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Welcome to OrthoCapsule β your quick revision space for high-yield orthopaedic concepts.
π Classifications
π Measurements & angles
π©» Radiology & X-ray signs
𦴠Clinical examination
π Orthopaedic pearls
β Exam-focused quizzes
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Ortho Capsule
𦴠**Lafontaineβs Criteria β Distal Radius Fractures**
Will your distal radius fracture remain stable after reduction? π©»
Remember these **5 predictors of instability** π
1οΈβ£ Dorsal angulation > 20Β°
2οΈβ£ Dorsal comminution
3οΈβ£ Intra-articular radiocarpal fracture
4οΈβ£ Associated ulnar fracture
5οΈβ£ Age > 60 years
π‘ **Exam Pearl:** 3 or more criteria indicate a higher risk of secondary displacement after reduction.
β οΈ These criteria predict instability but do not automatically mandate surgery.
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23 hours ago | [YT] | 1
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𦴠**FRYKMAN CLASSIFICATION | DISTAL RADIUS FRACTURES**
The **Frykman classification** categorises distal radius fractures based on radiocarpal joint involvement, distal radioulnar joint (DRUJ) involvement, and associated ulnar styloid fracture.
πΉ **Types IβII** β Extra-articular fractures
πΉ **Types IIIβIV** β Radiocarpal joint involvement
πΉ **Types VβVI** β DRUJ involvement
πΉ **Types VIIβVIII** β Both radiocarpal and DRUJ involvement
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2 days ago | [YT] | 2
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𦴠KLIC SCORE | PREDICTING DAIR FAILURE IN PJI
The KLIC score is a preoperative risk score developed to estimate the risk of DAIR failure in acute periprosthetic joint infection (PJI).
πΉ KLIC COMPONENTS
K β Kidney dysfunction β 2 points
L β Liver cirrhosis β 1.5 points
I β Index surgery β 1.5 points
C β Cemented prosthesis β 2 points
C β CRP >115 mg/L β 2.5 points
π§ Maximum score = 9.5
π SCORE INTERPRETATION
In the original KLIC cohort:
β€2 β 4.5% DAIR failure
2.5β3.5 β 19.4%
4β5 β 55%
5.5β6.5 β 71.4%
β₯7 β 100%
β οΈ Important: These percentages are from the original cohort. External validation has shown variable performance, so KLIC should supportβnot replaceβclinical judgment.
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1 week ago | [YT] | 2
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𦴠LAUGEβHANSEN CLASSIFICATION | ANKLE FRACTURES
The LaugeβHansen classification describes ankle fractures based on the position of the foot at the time of injury and the direction of the deforming force.
πΉ SAD β Supination + Adduction
β Transverse distal fibula β Vertical medial malleolus
πΉ SER β Supination + External Rotation
β AITFL β Distal fibula β Posterior malleolus β Medial injury
πΉ PER β Pronation + External Rotation
β Medial injury β AITFL β High fibula β Posterior malleolus
πΉ PAB β Pronation + Abduction
β Medial injury β AITFL β High transverse/comminuted fibula
π§ Exam pearl:
Foot position + deforming force β predictable sequence of injuries
π Save this for your ankle trauma revision.
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1 week ago | [YT] | 2
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𦴠MASON CLASSIFICATION | RADIAL HEAD FRACTURES
The Mason classification categorizes radial head fractures based on displacement, comminution, and associated elbow dislocation.
πΉ Type I β Nondisplaced / minimally displaced
πΉ Type II β Displaced / angulated
πΉ Type III β Comminuted and displaced
πΉ Type IV β Radial head fracture with associated elbow dislocation
π§ Exam pearls:
β’ Always assess for a mechanical block to forearm rotation
β’ CT helps define fracture morphology and associated injuries
β’ Type IV = elbow dislocation
π Save this for your orthopaedic trauma revision.
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1 week ago | [YT] | 2
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𦴠DELBET CLASSIFICATION | PAEDIATRIC FEMORAL NECK FRACTURES
The Delbet classification categorizes paediatric femoral neck fractures based on the location of the fracture.
πΉ Type I β Transphyseal
πΉ Type II β Transcervical
πΉ Type III β Cervicotrochanteric
πΉ Type IV β Intertrochanteric
π§ Exam pearls:
β’ Type II β Most common
β’ Type I β Highest AVN risk
β’ Type IV β Lowest AVN risk
β’ AVN risk decreases from Type I β Type IV
π Save this for your paediatric orthopaedics revision.
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2 weeks ago | [YT] | 2
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π¦Ά PIRANI SCORE | CLUBFOOT
The Pirani Score is a clinical scoring system used to assess the severity of congenital talipes equinovarus (CTEV).
πΉ 6 clinical signs
πΉ 3 Midfoot + 3 Hindfoot
πΉ Each sign scored 0, 0.5 or 1
πΉ Total score = 0β6
πΉ Higher score β greater deformity
π§ Exam pearl:
Pirani = MFS /3 + HFS /3 β Total /6
π Save this for your paediatric orthopaedics revision.
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2 weeks ago | [YT] | 2
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𦴠RICKETS | QUIZ
β Which biochemical pattern is most typical of nutritional vitamin D deficiency rickets?
2 weeks ago | [YT] | 2
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𦴠PERTHES DISEASE | QUIZ
A 6-year-old boy presents with a painless limp and restricted hip movement.
β Which movement is typically affected earliest in Perthes disease?
A. Internal rotation
B. External rotation
C. Adduction
D. Flexion
π§ Think like an orthopaedic resident!
Drop your answer in the comments π
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2 weeks ago | [YT] | 2
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𦴠RICKETS | QUIZ
β Which biochemical pattern is most typical of nutritional vitamin D deficiency rickets?
A. Low phosphate, elevated ALP and elevated PTH
B. Normal phosphate, low ALP and low PTH
C. High phosphate, low ALP and suppressed PTH
D. High calcium, high phosphate, low PTH
π§ Think before you answer!
Drop your answer in the comments π
π Save this for your paediatric orthopaedics revision.
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2 weeks ago | [YT] | 2
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