Ive had a lot of students doing ortho audition rotations this upcoming year ask for advice on what they need to know. Here is a rehash of a previous post to answer that questions. Also if anyone is rotating in Modesto this year PM me for a good overview.
#1 obviously anatomy - get hoppenfelds surgical approaches. must have book
#2 hand book of fractures, if you dont have it, get it. below is a list of the highlights to know cold
#3 learn how to read an xray appropriately. ie 2 views of "anatomic part" of a "skeletally mature/imature"; demonstrating a "desribe fracture oblique, transverse, comminuted" fracture then add in angulation and displacement if needed.
#4 work hard and dont expect to sleep much, always be willing to stay late.. its 4 weeks of no sleep that will make or break the rest of your life.
#5 be nice to everyone, most importantly the nursing staff, office staff and residency staff.
Handbook of fractures
1. Section I: General Considerations - most of it is not very high yield; focus on following points
a. Open Fractures
i. Table 3.2
b. Muscle Viability
i. Table 3.4
2. Section 2: Axial Skeleton Fractures - again, not very high yield for ortho auditions
a. Chance, Compression, Burst, and Jefferson fractures
b. know diagram on p. 137
3. Section 3: Upper Extremity Fractures and Dislocations
a. Allman classification (p. 145)
i. Look at Tarascon's for Neer modification
b. AC joint (p. 154)
i. Table 12.1 and Figure 12.3
c. Hill-Sachs, HAGL, and Bankart lesions (p. 174)
d. Proximal humerus fractures (p. 194)
i. displacing forces (figure 15.1)
e. Holstein Lewis type fractures (p. 211)
f. Tolerances of humeral shaft fractures (p. 206)
g. Circle of Hori (p. 232-233)
h. Terrible triad of elbow - radial head fx, coronoid fx, and elbow dislocation
i. Radial Head - Mason classification (p. 250-252)
j. Bado classification (Figure 21.2)
k. Galiazzi and Monteggia (p. 267)
l. Frykman (p. 273)
m. Smith/Barton's (p. 274)
n. Scaphoid fx
i. blood supply of scaphoid (p. 288-289)
o. Triquetrum fx - classically seen on lateral xray as a fleck on dorsum of hand
p. "Terry Thomas sign" (p. 302)
q. Boxer's fx (5th metacarpal neck)
r. Bennet, Rolando (p. 312-313)
s. Stener lesion (Figure 24.9)
4. Section 4: Lower Extremity Fractures and Dislocations
a. Young and Burgess (Figure 25.6)
b. Vascular supply of femoral head (Figure 27.3)
c. Femoral neck fractures - Pauwel and Garden (p. 381-383)
d. Evans intertrochanteric fx (Figure 30.1)
e. Patellar fractures (p. 441)
f. Patellar radiographic lines (p. 446)
g. Schatzker classification (Figure 36.1)
h. Danis-Weber classification (Figure 38.8)
i. Lauge-Hansen (p. 485)
j. Ruedi and Allgower (p. 493, Figure 38.10)
k. Pilon fx (p. 495)
l. Calcaneal fx
i. radiographic lines/angles (Figures 39.1 and 39.2)
ii. Sander's (p. 513-514)
m. Hawkin's classes and sign (p. 522)
n. Lisfranc injury (p. 541-548)
o. Jones fx, (p. 551)
i. know what a true zone 2 is
5. Section 5: Pediatric Fractures and Dislocations
a. Salter-Harris type I - V (p. 567)
b. Gartland (p. 605-606)
c. Physeal fractures of lateral condyle (p. 609)
d. Juvenile Tillaux fx (Figure 51.3)
note: credit to many students that contributed to this list as I asked other fellow ortho students what they frequently were asked at each ortho audition.
any other questions feel free to ask. good luck and congrats to those who just matched.
#1 obviously anatomy - get hoppenfelds surgical approaches. must have book
#2 hand book of fractures, if you dont have it, get it. below is a list of the highlights to know cold
#3 learn how to read an xray appropriately. ie 2 views of "anatomic part" of a "skeletally mature/imature"; demonstrating a "desribe fracture oblique, transverse, comminuted" fracture then add in angulation and displacement if needed.
#4 work hard and dont expect to sleep much, always be willing to stay late.. its 4 weeks of no sleep that will make or break the rest of your life.
#5 be nice to everyone, most importantly the nursing staff, office staff and residency staff.
Handbook of fractures
1. Section I: General Considerations - most of it is not very high yield; focus on following points
a. Open Fractures
i. Table 3.2
b. Muscle Viability
i. Table 3.4
2. Section 2: Axial Skeleton Fractures - again, not very high yield for ortho auditions
a. Chance, Compression, Burst, and Jefferson fractures
b. know diagram on p. 137
3. Section 3: Upper Extremity Fractures and Dislocations
a. Allman classification (p. 145)
i. Look at Tarascon's for Neer modification
b. AC joint (p. 154)
i. Table 12.1 and Figure 12.3
c. Hill-Sachs, HAGL, and Bankart lesions (p. 174)
d. Proximal humerus fractures (p. 194)
i. displacing forces (figure 15.1)
e. Holstein Lewis type fractures (p. 211)
f. Tolerances of humeral shaft fractures (p. 206)
g. Circle of Hori (p. 232-233)
h. Terrible triad of elbow - radial head fx, coronoid fx, and elbow dislocation
i. Radial Head - Mason classification (p. 250-252)
j. Bado classification (Figure 21.2)
k. Galiazzi and Monteggia (p. 267)
l. Frykman (p. 273)
m. Smith/Barton's (p. 274)
n. Scaphoid fx
i. blood supply of scaphoid (p. 288-289)
o. Triquetrum fx - classically seen on lateral xray as a fleck on dorsum of hand
p. "Terry Thomas sign" (p. 302)
q. Boxer's fx (5th metacarpal neck)
r. Bennet, Rolando (p. 312-313)
s. Stener lesion (Figure 24.9)
4. Section 4: Lower Extremity Fractures and Dislocations
a. Young and Burgess (Figure 25.6)
b. Vascular supply of femoral head (Figure 27.3)
c. Femoral neck fractures - Pauwel and Garden (p. 381-383)
d. Evans intertrochanteric fx (Figure 30.1)
e. Patellar fractures (p. 441)
f. Patellar radiographic lines (p. 446)
g. Schatzker classification (Figure 36.1)
h. Danis-Weber classification (Figure 38.8)
i. Lauge-Hansen (p. 485)
j. Ruedi and Allgower (p. 493, Figure 38.10)
k. Pilon fx (p. 495)
l. Calcaneal fx
i. radiographic lines/angles (Figures 39.1 and 39.2)
ii. Sander's (p. 513-514)
m. Hawkin's classes and sign (p. 522)
n. Lisfranc injury (p. 541-548)
o. Jones fx, (p. 551)
i. know what a true zone 2 is
5. Section 5: Pediatric Fractures and Dislocations
a. Salter-Harris type I - V (p. 567)
b. Gartland (p. 605-606)
c. Physeal fractures of lateral condyle (p. 609)
d. Juvenile Tillaux fx (Figure 51.3)
note: credit to many students that contributed to this list as I asked other fellow ortho students what they frequently were asked at each ortho audition.
any other questions feel free to ask. good luck and congrats to those who just matched.