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Bankart lesion

Bankart lesion

The Dislocated Shoulder: Can You Ace This Orthopedic Oral Exam

The Dislocated Shoulder: Can You Ace This Orthopedic Oral Exam

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Shoulder Imaging‌‌

  Summary   Along with thorough history and physical exam, appropriate imaging is integral to accurate diagnosis and treatment of shoulder pathology. Understanding the various shoulder imaging options can help confirm diagnosis while minimizing unnecessary testing. In this

ANTERIOR SHOULDER DISLOCATION

You are called to the emergency department to see a 60-year-old man who has fallen while running, injuring his shoulder. These are his radiographs.   1. Describe these x-rays. These are AP and modified axillary views of the shoulder, which show an anterior dislocation. There is

ANTERIOR SHOULDER DISLOCATION

You are called to the emergency department to see a 60-year-old man who has fallen while running, injuring his shoulder. These are his radiographs.   1. Describe these x-rays. These are AP and modified axillary views of the shoulder, which show an anterior dislocation. There is

PEDIATRIC SHOULDER Fractures and Dislocations

PEDIATRIC SHOULDER         PROXIMAL HUMERUS FRACTURES Epidemiology These account for <5% of fractures in children. Incidence ranges from 1.2 to 4.4 per 10,000 per year. They are most common in adolescents owing to increased

ANTERIOR GLENOHUMERAL DISLOCATION

ANTERIOR GLENOHUMERAL DISLOCATION Incidence Anterior dislocations represent 96% of shoulder dislocations. Mechanism of Injury Anterior glenohumeral dislocation may occur as a result of trauma, secondary to either direct or indirect forces. Indirect trauma to the

GLENOHUMERAL DISLOCATION

GLENOHUMERAL DISLOCATION         EPIDEMIOLOGY The shoulder is the most commonly dislocated major joint of the body, accounting for up to 45% of dislocations. Anterior dislocations account for 96% of cases. Posterior dislocations, the

Shoulder and Elbow cases posterior GH instability

A 19-year-old, collegiate offensive lineman presents to your clinic with vague shoulder pain that has been ongoing throughout his sophomore season. He managed to play out the season but was having significant discomfort during practice sessions and games. On examination, he has intact strength and

Shoulder and Elbow cases shoulder instability

A 24-year-old, male athlete sustains an anterior shoulder dislocation. His MRI is shown in Figure 2–32.       Figure 2–32   Which of the following ligaments is injured? Anterior band of the inferior

Shoulder and Elbow cases biceps tendonitis

A 30-year-old, right-hand-dominant man presents to clinic complaining of anterior right shoulder pain. There is pain mostly with overhead movement that radiates to the biceps muscle belly. He takes no medications, is otherwise healthy, and works as a car mechanic. He is an avid volleyball player.

Shoulder and Elbow cases posterior labrum tear

A 25-year-old, right-hand-dominant man presents to the clinic with right shoulder pain. He is a professional football player and plays as an offensive lineman. Three days ago, he was blocking with his hands with his right elbow fully extended and his shoulder flexed, adducted, and internally

Shoulder and Elbow cases acute rotator cuff tears

A 35-year-old male has had left shoulder pain for 4 months, ever since a low-speed motor vehicle accident (MVA). Physical examination demonstrates preserved range of motion but pain and some weakness with Jobe’s testing. His imaging is shown

    CASE                               11

Shoulder and Elbow CASES 1

CASE 1     A 76-year-old, right-hand-dominant man presents to clinic complaining of right shoulder pain. The pain started several months ago, has gotten progressively worse, and is located diffusely over his deltoid region. He has night pain and pain with overhead activity. On

Surgery of the Shoulder

    Diagnostic shoulder arthroscopy   85   Shoulder arthroplasty   108 Arthroscopic procedures 90 Viva

Shoulder and Elbow Orthopedic MCQS online

(OBQ15.201) A 52-year-old, right hand dominant man comes for evaluation of right shoulder pain that has been intermittently bothering him for three months. The pain is worse with overhead activities. He denies any history of trauma. His range of forward elevation in the plane of the scapula is

Open Reduction and Internal Fixation of Proximal Humerus Fractures

DEFINITION Proximal humerus fractures may involve the surgical neck, the greater tuberosity, and/or the lesser tuberosity. The Neer classification, which is most commonly used, categorizes fractures based on the number of displaced parts (FIG 1). This classification system involves four

