Operative Surgery

💡 Eaton classification and treatment algorithm

💡 Bigliani acromial morphology: Type I flat (17%), Type II curved (43%), Type III hooked (40%)

💡 ISIS (Instability Severity Index Score) >6 predicts recurrence - consider bony procedure

💡 Rockwood classification: Type I (sprain, no displacement), II (AC ligament rupture, CC intact), III (complete disruption, 25-100% displacement), IV (posterior into trapezius), V (100-300% displacement), VI (inferior to coracoid)

💡 Cubitus varus most common complication of supracondylar fracture malunion

💡 De Quervain's = first dorsal compartment tenosynovitis (APL and EPB)

💡 EPL ruptures 6-12 weeks after distal radius fracture (even minimally displaced)

💡 Eaton classification: Stage I (normal XR, laxity), II (joint space narrowing <2mm), III (advanced OA, osteophytes), IV (pantrapezial arthritis including STT)

💡 Know Neer's classification and principles: subacromial impingement due to anterior acromion hook causing rotator cuff inflammation and degeneration; acromioplasty aims to decompress subacromial space

💡 Understand TUBS vs AMBRI classification: TUBS = Traumatic, Unilateral, Bankart lesion, Surgery (Bankart repair); AMBRI = Atraumatic, Multidirectional, Bilateral, Rehabilitation, Inferior capsular shift (if surgery needed). Critical for patient selection

💡 Know Neer's principles - form the basis of modern subacromial surgery

💡 Know the pathoanatomy - Bankart lesion, capsular laxity, ALPSA

💡 Know Rockwood classification I-VI

💡 Know normal carrying angle (5-15 degrees valgus)

💡 Know contents of first extensor compartment (APL and EPB)

💡 Know the Pulvertaft weave technique

💡 Know Eaton-Littler classification of trapeziometacarpal OA

💡 Know specific indications for Total Hip Joint Replacement and Variants - be able to justify why this procedure over alternatives

💡 Know specific indications for Revision Total Hip Joint Replacement - be able to justify why this procedure over alternatives

💡 Know specific indications for Femoral Varus Derotation Osteotomy - be able to justify why this procedure over alternatives

💡 Know indications and contraindications for Open Reduction and Internal Fixation of Acetabular Fracture (Kocher-Langenbeck Approach)

💡 Know indications and contraindications for External Fixation of Pelvic Ring Injury

💡 Know indications and contraindications for Percutaneous Iliosacral Screw Fixation

💡 Know indications and contraindications for Open Reduction and Internal Fixation of Pilon Fracture

💡 Know indications and contraindications for Intramedullary Nailing of Subtrochanteric Femur Fracture

💡 PAPROSKY CLASSIFICATION: Be able to describe radiographic criteria for each type and appropriate reconstruction for each

💡 Know specific indications including AOANJRR data on survivorship by diagnosis (OA: 95% at 15y, RA: 92%, AVN: 90%)

💡 Know specific indications including AOANJRR data on survivorship by diagnosis (OA: 95% at 15y, RA: 92%, AVN: 90%)

💡 Know specific indications including AOANJRR data on survivorship by diagnosis (OA: 95% at 15y, RA: 92%, AVN: 90%)

💡 MSIS CRITERIA: Be able to recite diagnostic criteria (≥2 of: sinus, synovial WBC, serum markers, cultures, histology)

💡 Know specific indications including AOANJRR data on survivorship by diagnosis (OA: 95% at 15y, RA: 92%, AVN: 90%)

💡 Know specific indications including AOANJRR data on survivorship by diagnosis (OA: 95% at 15y, RA: 92%, AVN: 90%)

💡 Know specific indications for Revision Total Hip Arthroplasty - Acetabular Component - be able to justify why this procedure over alternatives

💡 Know specific indications for Revision Total Hip Arthroplasty - Femoral Component - be able to justify why this procedure over alternatives

💡 Know specific indications for Revision Total Knee Arthroplasty - Aseptic - be able to justify why this procedure over alternatives

💡 MSIS CRITERIA: Be able to recite diagnostic criteria (≥2 of: sinus, synovial WBC, serum markers, cultures, histology)

💡 Know specific indications for Two-Stage Revision for Periprosthetic Joint Infection - Knee - be able to justify why this procedure over alternatives

💡 Know specific indications for Periprosthetic Fracture Management - Vancouver B2/B3 Hip - be able to justify why this procedure over alternatives

💡 Know indications and contraindications for ORIF Radial Head Fracture - be specific about when surgery indicated vs non-operative

💡 Know indications and contraindications for Arthroscopic Wrist Ganglion Excision

💡 Know indications and contraindications for ORIF Radial Head Fracture

💡 Know indications and contraindications for Arthroscopic Wrist Ganglion Excision

💡 Know indications precisely: symptomatic full-thickness tear, failed 3-6 months conservative management, adequate tissue quality for repair

💡 Know indications and contraindications for Arthroscopic Rotator Cuff Repair

💡 Know indications and contraindications for ORIF Proximal Humerus Fracture

💡 Know indications and contraindications for Shoulder Hemiarthroplasty for Fracture

💡 Know indications and contraindications for Arthroscopic Superior Capsular Reconstruction

💡 Know indications and contraindications for Hip Arthroscopy for Femoroacetabular Impingement - be specific about when surgery indicated vs non-operative

💡 Know specific indications for Labral Repair and Reconstruction - be able to justify why this procedure over alternatives

💡 Know specific indications for Proximal Femoral Osteotomy - be able to justify why this procedure over alternatives