WorksheetsRMO MS P35 15 Juni - #Tibia , ACL Tear
Total questions: 20
Worksheet time: 10mins
Anterior cruciate ligament is getting blood supply mainly from?
media genus
lateralis genus superior
lateralis genus inferior
medialis genus superior
medialis genus inferior
Which test is the most sensitive to test the integrity of anterior cruciate ligament rupture?
Pivot shift
Lachman's test
Anterior drawer test
Mcmurray test
Apley test
What is the 'gold standard' exam to confirm diagnosing ACL rupture?
X-ray
CT-Scan
Knee arthrocentesis
MRI
USG
Which is not commonly mechanism that causing ACL rupture?
Non-contact pivoting injury
Direct hit to lateral knee
Translation of knee to anterior
Direct hit to medial knee
Direct hit when knee slightly flexed and in valgus
What muscle that can increasing female risk for ACL rupture because weaker muscle than male has function to preventing anterior tibial translation?
Quadriceps muscle
Gluteal muscle
Hamstring muscle
Tibial muscle
Back muscle
What finding is most found in knee arthrocentesis in ACL rupture case?
Clear yellow fluid
Cloudy red fluid
Cloudy yellow
Cloudy yellow-green
Clear transparent
Doctor doing test by positioning patient supine with their affected knee flexed to 90 degrees and the foot planted. Doctor will grip the proximal tibia with both hand and pull it forward. What is this name of this test?
Anterior drawer test
Pivot shift test
Mcmurray test
Lever sign test
Apley test
Which specific feature that can be found in radiograph of ACL rupture?
Avulsion fracture of anterolateral proximal tibia
Deep sulcus terminalis sign in lateral femoral condyle
Joint effusion
Deep lateral sulcus sign in lateral femoral condyle
Empty notch sign
Which knee ligament injury involved in unhappy triad?
ACL, MCL, Medial meniscus
ACL, PCL, Medial meniscus
PCL, MCL, Lateral meniscus
ACL, LCL, Lateral meniscus
ACL, LCL, Medial meniscus
Which management referred to case of complete ACL in younger active athlete?
Non-operative management (RICE)
ACL reconstruction
ACL repair
Pharmacology treatment with corticosteroid injection
No need management
What is the most frequently complication of closed fracture of tibia?
Compartment syndrome
Non-union
Mal-union
Delayed union
Superficial peroneal nerve injury
High energy trauma with torsional indirect force mostly causing what type of tibia fracture pattern?
Oblique fracture
Butterfly fracture
Horizontal fracture
Segmental fracture
Spiral fracture
Patient come after traffic injury, and by plain radiograph found bicondylar tibial plateau fracture. What is the classification of this tibial plateau fracture according to schatzker classification?
I
II
III
IV
V
What is the classification of split fracture of lateral tibial plateau according to schatzker classification?
I
II
III
IV
V
What name of tibia fracture involving intraarticular avulsion fracture through anterolateral physis and epiphysis of the distal tibia and seen in children and adolescent?
Tillaux fracture
Pylon fracture
Trimalleolar fracture
Bimalleolar fracture
Bennet fracture
Which is preferred management for patient of open fracture tibia with larger soft tissue injury and wound dehiscence?
Open reduction and internal fixation
External fixation, irrigation and debridement
Plaster casting
Non-operative management
Intramedullary rods
What structure can be assessed to know if fracture tibia involving neurovascular injury?
Popliteal artery
Dorsalis pedis artery
Femoral artery
Anterior tibial artery
Deep femoral artery
What type of internal fixation preferred for better outcome in shaft tibial fracture to decrease malalignment and decreased union time and time to weight bearing?
Percutaneous plating-shaft
Plate and Screws
Intramedullary nail rods
Tension band wiring
Pins
What name of fracture in tibia caused by landing on the feet from considerable height and may either split or shatter the distal end of the ankle joint?
Tillaux fracture
Pylon fracture
Trimalleolar fracture
Bimalleolar fracture
Bennet fracture
A 12-year-old boy came to us in emergency department with an injury to his left leg in the form of a direct impact to the anterior aspect of his proximal leg from an oncoming biker who was driving on the wrong side of the road. He was not able to put weight on the injured limb and had to be carried to the hospital. Examination showed a gross swelling in his knee region and posterior sag in his left leg, with a visible step distal to the joint line. There were some bruises and marked tenderness was present in the proximal tibial region. The calf had no tenderness and was soft on palpation; however, the periphery was relatively cold with absent peripheral pulses and, delayed pin prick, and capillary refilling time. He did not have any motor or sensory deficit in the limb. Radiographs proximal tibial physeal fracture with posteriorly displaced tibial metaphysis. Which salter harris classification of this distal tibial fracture?
I
II
III
IV
V
