Postgraduate Orthopaedics: Viva Guide for the FRCS (Tr & Orth) Examination

310 Pages·2012·30.163 MB·English

by  Paul A. Banaszkiewicz (Editor), Deiary F. Kader (Editor)

Postgraduate Orthopaedics:
Viva Guide for the FRCS
(Tr & Orth) Examination

Postgraduate Orthopaedics:
Viva Guide for the FRCS
(Tr & Orth) Examination
Edited by
Paul A. Banaszkiewicz FRCS (Glas) FRCS (Ed) FRCS (Eng)
FRCS (Tr & Orth) MClinEd FAcadMed
ConsultantOrthopaedicSurgeon
QueenElizabethHospitalandNorthEastNHSSurgicalCentre(NENSC)
Gateshead,UK
AssociateEditor
Deiary F. Kader MBChB FRCS (Ed) FRCS (Glas)
FRCS (Tr & Orth) MFSEM (UK)
VisitingProfessorinSportandExerciseSciences
NorthumbriaUniversity,NewcastleuponTyne
ConsultantOrthopaedicSurgeon
QueenElizabethHospitalandNorthEastNHSSurgicalCentre(NENSC)
Gateshead,UK
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Contents
List of contributors vi
Foreword viii
Preface ix
–
– Section 4 Hand and Upper Limb/
Section 1 The FRCS (Tr & Orth) Oral
’
Childrens Orthopaedics
Examination
1 Generalguidance for the FRCS (Tr&Orth) 1 11 Hand and upper limb 149
John Harrison and Santosh Venkatachalam
Tom Symes and Paul A. Banaszkiewicz
12 Children’sorthopaedics 159
Section 2 – Adult Elective Orthopaedics Sattar Alshryda andAkinwande Adedapo
and Spine
–
Section 5 Applied Basic Science
2 Hip structuredoral questions 13
13 Anatomy andsurgical approaches 201
Paul A. Banaszkiewicz andRahulKakkar
Tom Symes
3 Knee structured oral questions 43
14 Pathology 208
MichaelMaru and Deiary F.Kader
Sunit Patil
4 Foot and ankle structuredoral
questions 55 15 Biomaterials andbiomechanics 223
Iain McNamara andAndrew P. Sprowson
N.Jane Madeleyand Neil Forrest
5 Spinestructured oral questions 69 16 Tissues of the musculoskeletal system 231
AndrewP. Sprowson and Iain McNamara
Alexander D. L.Baker
6 Shoulder andelbow structured oral 17 Evidence-basedpractice 241
questions 86 Sattar Alshryda andJames Mason
Asir Aster 18 Imaging and investigative techniques 257
7 Orthopaedic oncology 100 Rajesh Kakwaniand Mike Newby
ThomasB. Beckingsale
–
Section 6 Diagrams for the FRCS
Section 3 – Trauma (Tr & Orth)
8 Lower limb trauma 111 19 Diagramsfor the FRCS (Tr & Orth) 267
Mohammed Al-Maiyahand AliS. Bajwa Asir Aster and Muthu Jeyam
9 Upper limb trauma 126 Illustrations for Viva 277
Gunasekaran Kumar Asir Aster and Muthu Jeyam
10 Pelvic andspinaltrauma 135
Gunasekaran Kumar and Sherief Elsayed
Index 281
The colour plate section is found between
pages 150 and 151.
v
Contributors
MrAkinwande AdedapoMBBSFRCS (Eng) MrNeilForrest MRCS FRCS (Tr & Orth)
FRCS (Glas) Woodend Hospital, Aberdeen, UK
James Cook University Hospital,
Mr John Harrison MSc FRCS (Ed) FRCS (Tr & Orth)
Middlesborough, UK
MFSEM (UK)
MrMohammed Al-Maiyah MBChB FICMS Queen Elizabeth Hospital, Gateshead, UK
FRCS Msc OrthopFRCS (Tr & Orth)
James Cook University Hospital, MrMuthu Jeyam MBBS FRCS M.Phil
Middlesborough, UK FRCS (Tr & Orth)
Hope Hospital, Salford, UK
MrSattar Alshryda MRCS FRCS (Tr&Orth)
MSc PhD MrDeiary F.Kader MBChB FRCS (Ed) FRCSGlas
Freeman Hospital, Newcastle upon Tyne, UK FRCS (Tr & Orth) MFSEM (UK)
Queen Elizabeth Hospital, Gateshead, UK
