Help with Bone Injuries and Disorders

Help Questions

Anatomy › Help with Bone Injuries and Disorders

Questions 1 - 10
1

If you read a patient’s medical history, and saw that she had gunstock deformity, which joint would you examine for this deformity?

Elbow

Wrist

Hip

Knee

Explanation

A gunstock deformity (cubitus varus) refers to a deformity at the elbow joint, where the distal forearm is deviated medially (compared to typical anatomical alignment). Conversely, if a patient's distal forearm is deviated excessively laterally, she is said to demonstrate cubitus valgus. Cubitus varus is most commonly caused by supracondylar fractures of the humerus. Fortunately, this deformity is largely cosmetic in nature, and causes few functional limitations.

2

Which bone disease is commonly seen elderly females?

Osteoporosis

Synovitis

Bursitis

Tendonitis

None of these

Explanation

Osteoporosis is a breakdown of bone, commonly due to a lack of calcium, which is typically lost faster in females due to a menstruation cycle, and chronic breakdown with age. Also, females have less bone density to begin with.

Osteo- (which is going to be a Latin based root word for bone) will help you eliminate the other answers, which are all inflammation of non-bony structures within the body.

3

Osgood-Schlatter's is characterized by repeated avulsion fractures of which bone?

Tibia

Patella

5th metatarsal

Ischium

Ilium

Explanation

Although bony prominences on the other bones listed are common sites for avulsion fractures, Osgood-Schlatter's disease refers to the repeated avulsion of the tibial tuberosity, which can occur during growth spurts.

4

Following anterior dislocation of the humerus, the posterolateral posrtion of the humeral head can become injured. What is the name for this type of injury?

Hill-Sachs lesion

SLAP lesion

Bankart lesion

Reverse Hill-Sachs lesion

McLaughlin lesion

Explanation

(Superior Lateral Anterior Posterior) SLAP and Bankart tears are injuries to the glenoid labrum. Reverse-Hill Sachs and McLaughlin lesion are synonymous, however they are injuries to the anteromedial portion of the humeral head, and are caused by posterior dislocation of the humerus.

5

Which of these refers to an avulsion injury to the thumb?

Gamekeeper’s fracture

Mallet finger

Boxer’s fracture

Pott’s fracture

Explanation

A gamekeeper's fracture refers to an avulsion injury at the base of the proximal phalanx of the thumb, secondary to a rupture of the ulnar collateral ligament of the thumb. Mallet finger refers to a rupture of one of the extensor digitorum tendons, at the distal interphalangeal joints. A boxer's fracture is a fracture of one of the metacarpals. A Pott's fracture is a type of ankle fracture involving the medial and lateral malleoli.

6

Which of the following is a bony outgrowth associated with the degeneration of cartilage at joints particularly on vertebral bodies?

Osteophytes

Calcification

Lymphocytes

Granulocytes

Chondrocytes

Explanation

Osteophytes (bone spurs) are bony projections that form at joints. Osteophytes occur when there are changes to bone formation via aging, mechanical instability, degeneration, and disease, including arthritis (which is the most common cause of osteophyte formation). Osteophytes form naturally on the spine via degeneration of the vertebrae with aging. Osteophytes do not cause pain, but may impinge on nerves which will lead to pain, and/or numbness and tingling sensations. Chondrocytes are cartilage cells.

Enthesophytes are bony projections that form at ligament or tendon attachments.

7

An open-book fracture describes an injury to which body region?

Pelvis

Ankle complex

Cervical spine

Elbow complex

Wrist complex

Explanation

An open book fracture is an injury to the pelvis. In this injury, the pubic symphysis is disrupted, causing the pelvis to look like an open book.

8

You’re reading your patient’s medical history, and find he suffered a Monteggia fracture. Based on this information, which joint would expect to be affected?

Proximal radio-ulnar joint

Glenohumeral joint

Acromioclavicular joint

Talocrural joint

Explanation

A Monteggia fracture refers to a fracture of the shaft of the ulna, and a concurrent dislocation of the head of the radius. Accordingly, this type of fracture-dislocation injury also affects the humeroradial joint (part of the elbow complex). This type of injury is often caused by falling on an outstretched arm, which could affect the glenohumeral and acromioclavicular joints as well.

9

Which of the following diseases is not associated with damage to bones?

de Quervain syndrome

Pott's disease

Osteogenesis imperfecta

Paget's disease

Explanation

Paget's disease is a bone disease characterized by rapid bone degradation, and rebound bone growth however, the bone is laid bone in a disorganized manner and is prone to further degeneration. Pott's disease is characterized by destruction of thoracic vertebra, secondary to tuberculosis infection. Osteogenesis imperfecta is a congenital disorder caused by abnormalities in type I collagen production, that makes the patient prone to fracture. de Quervain syndrome is also known as de Quervain tenosynovitis, and is characterized by irritation to the sheath covering the extensor pollicis brevis and abductor pollicis longus tendons.

10

A Monteggia fracture is an injury to bone?

Ulna

Femur

Patella

Talus

Fibula

Explanation

A Monteggia fracture is a fracture-dislocation injury that involves a fracture of the proximal ulna, and dislocation of the proximal radius.

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