image based Q. 26 - A child 's injured leg

Q . – What is the other term used for the below fracture ?

1.    Triplane fracture 
2.     Bosworth fracture

      3.    Toddler’s frcture

4.  Tillaux fracture

Answer -  3

Toddler fracture is spiral, low energy fractures of tibia in children.

 Triplane and Tillaux fracture occur in distal tibia and involve ankle joint.

Bosworth fracture is fracture of fibula with distal part lodged behind tibia to produce fracture that is difficult in reduction.

image based Q.25- An old injury knee

Q. A middle aged man presented four weeks after twisting knee injury without bony frcture but medial aspect pain and below radiograph. Which of these radiographic finding is noted here?





1. Corner fracture
2. Early Myositis ossificans
3. Pallegrini- Steida lesion
4. Osteochondral fracture

Answer - 3


The radiograph depicts a small area of calcification at medial aspect of femur, probably as a result of injury to MCL (Medial collateral ligament) initially that after some time shows areas of calcification suggesting old injury and also termed Pallegrini-Steida lesion.


Corner fracture is ruled out as it is related to child abuse and thus found in childrens, however at the same loction.

Osteochondral fracture is ruled out as the fracture site is away from joint/ cartilage area.

Early myositis ossificans may be close contender but unlikely at this location.

image based Q.24- constant wrist pain

Q. What is the appropriate classification for the case of chronic wrist pain in a farmer?

1. Lichtman

2. Allman

3. Dhal

4. Allen-Fergusson

Answer –

 There seems to be increased opacity and decreased height of the lunate which may be result of osteochondritis also called as  Keibock’s disease. Lichtman classification is widely used for the disorder.

Allman classification is used for clavicle fracture.

DHAL classification is used for pin- tract infections.

Allen Fergusson is for subaxial cervical spine injuries.