Table Of ContentMRCS Revision
Guide: Limbs
and Spine
MRCS Revision
Guide: Limbs
and Spine
Mazyar Kanani, PhD, FRCS (CTh)
FellowinCongenitalCardiacSurgery,Children’sHospital,Pittsburgh,Pennsylvania,USA
Khaled M. Sarraf, BSc (Hons), MBBS, MRCS
SpecialistRegistrarinTraumaandOrthopaedicSurgery,
NorthWestThamesRotation–LondonDeanery,
ChelseaandWestminsterHospitalNHSFoundationTrust,London,UK
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Kanani,Mazyar.
MRCSrevisionguide:limbsandspine/MazyarKanani,KhaledM.Sarraf.
p. cm.
ISBN978-0-521-13976-2(Paperback)
1.Spine–Surgery–Examinations,questions,etc. 2.Extremities(Anatomy)–
Surgery–Examinations,questions,etc. 3.RoyalCollegeofSurgeonsofEngland.
I.Sarraf,KhaledM. II.Title.
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Contents
Preface ix
Section 1 Basic science
Spinalanaesthesia 41
Spinalinjury 43
1 Appliedsurgicalscience 1
Systemicresponseto
Actionpotentials 1
trauma 47
Arterialpressure 4
Calciumhaemostasisand 3 Surgicalpathology 51
vitaminDmetabolism 6 Bonetumours 51
Cartilage 9 Deepveinthrombosis
Cerebrospinalfluid(CSF) (DVT) 53
andcerebralblood Gangrene 54
flow 10 Gout 55
Microcirculation 12 Heterotopicossification 56
Motorcontrol 14 Lymphoedema 57
Muscle:skeletalvs. Myeloma 57
smooth 16 Osteoarthritis 59
Reflexes 19 Osteomyelitis 60
Synapses–theneuromuscular Osteoporosis 62
junction(NMJ) 20 Pathologicalfractures 63
Venouspressure 21 Peripheralarterial
disease 64
2 Criticalcare 23
Rheumatoidarthritis 65
Agitationandsedation 23
Sarcoma 66
Burns 25
Scarring 68
Coagulationdefects 29
Tetanus 68
Decubitusulcers 31
Initialevaluationofthemulti- 4 Surgicalskillsand
traumapatient 32 patientsafety 70
Fatembolismsyndrome 33 Analgesia 70
Intensive-care-unitadmission Diathermy 73
criteria 36 Kneeaspiration 75
Physiologyof Nerveinjuries 76
immobilization 37 Principlesoffracture
Rhabdomyolysis 39 management 79
vii
viii Contents
Skinpreparationand Managementofopen
asepsis 80 fractures 120
Suturematerialsand Principlesofamputation 123
needles 81 Principlesofarthroscopy 124
Tourniquet 83 Surgicalapproachestothe
hip 125
5 Anatomy 87
Anatomicalsnuffbox 87 Section 2 Examinations
Antecubitalfossaandelbow
joint 88 7 Clinicalexaminations
Arterialsupplyofthelower (traumaand
limb 90 orthopaedics) 129
Carpaltunnel 92 Principlesoforthopaedic
Compartmentsofthelower examination 129
limb 93 Commonadultorthopaedic
Dermatomesandmyotomes injuries 131
oftheupperandlower Hipexamination 135
limb 94 Kneeexamination 140
Femoraltriangle 96 Footexamination 144
Hipandfemur 97 Shoulderexamination 147
Kneejoint 99 Handandwrist
Lumbarvertebrae 101 examination 150
Poplitealfossa 103 Spinalexamination–lumbar
Radialnerve 104 spine 154
Sciaticnerve 106
8 Clinicalexaminations
Shoulder 107 (vascular) 158
Spinalcord 109 Peripheralvascular
Spinalcord:blood examination 158
supply 110 Lowerlimbvenous
6 Operativesurgery 112 examination 159
Carpaltunnel
decompression 112
Colles’fracturereduction 113
Appendix:Additionalhigh-yield
Compartmentsyndrome
topicsfortheMRCS 161
andfasciotomy 115
Index 163
Fracturedneckof
femur 116
