Summary: Bachelor Of Medicine And Bachelor Of Surgery
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Orthopedics
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What is the commonest site for osteoid osteoma?
Lower extremity- ( prox.femur>tibial diaphysis), spine (concavity of scoliosis>hands -
What is the managemnt of osteoid osteoma?
Excision of the mass. It is not a premalignant lesion. -
Benign bone tumours
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What are the other benign bone tumours?
Chondroblastoma, osteoblastoma, hemangioma -
What are the clinical features of osteiod osteoma?
Nagging pain worse at night, relieved with NSAIDS. -
What are the x ray finding of osteiod osteoma?
Radiolucent nidus and reactive zone -
Cervical spondylomyelopathy
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What is cervical spondylomyelopathy?
It is a degenerative condition of the spine characterised by spinal compression -
What are the commonest etiologies of Cervical spondylomyelopathy? THINK OF SPINAL COMPRESSION ETIOLOGIES
1. Cervical spondylosis
2. Congenital stenosis of spine
3. Tumour
4. Epidural abcess
5. Cervical kyphosis
6. Direct cord compression ( trauma) -
Ankylosing spondylitis
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What is Ankylosing Spondylitis?
It is a systemic chronic autoimmune seronegativespondyloathropathy . -
What is the 3 main characteristics of Ankylosing spondylitis?
HLA-B27 association
Seronegtive for autoantibodies of RA, anti-smith, anti, rho, anti ccp, etc
on MRI/Xray- bamboo spine -
What are the main chief complaints of patients coming in with AS?
- Back and neck pain
- stiffness worse in the morning.
- Inability to bend forward
- difficulty in breathing (due 2 reduced thoracic expansion)
- sacroilliac joint tenderness
- Inflammatory Enthesitis- painful on palpation. (archilis tendon, illac crest, tibial tuberosities)
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