Pneumonics

The Best Pneumonics

 

Protrusio                                       PROFSHAMMN

 

Charcot joints                               SAD SLIPS

 

Chondrocalcinosis                         WHIP A DOG

 

AVN                                                AS IT GRIPS 3C

 

Gen Lig Lax                                    DIAL HOME CS

 

Coxa vara                                       ACDC

 

Waddell’s                                        DR TOS

 

Basilar Impression                         SAD MAN BOOK

 

Schmorl’s                                        SHOOT

 

Spondylolithesis                             DID TIP

 

Radial N Compression                    FREAS

 

Skeletal Dysplasia                          COMMON HEAD FOG

 

Sieve                                               TITIMENDVISC

 

Lucent Lesions                               FOG MACHINES

 

Diaphyseal lesions                         HALFEE

 

CI Limb Salvage                             PIN LEG

 

Female Tumours                            JIHAD GAL

 

Sclerotic Cortical                           OOPS

 

Sclerotic Lesions                           VINDICATE

 

Osteoporosis                                 DDD NICE

 

Scoliosis Progression                   MR SEX MAP

 

FOG MACHINES

 

Fibrous Dysplasia, Fibrosarcoma

Osteoblastoma/ Osteoid Osteoma / Osteosarcoma

Giant Cell Tumour 

Malignancy / Mets / Myeloma

ABC / Adamantinoma

Cartilage - enchondroma, osteochondroma, Chondroblastoma, Chondromyxoid Fibroma

Hemangioma / Hyperparathyroidism / Haemophilia / Histiocytoma

Infection / Intra-osseous ganglion/ Lipoma/fibroma

Non-Ossifying Fibroma / NF

Eosinophilic Granuloma

Simple Bone Cyst / synovial condition (PVNS)

 

VINDICATE

 

Vascular - hemangiomas / AVN

Infection / Infarct 

Neoplasm   

Primary - Osteoid Osteoma / Osteoblastoma  / Osteosarcoma / Osteofibrous dysplasia

Secondary - lymphoma, blastic metastatic - prostate, breast, lung

Drugs - vitamin D, fluoride

Inflammatory - SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis)

Congenital/Cartilage

- enchondroma / osteochondroma / bone islands

- osteopetrosis

Autoimmune

Trauma - stress fracture

Endocrine - Paget's disease, hyperparathyroidism

 

HALFEE

 

Osteofibrous DysplasiaAdamantinomaEwings

OFD                    Adamantinoma                                Ewings

 

Histiocytoma (MFH)

Adamantinoma     

Lymphoma

Fibrous dysplasia / OsteoFibrous dysplasia

Ewing's

Eosinophilic Granuloma

 

AS IT GRIPS 3Cs

 

Alcohol

Steroids

Idiopathic

Trauma

Gout, Gauchers

Rheumatoid / radiation

Infection / increased lipids / inflammatory arteritis

Pancreatitis / pregnancy

SLE / sickle cell / smoking

CRF / chemotherapy / Cassion's disease

 

PIN LEG

 

Pathological fracture

Infection

N/V involvement

LLD > 6-8cm

Extensive muscle involvement

Good biopsy (actually poor biopsy)

 

OOOPS

 

OO

Osteoma

Osteomyelitis

Parosteal OS

Stress Fracture

 

Tibial Lesion Sclerotic

 

COMMON HEAD FOG

 

Chondromalacia punctae

OI

MED / SED

Metaphyseal Dysplasia

Mucopolysaccharidases

Osteopetrosis

NF

Hypophosphataemia

Exostosis

Achondroplasia

Diaphyseal Dysplasia / Diastrophic Dysplasia

Fibrous Dysplasia

Ollier’s (multiple enchondromas)

 

DID TIP

 

Dysplastic

- 20%

- abnormal L5 / S1

- around 6 years old

- tendency to worse slips

- worse symptoms as posterior elements move forwards

- may have SB occulta

- L5 kyphosis

- L5 nerve root

 

Isthmic

- 50%

- L5/S1

- adolescents

- L5 lordosis

- L5 nerve root

- may be acute / chronic / elongated and thinned

 

Degenerative

- facet joints

- L4/5

- slips limited to Grade II

 

Trauma

- fracture not of pars

- neural elements

 

Iatrogenic

- laminectomy

 

Pathological

- weak posterior elements

- OI, Larsen's, Marfans