Random MSK

Question 1

Tzietze syndrome

Answer 1

• Uncommon reason for pediatric chest pain involving one rib in 70-80%
• Inflammatory process with swelling, warmth, and tenderness of the 2nd or 3rd costochondral junctions (most often the second rib)
• Swelling is often spindle shaped
• Can be associated with URI and exacerbated with cough and deep inspiration

Question 2

Most common joint affected by spondylosis

Answer 2

Stress reaction or fraction of pars interarticularis in the lumbar spine resulting from repetitive hyperextension
L5 is affected 85-95% of the time, L4 5-15 percent

Question 3

Spondylolisthesis

Answer 3

This is the result of the progression of spondylolysis when chronic non union of bilateral pars defects cause forward translation or slippage of one vertebra on the next
- Most common at L5 to S1

Question 4

Goldbloom syndrome

Answer 4

• New periosteal bone formation
• Fever
• severe joint pain
• NSAIDS can help but spontaneous recovery
• Labs : increased esr, IGs and dysproteinemia