Management of Glenohumeral Instability with Humeral Bone Loss

DEFINITION The glenohumeral joint is one of the most commonly dislocated joints in the body. With anterior dislocations, bony defects of the anterior glenoid and posterosuperior aspect of the humeral head occur with relative frequency. Osseous injuries directly impact recurrent instability

Glenoid Bone Graft for Instability with Bone Loss

DEFINITION Anterior shoulder instability typically results from an injury to the capsule, ligaments, and labrum that stabilize the glenohumeral joint. In cases of higher energy trauma or recurrent dislocation, there can be significant bone loss or erosion of the anterior glenoid rim. The

Treatment of Recurrent Posterior Shoulder Instability

DEFINITION Symptomatic recurrent posterior instability represents up to 12% of all cases of shoulder instability and is subdivided into two discrete entities.32,40 The first, true posterior dislocation is acute in nature and often related to trauma. It is readily managed with shoulder

Bankart Repair and Inferior Capsular Shift

DEFINITION Glenohumeral instability is caused by a disruption of the normal stabilizing anatomic structures of the shoulder, leading to recurrent dislocation or subluxation of the glenohumeral joint.     ANATOMY   Glenohumeral stability depends on the integrity of

Open Reduction and Internal Fixation of Proximal Humerus Fractures

DEFINITION Proximal humerus fractures may involve the surgical neck, the greater tuberosity, and/or the lesser tuberosity. The Neer classification, which is most commonly used, categorizes fractures based on the number of displaced parts (FIG 1). This classification system involves four

Management of Glenohumeral Instability with Humeral Bone Loss

Management of Glenohumeral Instability with Humeral Bone Lossi     DEFINITION The glenohumeral joint is one of the most commonly dislocated joints in the body. With anterior dislocations, bony defects of the anterior glenoid and posterosuperior aspect of the humeral head

Treatment of Recurrent Posterior Shoulder Instability

Treatment of Recurrent Posterior Shoulder Instability DEFINITION Symptomatic recurrent posterior instability represents up to 12% of all cases of shoulder instability and is subdivided into two discrete entities.32,40 The first, true posterior dislocation is acute in nature and often

Glenoid Bone Graft for Instability with Bone Loss

Glenoid Bone Graft for Instability with Bone Loss DEFINITION Anterior shoulder instability typically results from an injury to the capsule, ligaments, and labrum that stabilize the glenohumeral joint. In cases of higher energy trauma or recurrent dislocation, there can be significant

Bankart Repair and Inferior Capsular Shift

Bankart Repair and Inferior Capsular Shift DEFINITION Glenohumeral instability is caused by a disruption of the normal stabilizing anatomic structures of the shoulder, leading to recurrent dislocation or subluxation of the glenohumeral

Arthroscopic Treatment of Superior Labral Anterior Posterior (SLAP) Tears

Arthroscopic Treatment of Superior Labral Anterior Posterior (SLAP) Tears       DEFINITION Superior labral anterior posterior (SLAP) tears are characterized by injury to the superior glenoid labrum, with anterior to posterior detachment of the superior

Arthroscopic Treatment of Multidirectional Shoulder Instability

Arthroscopic Treatment of Multidirectional Shoulder Instability         DEFINITION Neer and Foster20 described the concept of multidirectional instability (MDI) of the shoulder in detail in 1980. This established the difference between unidirectional

Arthroscopic Treatment of Anterior Shoulder Instability

  Arthroscopic Treatment of Anterior Shoulder Instability       DEFINITION Glenohumeral stability depends on static and dynamic restraints to ensure stable yet unconstrained range of motion. Laxity is a physiologic term used to describe the passive

Shoulder Arthroscopy: The Basics

  Shoulder Arthroscopy: The Basics       DEFINITION The shoulder is a spheroidal multiaxial joint stabilized not only by its bony anatomy but also by the surrounding muscles and capsular structures. Arthroscopy is the process of visualization and examination

ORTHOPEDIC MCQS ONLINE QUESTION BANK H2D

ORTHOPEDIC MCQS ONLINE QUESTION BANK H2D 2685. (3157) Q6-3976: Which of the following serves as the best landmark for proper screw entry into the lumbar pedicle:   1) The junction of the transverse process and inferior facet 3) The articulating interface of the superior and

