FRCS Trauma and Orthopaedics Exam: A guide to clinicals and vivas, Mansoor Kassim
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Mansoor Kassim

FRCS Trauma and Orthopaedics Exam: A guide to clinicals and vivas

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The exam to obtain the Fellowship of the Royal Colleges of Surgeons in Trauma and Orthopaedics (FRCS Tr and Orth) is a tough test of the knowledge of trainees close to the end of their trauma and orthopaedic training. It is considered a most difficult exam, where the candidates are tested on a wide range of orthopaedic problems. Routine reading from journal and textbooks, and accurate preparation in a clinical setting may not be enough to pass the examination.

There is very little guidance on the best way to proceed with vivas and clinicals, and confusion over what the best approach in answering vivas and clinical examination is. This book aims to help candidates to prepare for the exam as in a real exam scenario. The book contains common viva and clinical stations at be basis of the FRCS (Tr and Orth).
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Metatarsus adductus:
-newborns with a metatarsus adductus deformity need to have a hip screening ultrasound because of there being an association with hip dysplasia.
-the majority of children with mild flexible deformities do not need any intervention since the deformity generally improves spontaneously. Sometimes stretching exercises and foot stimulation into active eversion are indicated. Serial casting should be performed very early if the deformity is resistant. Walkers can be provided with anti-varus shoes.
Treatment of the stiff metatarsus adductus can be very difficult without there being any consensus. If the deformity persists after the age of 6 to 8 years it is unlikely that
Inflammatory
Associations:
- Ledderhose disease (plantar fascia, 5% of patients)
- Peyronie’s disease (Dartos fascia of the penis, 3% of patients)
- Garrod’s disease (knuckle pads)
- Dupuytren’s diathesis relates to certain features of Dupuytren’s disease and indicates an aggressive form. These factors are patient aged below 50 years, positive family
nstructions:
“Please can you show me the palms of your hands and straighten your fingers”
Look:
- Which fingers are affected
- Degree of metacarpo phalangeal joint (MCP) and proximal interphalangeal joint(PIP) flexion
- Cords
- Pits
- Nodules or palpable masses
- Scars of surgery including previous skin graft
- Webspace contractures
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