Cambridge University Press
9780521185103 - Postgraduate Orthopaedics: The Candidate's Guide to the FRCS (Tr & Orth) Examination - Edited by Paul A. Banaszkiewicz FRCS (Glas) FRCS (Ed) FRCS (Eng) FRCS (Tr & Orth) DipClinEd FAcadMEd and Associate Editor Deiary F. Kader FRCS (Tr & Orth) MFSEM (UK)
Frontmatter/Prelims

Postgraduate Orthopaedics: The Candidate's Guide to the FRCS (Tr & Orth) Examination


Postgraduate Orthopaedics: The Candidate's Guide to the FRCS (Tr & Orth) Examination

Second edition

Edited by

Paul A. Banaszkiewicz FRCS (Glas) FRCS (Ed) FRCS (Eng) FRCS (Tr & Orth) DipClinEd FAcadMEd

Consultant Orthopaedic Surgeon
Queen Elizabeth Hospital and North East NHS Surgical Centre (NENSC)
Gateshead

Associate Editor Deiary F. Kader FRCS (Tr & Orth) MFSEM (UK)

Consultant Orthopaedic Surgeon
Queen Elizabeth Hospital and North East NHS Surgical Centre (NENSC)
Gateshead


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Information on this title: www.cambridge.org/9780521185103

© Cambridge University Press 2012

This publication is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press.

First edition published 2009
Second edition published 2012

Printed in the United Kingdom at the University Press, Cambridge

A catalogue record for this publication is available from the British Library

Library of Congress Cataloguing-in-Publication Data

Postgraduate orthopaedics : the candidate's guide to the FRCS (Tr & Orth)
examination/edited by Paul A. Banaszkiewicz ; associate editor,
Deiary Kader. – 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-521-18510-3 (Paperback)
I. Banaszkiewicz, Paul A. II. Kader, Deiary F.
[DNLM: 1. Orthopedic Procedures–Examination Questions. WE 18.2]
LC classification not assigned
617′.9–dc23
2011033571

ISBN 978 0 521 18510 3 Paperback

Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate.

Every effort has been made in preparing this book to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use.


Contents

List of contributors
vii
Foreword by David C. Jaffray
ix
Preface
xi
List of abbreviations
xii
Section 1 The FRCS (Tr & Orth) examination
1
1         General advice for the FRCS (Tr & Orth)
E. Prash Jesudason, Niall Munro and Paul A. Banaszkiewicz
1
Section 2 The written paper
9
2         MCQ and EMI paper guidance
Mohammed Al-Maiyah and Deiary F. Kader
9
Section 3 The clinicals
17
3         The short cases
Andrew Sprowson and Tom Symes
17
4         The intermediate cases
Puneet Monga and Rajeev Bansal
21
5         Shoulder and elbow clinical cases
Paul A. Banaszkiewicz and David Cloke
24
6         Hand and wrist clinical cases
John W. K. Harrison
36
7         Spine clinical cases
Paul A. Banaszkiewicz and Almas L. Khan
59
8         Hip clinical cases
Paul A. Banaszkiewicz
69
9         Knee clinical cases
Deiary F. Kader
105
10        Foot and ankle clinical cases
Paul A. Banaszkiewicz and Paul Patterson
111
11        Paediatric clinical cases
Sattar Alshryda and Philip Henman
127
Section 4 The adult elective orthopaedics oral
149
12        General structured oral exam guidance
Tom Symes, Simon Spencer and Andrew Sprowson
149
13        Shoulder and elbow oral core topics
Asir Aster and Shashi Kanth Godey
151
14        Hip oral core topics
Paul A. Banaszkiewicz
170
15        Knee oral core topics
Deiary F. Kader
218
16        Foot and ankle oral core topics
Paul A. Banaszkiewicz and Paul Patterson
241
17        Spine oral core topics
Alex Baker and Niall Craig
263
18        Orthopaedic oncology oral core topics
Thomas B. Beckingsale and Craig H. Gerrand
281
Section 5 The hand oral
299
19        Hand oral core topics
John W. K. Harrison
299
Section 6 The paediatric oral
357
20        Paediatric oral core topics
Simon L. Barker
357
Section 7 The trauma oral
397
21        Trauma oral core topics
Gunasekaran Kumar
397
Section 8 The basic science oral
433
22        Basic science oral core topics
Kevin P. Sherman
433
Section 9 Miscellaneous topics
505
23        Surgical exposures oral core topics
Jonathan Loughead and Santosh Venkatachalam
505
24        Anatomy oral core topics
Sarkhell Radha and Paul A. Banaszkiewicz
532
25        SAS doctors and the FRCS (Tr & Orth) exam
M. Abdul Bari
568
26        FRCS (Tr & Orth) and CESR (Article 14)
Mohan Pullagura
572
27        Candidates’ accounts of the examination
David Cloke and Shariff Hazarika
576
28        Examination failure
Andrew Port and Paul A. Banaszkiewicz
592
Index
595

Contributors

Mr Mohammed Al-Maiyah MB ChB, FICMS, FRCS, MSc Orthop, FRCS (Tr & Orth)

James Cook University Hospital, Middlesbrough, UK

Sattar Alshryda MRCS, FRCS (Tr & Orth), MSc, PhD

Freeman Hospital, Newcastle upon Tyne, UK

Mr Asir Aster MBBS, FRCS (Surg), MSc (Orth Eng), FRCS (Tr & Orth)

