KnotesFree Orthopaedic & FRCS notes, viva stations and higher order SBAs

Genetics

Must KnowApplied Basic SciencesthinKbox SBA

Key points

This is photograph of chromosome. Seen in the time of cell division

  • It contains DNA. DNA is nitrogenous bases containing genetic information

Key points

  • Replication: Process of DNA synthesis with each DNA orchestrates the synthesis of daughter DNA
  • Transcription: Transfer of Genetic information from DNA to RNA
  • Translation: From RNA to Protein

Alleles: Alternative possible genes

  • Homozygous: carry two identical alleles
  • Hetero: Two different alleles

Incidence: number per 1000 birth

  • Prevalence: Proportion affected at a point of time per 1000

Chromasomal ab: 3.2/1000

  • Single gene: 7/1000
  • Multifactorial polygenic: 30%

Chromasomal

  • Structure
    • Deletions
    • Inversions
    • Translocations
  • Number
    • Trisomy: Downs
    • monosomy: Turner
    • Addition of extra x: Klinefelter

Single gene

  • Variable gene
  • Variable penetration
  • Variable expressivity
  • new gene mutation

Polygenic

  • Appreciable gene contribution club foot and DDH
  • Familial clustering
  • 1st degree relative half proportion genes shared
  • Risk of recurrence is square root of population incidence

Risk

  • 1st degree relative
  • Severe disease
  • if rare sex is affected, more risk
  • Heterozygous
  • M and F affected
  • Every generation affected

AR

  • Heterozygous no phenotype
  • Homozygous expressed
  • M and F
  • Parents carriers

XR

  • Males in every generation affected
  • No m to m transmission
  • Females are carriers

XD

  • M and F
  • Males severe

Written/reviewed by Kishore Puthezhath

Professor of Orthopaedics and Consultant Paediatric Orthopaedic Surgeon

FRCS (Tr & Orth) revision resource

Reviewed: September 2026