A 62-years old woman reports diffuse aches and pains of the hip and pelvis. She denies any significant trauma but does have a history of chronic anemia. The figure shows a radiograph of the pelvis and skull and report of serum protein electrophoresis.

Pelvic x ray of this patient showed 20% of ossification in the iliac apophysis, this finding will be correlated with?

The patient has a lytic lesion in the left proximal femur which is shown above. He has pain with weight bearing and resultant ambulatory dysfunction. What would you recommend at this time regarding this finding?

12-year-old boy is brought to the office by his mother because he had intermittent pain in the right hip during the past two weeks. The patient ambulates with difficulty. He has not had fever, chills, malaise, recent illnes, or trauma to the hip. The patient is obese but otherwise healthy. On physical examination, vauge pain in the groin is elicited on range of motion of the right hip. The most appropriate next step is x-ray studies to rule out which of the following conditions?

Which of the following regions in the growth plate is commonly affected in a Salter- Harris type II injury?

As an orthopedic implant, titanium alloy have wider area of elastic zone in comparison of stainless steel 316L. This description will be most suitable with?

Blount Disease is associated with all of the following, except :

The following are radiological imaginary line to establish diagnosis of Blount Disease, Except :

Which of the following is commonest organism causing acute osteomyelitis and acute septic arthritis ?

A football player has a complete fracture of his radius just proximal to the insertion of the pronator teres muscle. As a result of the actions of the muscles attached to the proximal and distal fragments of the radius, which of the following combinations accurately reflects the orientation of the proximal and distal radial fragments?

An 8-year-old boy sustains the injury demonstrated. It is a closed, isolated injury. After closed reduction and casting, post-reduction imaging demonstrates anatomic reduction. X-rays at 1 week follow-up demonstrate some loss of reduction, now with approximately 12 degrees of dorsal angulation. With continued observation and maintenance of this alignment, long term outcome is most likely to include:

Which of the following has been shown to be the greatest risk factor for refracture after implant removal from a radial shaft on adult patients ?

A 42-year-old male sustains a closed, isolated ulna shaft fracture with 2mm displacement and 3 degrees valgus angulation. He is treated conservatively with early range of motion but presents at one year with a painful atrophic nonunion. What treatment is indicated at this time?

A 33-year-old man sustains blunt trauma to his forearm and presents with the injury seen in Figure A. Definitive management of this injury involves the following

Which muscles cause the fracture displacement of the proximal fragment shown

Following a subtrochanter femoral fracture, the proximal fragment assume a position of :

What is the most common anatomic location of the lateral femoral cutaneous nerve?

A 25-years-old man is brought to the emergency department following a motor vehicle accident. Extrication time was 2 hours, and in the field he had systolic blood pressure by palpation of 90 mmHg. Intravenous therapy was started, and on arrival to the emergency department his systolic blood pressure is 90 mmHg with a pulse rate of 130. Examination reveals a flail chest and a femoral diaphyseal fracture. Ultrasound of the abdomen shows increasing fluid in Morrison pouch. The trauma surgeons take him to the operating room for an exploratory laparotomy. At the conclusion of the procedure, systolic pressure is 100 mmHg with a pulse rate of 110. Oxygen saturation is 90% on 100% oxygen and the patient’s temperature is 95,0⁰F (35⁰C). What is the recommended treatment of the femoral fracture at this time?

A 35-year-old right hand dominant man falls from a ladder and sustains the injury seen in Figure A. When discussing the risks and benefits of operative versus nonoperative treatment for his fracture, which of the following is true?

A 32-year-old female sustains an isolated midshaft clavicle fracture. Her clinical exam does not reveal skin tenting or neurovascular injury, but shortening is measured at 2.6 cm. Which of the following treatment methods has been shown to have the lowest rate of nonunion and symptomatic malunion?

Which of the following factors increase the risk of nonunion in midshaft clavicle fractures when treated nonoperatively?

A 42-year-old man sustains the after a fall from 6 feet. Physical exam after the injury reveals a flaccid ipsilateral limb. An MRI is performed that reveals nerve root avulsions from C5-T1. Which of the following is the most appropriate management of his fracture at this time?

During an open reduction internal fixation of a humerus fracture using the posterior approach, a surgeon can identify the posterior antebrachial cutaneous nerve and trace it proximally to which of the following nerves?

On average, the radial nerve travels from the posterior compartment of the arm and enters the anterior compartment at which of the following sites?

A 32-year-old man presents to the emergency department with a humeral shaft fracture. He has wrist drop as well as impaired finger and thumb extension. Which motor function would be expected to recover last ?

All of the following are considered contraindications to the use of functional bracing of a humeral shaft fracture EXCEPT:

What is the most common complication of the comminutive distal humeral fracture, if operatively treated with chevron osteotomy + double plating?

A 31-year-old male sustained a displaced proximal humerus fracture after a motor vehicle accident. Which of the following factors has the lowest association with humeral head ischemia in these injuries?

In fractures of the mid-shaft of the femur the