Orthopedics: AIIMS MAY 2015

Q-1. Traction not used in lower limb
a) Gallows
b) Bryant
c) Perkin
d) Dunlop

Answer: Dunlop
Explanation:
Gallows traction is useful for children younger than 2 years for Fracture shaft of femur.
Bryant traction is a commonly used method for femoral shaft fractures in children.
Perkins’ technique for the treatment of adult femur shaft fractures
Important point:
The main use of Dunlop’s traction is in the maintenance of reduction in supra-condylar fractures of the humerus in children.

Q-2. Jersey finger is caused by rupture of
a) Flexor digitorum profundus
b) Extensor digiti minimi
c) Extensor indicis
d) Flexor digitorum superficialis

Answer: Flexor digitorum profundus
Explanation:
An injury to ring finger seen commonly in football and rugby players
It is caused by closed rupture of flexor digitorum profundus.

Q-3. In the case of irreparable rotator cuff tear in a 42 year old man, treatment is
a) Total shoulder replacement
b) Acromio-plasty
c) Tendon transfer
d) Reverse shoulder replacement

Answer: Tendon transfer
Explanation:
Treatment options for rotator cuff tear:
Physical therapy
Arthroscopy
Muscle transfer
Reverse shoulder arthroplasty
Hemi-arthroplasty
Important point:
Muscle transfers and debridement reversed for massive, irreparable rotator cuff tear.
Although surgical indications for tendon transfer are not clearly defined, traditional thought is that the ideal candidate is young and lacks significant gleno-humeral arthritis.

Q-4. Which one of the following is not vertebral disc removal procedure?
a) Laminectomy
b) Hemi-laminectomy
c) Laminoplasty
d) Laminotomy

Answer: Laminoplasty
Explanation:
Laminoplasty describes the process of increasing the space available for the spinal cord by reconstruction of the laminar arch via a posterior approach.

Q-5. True about osteoporosis
a) Calcium low and ALP high
b) Calcium low and ALP low
c) Calcium and ALP normal
d) Calcium normal and ALP low

Answer: Calcium and ALP normal
Explanation:
Osteoporosis is a disease that thins and weakens the bones to the point that they become fragile and break easily.
The serum levels of calcium, phosphate and alkaline phosphate are normal in osteoporosis.
Important point:
Osteoporosis: A T-score of -2.5 or lower
Osteopenia: A T-score of -1.0 to -2.5
Normal is a T-score of −1.0 or higher