Royal National Orthopaedic Hospital, Stanmore, UK

Mr Paul A. Banaszkiewicz FRCS (Glas) FRCS (Ed) FRCS (Eng) FRCS (Tr & Orth) DipClinEd FAcadMEd

Queen Elizabeth Hospital, Gateshead, UK

Mr Rajeev Bansal MSc, MCh Orth, FRCS (Tr & Orth)

Shoulder Fellow, Royal Bournemouth Hospital, UK

Mr M. Abdul Bari FRCSG, FEBOT (Ortho), MCh (Ortho) FRCS (Tr & Orth)

Tameside Hospital, Ashton under Lyne, UK

Mr Alex Baker BSc, MB ChB, MRCS, MSc, FRCS (Tr & Orth)

Lancashire Teaching Hospitals NHS Trust, Royal Preston Hospital, UK

Mr Simon L. Barker BSc (Hons) MD FRCS (Tr & Orth)

Royal Children's Hospital, Aberdeen, UK

Mr Thomas B. Beckingsale FRCS (Tr & Orth)

Freeman Hospital, Newcastle upon Tyne, UK

Mr David Cloke FRCS (Tr & Orth)

North Tyneside Hospital, Newcastle upon Tyne, UK

Mr Niall Craig FRCS (Ed) FRCS (Tr & Orth)

Aberdeen Royal Infirmary, Aberdeen, UK

Mr Craig H. Gerrand MB ChB, FRCS(Ed), MD, MBA

Freeman Hospital, Newcastle upon Tyne, UK

Mr Shashi Kanth Godey MBBS, MS (Orth), MRCS, FRCS (Tr & Orth)

University Hospital South Manchester Foundation Trust, Manchester, UK

Mr John W. K. Harrison MSc FRCS (Ed) FRCS (Tr & Orth), MFSEM (UK)

Queen Elizabeth Hospital, Gateshead, UK

Mr Shariff Hazarika MRCS, FRCS (Tr & Orth)

James Cook University Hospital, Middlesbrough, UK

Mr Philip Henman FRCS (Tr & Orth)

Freeman Hospital, Newcastle upon Tyne, UK

Mr E. Prash Jesudason MB ChB, MSc, FRCSEd (Tr & Orth)

Hand Fellow and Specialist Registrar, Northwestern Deanery, UK

Mr Deiary F. Kader FRCS (Glas) FRCS (Ed) FRCS (Tr & Orth), MFSEM (UK)

Queen Elizabeth Hospital, Gateshead, UK

Mr Almas L. Khan MBBS, PGCert ClinEd, FRCSEd (Tr & Orth)

Freeman Hospital, Newcastle upon Tyne, UK

Mr Gunasekaran Kumar FRCS (Tr & Orth)

Royal Liverpool University Hospital, Liverpool, UK

Mr Jonathan Loughead MSc, FRCS (Tr & Orth)

Queen Elizabeth Hospital, Gateshead, UK

Mr Puneet Monga FRCS FRCSEd (Tr & Orth), Dip Sports Med, MSc, MS Orth, DNB, MBBS

Northwest Deanery Manchester, UK

Mr Niall Munro FRCS (Tr & Orth) MD

Golden Jubilee National Hospital, Glasgow, UK

Mr Paul Patterson FRCS FRCS (Tr & Orth)

Queen Elizabeth Hospital, Gateshead, UK

Mr Andrew Port MB ChB, BSc (Hons), FRCS (Ed), FRCS (Tr & Orth)

James Cook University Hospital, Middlesbrough, UK

Mr Mohan K. Pullagura MS Orth, MRCS (Ed), FRCSEd (Tr & Orth)

North Tyneside Hospital, Newcastle, UK

Mr Sarkhell Radha MB ChB, MRCS (Ed)

Queen Elizabeth Hospital, Gateshead, UK

Mr Kevin P. Sherman BA, MA, BM, BCh, FRCS

Hull Royal Infirmary, Hull, UK

Mr Simon Spencer FRCS (Tr & Orth)

Golden Jubilee National Hospital, Glasgow, UK

Mr Andrew Sprowson MD, FRCS (Tr & Orth)

Clinical Research Associate, Newcastle University, UK

Mr Tom Symes MSc, FRCS (Tr & Orth)

Golden Jubilee National Hospital, Glasgow, UK

Mr Santosh Venkatachalam MBBS, MS (Orth), DNB (Orth), MRCS (Ed)

Queen Elizabeth Hospital, Gateshead, UK


Foreword

Success with the examination is about technique as much as knowledge. This book will be as good as others from the knowledge point of view but adds huge insight into technique. All examinations, whether it be your driving test or the FRCS (Tr & Orth), demand a disciplined technique. This book gives many pointers as to where a good technique helps to overcome the stress of the examination. Knowledge is a must but in itself is not enough. I would advocate this book to all orthopaedic year 1 trainees. That is when you need to start preparation – not year 4. Use this book to guide preparation for the examination. If I can add my own advice, then it is to practise every day. Pester your consultants to viva you every day for 10 minutes. Understand the principles of everything you do in the course of your orthopaedic practice.

David C. Jaffray
The Robert Jones and Agnes Hunt Orthopaedic and District General Hospital, Oswestry, UK





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