Mr Asir Aster MBBS FRCS (Surg) MSc (Ortho Eng)
FRCS (Tr & Orth) MrRahulKakkar MBBS MRCS MS(Orth)
Hope Hospital, Salford Royal NHS Foundation FRCS (Tr & Orth)
Trust, UK Queen Elizabeth Hospital, Gateshead, UK
MrAli S. Bajwa MBBS MRCS(Ed) MSc Orth MrRajeshKakwaniMS (Orth) MRCSMCh (Orth)
MPhil(Cantab) DSEM (UK) MFSEM UK DipSEM FRCS (Orth)
FRCS (Tr & Orth)
Queen Elizabeth Hospital, Gateshead, UK
James Cook University Hospital,
Middlesbrough & Friarage Hospital MrGunasekaran Kumar FRCS (Tr &Orth)
Northallerton, UK Royal Liverpool University Hospital,
Liverpool, UK
Mr Alexander D. L. Baker FRCS BSc MBChB MRCS
MSc FRCS (Tr & Orth) MrIain McNamara MA(Cantab) BM BCh (Oxon)
Lancashire Teaching Hospitals NHS Trust, MRCP FRCS (Tr &Orth) MD
Royal Preston Hospital, UK Orthopaedic Research Unit,
University of Cambridge, Cambridge, UK
MrPaulA. BanaszkiewiczFRCS (Glas) FRCS (Ed)
FRCS (Eng) FRCS (Tr&Orth) MClinEd FAcadMed Miss N.Jane MadeleyFRCS (Tr &Orth)
Queen Elizabeth Hospital, Gateshead, UK Glasgow Royal Infirmary, Glasgow, UK
MrThomas B. Beckingsale FRCS(Tr & Orth) MrMichael Maru MBChB MRCSMSc
Freeman Hospital, Newcastle Upon Tyne, UK FRCS (Tr & Orth)
Golden Jubilee National Hospital, Glasgow, UK
MrSheriefElsayed MB BCh MRCS (Eng) FRCS
(Tr &Orth) Professor James MasonDPhil MSc BSc (Hons)
Centre for Spinal Studies & Surgery, Director of Research,School of Medicineand Health
Queens Medical Centre, Nottingham, UK Durham University, UK
vi
Listofcontributors
Mr Mike NewbyFRCR Mr Tom Symes MBChB MSc FRCS (Tr & Orth)
Queen Elizabeth Hospital, Gateshead, UK Hull and East Yorkshire Hospitals NHS Trust, UK
Mr Sunit Patil MSc FRCS (Tr &Orth) Mr Santosh Venkatachalam MBBSMS (Orth)
Specialist Registrar, Northern Deanery, Newcastle DNB (Orth) MRCS (Ed) FRCS (Tr & Orth)
Upon Tyne, UK Queen Elizabeth Hospital, Gateshead, UK
Mr Andrew P.Sprowson MDFRCS (Tr &Orth)
Clinical Sciences Research Institute, Coventry, UK
vii
Foreword
Exam success depends as much upon technique as it Ialsolikethefirstchapterthatattemptstoremove
does upon knowledge. In this respect Postgraduate muchofthemystiquefromthevivaprocessandhelps
Orthopaedics: Viva Guide for the FRCS (Tr & Orth) candidates to benchmark just what is expected of
Examinationisa logicaland,nodoubt willbecome,a them to pass this examination.
most welcome addition to the highly successful text, Ionlywishthattextslikethishadbeenavailablein
Postgraduate Orthopaedics. Its strength relies on the my day since so many of us struggled to come to
first-hand experience of surgeons who have recently terms with what the exam was all about and made
satandsuccessfullypassedtheFRCS(Tr&Orth)exam- themistakeofthinkingthatpureknowledgeofortho-
ination.Eachchapterhasatotallydifferentfeel,inpart paedics wasthe key to success: if only!
duetothetopicscovered,butmoreimportantlytothe
style with which each of the viva scenarios has been Professor Alan J.Johnstone
written.Thiseclecticapproachkeepsthetextrefreshing Orthopaedic Trauma Unit
andalsoreflectsthepersonalexperiencesofcandidates Aberdeen Royal Infirmary
undergoing the stress of this examination; sentiments Aberdeen, UK
thataheavilyeditedtextwouldhavelost.
viii