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162.explanation Correct answer -A Ans. is 'a' i.e., Injury to interosseous membrane The Essex-Iopresti fracture is a fracture of the radial head with concomitant dislocation of the distal radio-ulnar joint with disruption of the interosseous membrane. Join @ORTHOPAEDICShubs

162. Essex lopresti lesion in upper limb

161.explanation Correct Answer - C Ans. is 'c' i.e., Has no nerve supply. ••Articular cartilage *The articulating surfaces of a synovial joint are covered by articular cartilage. *The articular cartilage has the following features :- 1. It is a hyaline cartilage 2. It is avascular 3. It is non-nervous (no nerve supply) 4. Does not have perichondrium. *Articular cartilage lacks the ability to properly repair and regenerate itself. The regeneration capacity of cartilage is limited due to its isolation from systemic regulation, and its lack of vasculature and nerve supply. Join @ORTHOPAEDICShubs

161. Articular cartilage, true is ?

160.explanation Correct Answer - A Ans. is 'c' i.e., Weaver's bottom ••Prepatellar call bursitis - Hr°,1semaid'sknee. *Infrapatellar bursitis -Clergyman's knee. *Olecranon bursitis -Student's elbow. *Ischia] bursitis -Weaver's bottom. On lateral malleolus -Tailor's ankle. On great toe -Bunion. Join @ORTHOPAEDICShubs

160. Ischial bursitis is also known as ?

159.explanation Correct Answer - C Ans. is 'c' i.e., Involucrum is dead bone •Pathology in chronic osteomyelitis *Chronic osteomyelitis occurs most commonly in long bones. Bone is destroyed or devitalized in the affected part. Cavities containing pus and pieces of dead bone (sequestra) are surrounded by vascular tissue, and beyond that by areas of sclerosis due to reaction new bone formation, which may take the form of a distinct bony sheath (involucrum) Often sinus track leads to the skin surface; the sinus tends to heal and present down recurrently, but if a sequestrum is present it never heals permanently. This is because the sequestra act as substrate for bacterial adhesion in much the same way as foreign implants, ensuring the persistence of infection until they are removed or discharged through perforations in the involucrum and sinuses that drain to the skin. •Sequestrum *Sequestrum is a piece of dead bone, surrounded by infected granulation tissue trying to eat the sequestrum away. *The sequestrum is hard, rough, porus, light in weight and lighter in colour than normal. Normal pattern of bone is lost.(Note : Sequestrum in syphilis and TB is heavier than normal bone because sclerosis usually precedes the death of the bone). *On x-ray, sequestra show up as unnatural dense fragments, in contrast to the surrounding osteopenic bone. •Involucrum *Involucrum is reactive new bone overlying a sequestrum. *There may be some holes in the involucrum for pus to drain out. These holes are called cloaca. Join @ORTHOPAEDICShubs

159. All are true about chronic osteomyelitis except ?

158.explanation Correct Answer - B Ans. is 'b' i.e., Potts disease *A term for significant involvement of the pelvic floor by malignancy,usually carcinoma, or tuberculosis; in which there is massive extension of pathology to the urinary bladder, female genital tract, and sigmoid colon. Adequate resection of a frozen pelvis is virtually impossible; chemotherapy and radiation therapy are palliative at best. Join @ORTHOPAEDICShubs

158. Frozen pelvis is seen in ?

157.explanation Correct Answer - C Ans. is 'c' i.e., Scoliosis. Name of the case - Use *Minerva cast - Cervical spine disease *Risser's cast - Scoliosis *Turn-buckle cast - Scoliosis *Shoulder spica - Shoulder immobilisation *U-slab - Fracture of the humerus *Hanging cast - Fracture of the humerus *Colle's cast - Colles' fracture *Hip spica - Fracture of the femur *Cylinder cast - Fracture of the patella *PTB cast - Fracture of the tibia Join @ORTHOPAEDICShubs