image based Q. 123 - Handful

Q.    Hand is common site for all except ?


a. Interdigital neuroma
b. Horse shoe abscess
c. Collar button abscess
d. Mucous cyst

Answer -
a

Radial and ulnar bursae are two distinct tenosynovial sheaths in hand and wrist.
Often the two communicate with each other. Infection of one bursae may spread to another in such scenario leading to "horseshoe abscess".

Collar button abscess is sort of webspace infection beneath palnar calluses may at tones protrude dorsally and present t as swelling along with significant abscess on palmar side. Incision both dorsal and oalmar us required to drain adequately.

Mucous cyst is commonly found over dorsal distal interphalangeal joint region. It results from myxomatous degeneration of corneum. A cyst is seen with clear fluid and thin overlying skin. Females are more involved. Common association are osteophytes and Heberden nodes.

Interdigital neuroma however is common in foot, most commonly between 2/3 and 3/4 metatersals and presents with localised pain. It is also called "Morton's neuroma" and is excited in chronic cases.

image based Q. 122 - Query

Q.   Which of these was also  called 'misunderstood fracture' in the past?

a. Neck femur fracture
b. Scaphoid fracture
c. Galleazzi fracture
d. Supracondylar humerus fracture
e. Lisfranc fracture dislocation

Answer -
d

In fifties, the supracondylar humerus fracture was referred as 'misunderstood fracture' .

It was probably due to associated and poorly understood complications like deformity or volkmann's ischaemic contracture etc.

image based Q. 121 - Twists and turns

Q.  The following entities affecting musculoskeletal health have originated from words resembling 'twist or deform' except which?

a. Rickets
b. Ganglion
c. Chukungunya
d. Orthopaedics
e. Gout

Answer -
e

Rickets originates from the word that translates into 'to twist or bend' in old English ( ' wrikken')

Ganglion comes from word that means 'a knot'.

Chukungunya comes from Makonde tribe local language that translates into ' that which bends up' describing painful bending posture of patient.

Orthopaedics word is derived from 'Orthopaedia' (orthos- Straightening or correcting deformity, pedios - children) The word was first used in relation to correcting deformities in children.

Gout, on the other hand, is derived from the word ' gutta' meaning 'drops'. It translates to 'disease that flows into joints'.

image based Q. 120 - Top secret

Q.   All are approaches for meniscal injuries except?

a. Outside - in
b. Inside - out
c. All inside
d. Over- the - top

Answer -
d

First three techniques are related to arthroscopic  meniscal injury management.

Over- the - top or Hotchkiss over- the- top approach is one of the medial.approaches for coronoid fracture of proximal ulna ( especially anteromedial facet of coronoid fracture).

The approach is however inferior to provide exposure than the other one - flexor carpi ulnatis (FCU) split approach as suggested by studies.