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2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

All rights reserved. No part of Musculoskeletal Trauma Self-Assessment Examination may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the prior written permission of the publisher.

Published January 2012 American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL 60018

Copyright 2012 by the American Academy of Orthopaedic Surgeons

Requests for permission to reproduce any part of the work should be mailed to: Attention Examinations Department American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL 60018

Printed in the USA

2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

Dear Colleague Thank you for purchasing the AAOS 2012 Musculoskeletal Trauma Special Interest Examination. In order for you to gain the maximal benefit from this educational exercise, it is worthwhile to understand the rationale for the design of the test. The intended audience for this examination is orthopaedic surgeons in clinical practice. This being understood, there is an emphasis on clinically relevant items posing various diagnostic and therapeutic situations. Conversely, items testing more abstract basic science subjects, such as gene mutations or antibiotic mechanisms of action, are de-emphasized. In completing this examination, you should understand the different item types. Questions, which test your ability to recall a piece of information, are the most common; though important and worthwhile, such questions are often clinically relevant in an indirect manner. Questions that test your ability to interpret radiographic or intra-operative images requires the participant to have the ability to analyze the images in a clinically meaningful way before processing that information in order to answer the question being asked. Finally, problem-solving questions are those that require the participants to understand the clinical situation, interpret radiographic images, and then decide upon an appropriate next step. In this year's test, you will note a strong emphasis on problem-solving questions. The breadth of topics is broad. The rationale for this focus is to foster the quality of musculoskeletal trauma care delivered by the large majority of orthopaedic surgeons. Many participants will be using this examination to prepare or fulfill requirements for the ABOS Maintenance of Certification (MOC) TM process. With that in mind, the examination this year includes a new question type. Similar to those used by the American Board of Orthopaedic Surgery, a series of questions are focused on a common clinical vignette. This format tests the participants' understanding and clinical decision-making skills in an incremental manner, with subsequent items building upon choices made in prior items. Though these question types are arguably more difficult to answer, it tests the participants' knowledge on perhaps the highest level of sophistication. Once again, as the editor of this year's examination, I thank you for choosing to use this educational resource. On behalf of myself, the members of the subcommittee, and the AAOS educational staff, we hope this examination is as useful to you as it was intended to be in its development. Sincerely,

Gregory J. Schmeling, MD Editor in Chief, 2012 Musculoskeletal Trauma Examination

2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

ACCREDITATIONThe American Academy of Orthopaedic Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AAOS EVALUATION PROGRAMSScored and Recorded Examination Participants: CME credit is awarded to a single respondent whose Academy Identification Number is associated with the purchase of the examination to which credit is desired and has completed and returned both their responses and CME evaluation by December 31,2014. No CME credit will be awarded to an individual who has not purchased the examination from AAOS. A respondent must score above chance (21%) to be eligible to receive CME credit.

AMA CME CREDITU. S. Physicians: The American Academy of Orthopaedic Surgeons designates this enduring material for a maximum of 10 AMA PRA Category 1 Credits. Physicians should claim only the creditcommensurate with the extent of their participation in the activity.

International Physicians: The AMA has determined that physicians not licensed in the United States but who participate in this CME activity are eligible for AMA PRA Category 1 Credits.

Allied Health Professionals: The American Academy of Orthopaedic Surgeons is not accredited to offer credit for nurses and other allied health professionals. To determine if activities offering AMA PRA Category 1 Credits are acceptable for your licensing or certification needs, please contact the relevant organization(s) directly.

Independent Study (previously called Self-Scored) Examination Participants: The AAOS no longer awards CME credit for independent study as a result of new requirements from the American Medical Associations Physician Recognition Award Program.

EDUCATIONAL OBJECTIVES As a result of taking the 2012 Musculoskeletal Trauma Self-Assessment Examination I am able to

improve clinical decision-making and imaging interpretation skills for musculoskeletal trauma. gain insight into new treatment techniques and the standard of care for musculoskeletal trauma,

especially upper and lower extremities. determine appropriate methods to manage complications of musculoskeletal trauma care. apply basic science principles to musculoskeletal trauma. determine the most appropriate surgical exposures for different fractures of the pelvis and

acetabulum.

It is the goal of the American Academy of Orthopaedic Surgeons to promote safe and effective orthopaedic care through all of our programs, products, and services.

RELEASE DATE: January 2012EXPIRATION DATE: December 31, 2014.No CME credit will be awarded for this activity after December 31, 2014

2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

Produced by the American Academy of Orthopaedic SurgeonsTrauma Evaluation Subcommittee of

the Evaluation Committee

Gregory J. Schmeling, MD, Editor in ChiefProfessor, Vice Chairman Education, Director, Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin

ContributorsRahul Banerjee, MD

Assistant Professor, Orthopaedic Surgery Residency Program Director, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Kenneth A. Egol, MDProfessor and Vice Chairman, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY

C. Michael LeCroy, DMDirector of Orthopaedic Trauma Services, Mission Health System, Asheville, North Carolina

Bradley R. Merk, MDAssociate Professor of Orthopaedic Surgery, Director of Orthopaedic Trauma, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

Brent L. Norris, MDClinical Assistant Professor, Department of Orthopaedic Surgery, University of Oklahoma School of Medicine, Oklahoma City, Oklahoma

Timothy J. OMara, MDOrthopaedic Surgeon, Private Practice, Reno, Nevada

Jason W. Roberts, MDAssistant Professor, Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin

Michael Suk, MD JD MPH FACSAssociate Professor, Division Chief, Orthopaedic Trauma, Department of Orthopaedic Surgery, University of Florida-Shands Jacksonville, Jacksonville, Florida

John S. Toohey, MDClinical Associate Professor, Department of Orthopaedic Surgery, University of Texas Health Science Center, San Antonio, Texas

Philip R. Wolinsky, MDProfessor, University of California at Davis Medical Center, Sacramento, California

Robert D. Zura, MDAssistant Professor, Orthopaedic Trauma Services, Department of Surgery, Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina

2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

2012 American Academy of Orthopaedic Surgeons 2012 Musculoskeletal Trauma Self-Assessment Examination

American Academy of Orthopaedic SurgeonsMark Wieting, Chief Education Officer

Department of Electronic Media, Examinations, CME Course Operations, and Practice ManagementHoward Mevis, DirectorLaura Hruska, M. Ed., Examinations ManagerMarcie L. Lampert, Senior Examinations CoordinatorIrene Bogdal, Administrative AssistantDenise Plasky, Examinations Assistant

Editorial StaffMarilyn L.