motion, producing rough friction sensation and aggravated pain)
  3. Patellar tilt test positive (with affected knee extended, examiner pushes patella downward toward distal side using thumb and index finger, patient is asked to contract quadriceps, causing intense pain in patella region)
  4. Squat test positive (healthy foot raised, affected knee gradually squats, causing severe pain in affected knee)
  5. #Key/Traditional Chinese Medicine Orthopedics and Traumatology

30. Weight of Femoral Shaft Fracture Traction (Children, Adults) P164 #flashcard

Children’s traction weight is about 1/6 of body weight, duration 3-4 weeks; adult traction weight is about 1/7 of body weight, duration 8-10 weeks

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31. Position to Maintain in Femoral Neck and Intertrochanteric Fractures P159 (Not found, unclear question) #flashcard

Place the affected limb in abduction, slight knee flexion, and neutral foot position

#Key/Traditional Chinese Medicine Orthopedics and Traumatology

32. Characteristic Signs of Fractures P114 #flashcard

  1. Deformity: due to the protective effects, muscle or ligament traction, or improper handling, the fracture ends may displace, causing changes in limb shape and deformity.
  2. Crepitus: produced by the contact or friction of fracture ends, usually felt by touching the fracture site during examination
  3. Abnormal motion: in complete fractures without interlocking, the bone segment may move abnormally like a joint, allowing bending and rotation, also called pseudojoint movement.
  4. #Key/Traditional Chinese Medicine Orthopedics and Traumatology

==Detailed Notes Below==

Characteristic Signs of Different Types of Hip Joint Dislocation P224

  1. Anterior dislocation: “Sticky Knee Sign” negative (the injured side knee cannot approach the healthy side thigh and is in elastic fixation)
  2. Posterior dislocation: “Sticky Knee Sign” positive (the injured side knee is tightly attached to the healthy thigh and in elastic fixation)
  3. Central dislocation: digital rectal examination often shows tenderness on the injured side
  4. #Key/Traditional Chinese Medicine Orthopedics and Traumatology

Entire Chapter on Patellar Fracture #flashcard

#Key/Traditional Chinese Medicine Orthopedics and Traumatology

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