APPROACHES TO THE SHOULDER

APPROACHES TO THE SHOULDER    One   The Shoulder       Anterior Approach to the Clavicle Anterior Approach to the Shoulder Joint Applied Surgical Anatomy of the Anterior Approach to the Shoulder

Open Reduction and Internal Fixation of Proximal Humerus Fractures

Chapter 19 Open Reduction and Internal Fixation of Proximal Humerus Fractures   Mark T. Dillon Stephen Torres Mohit Gilotra David L. Glaser     DEFINITION Proximal humerus fractures may involve the surgical neck, the greater tuberosity, and/or the lesser

ARAB BOARD ORTHOPEDIC MCQS ONLINE BANK

ARAB BOARD ORTHOPEDIC MCQS ONLINE BANK  PREFACE   Much effort has been put in this book, as every question was reviewed, analyzed and evaluated concerning the benefit, and information given to the student or Orthopedic Resident, that would allow one to realize his weak

ORTHOPEDIC MCQS ONLINE BANK OITE 14A

1.04 A 32-year old man sustained a closed tarsometatarsal fracture-dislocation, and a closed reduction is performed. Postreduction radiographs reveal a 3 mm offset at the first metatarsocuneiform joint. Management should not consist of: A light dressing and immediate range of

ORTHOPEDIC MCQS ONLINE BANK OITE 97

ORTHOPEDIC MCQS ONLINE BANK OITE 97 97.1 A 55-year-old woman reports a spontaneous onset of severe pain in her ribs. AP and lateral chest radiographs show severe osteopenia, two rib fractures, and three vertebral compression fractures. Laboratory studies show a hemoglobin level of 9.0

ORTHOPEDIC MCQS BANK OITE98

Orthopaedic In-Training Exam 1998   Question 1 - A patient has a grade 2 open tibial fracture with 70% cross sectional bone loss that extends 2 cm in length. Treatment consists of stabilization with a nonreamed interlocking nail and successful secondary wound closure. Four months

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B Which of the following rehabilitation exercises is most appropriate immediately following the repair of the injury seen in figure

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1A

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1A  ©   A 24-year-old avid volleyball player has noted gradual onset of shoulder fatigue and weakness limiting his game. Radiographs done by his primary care physician were normal and he has failed to improve with 6 weeks of

SHOULDER

    SHOULDER    ●A TENDON TESTS Speed’s test  Yergason’s test  Empty/full can tests  External rotation lag sign  Lift-off sign 3 ●B IMPINGEMENT TESTS 34   Neer’s

Management of Shoulder Throwing Injuries

  Chapter 6 Management of Shoulder Throwing Injuries   Matthew T. Boes and Craig D. Morgan   DEFINITION Throwers place unique stress on their shoulder girdles due to the repetitive nature and magnitude of force associated with the

Shoulder Arthroscopy: The Basics

Shoulder Arthroscopy: The Basics   Chapter 1‌ Shoulder Arthroscopy: The Basics   Elizabeth Matzkin and Craig R. Bottoni   DEFINITION The shoulder is a spheroidal multiaxial joint stabilized not only by its bony anatomy but also by the

Arthroscopic Treatment of Superior Labral (SLAP) Tears

Arthroscopic Treatment of Superior Labral (SLAP) Tears     Chapter 5 Arthroscopic Treatment of Superior Labral (SLAP) Tears   Brian Cole and John-Paul Rue   DEFINITION Superior labral (SLAP) tears represent injury to the superior aspect of

Arthroscopic Treatment of Multidirectional Shoulder Instability

Arthroscopic Treatment of Multidirectional Shoulder Instability   Chapter 4 Arthroscopic Treatment of Multidirectional Shoulder Instability Steven B. Cohen and Jon K. Sekiya   DEFINITION Neer and colleagues14 described the concept of multidirectional

Arthroscopic Treatment of Anterior Shoulder Instability

Arthroscopic Treatment of Anterior Shoulder Instability   Chapter 2 Arthroscopic Treatment of Anterior Shoulder Instability   Robert A. Arciero, Augustus D. Mazzocca, and Jeffrey T. Spang   DEFINITION Glenohumeral stability depends on static and

Arthroscopic Treatment of Anterior Shoulder Instability

Arthroscopic Treatment of Anterior Shoulder Instability   Arthroscopic Treatment of Anterior Shoulder Instability DEFINITION Glenohumeral stability depends on static and dynamic restraints to ensure stable yet unconstrained range of motion. Laxity is a physiologic term used to

ORTHOPEDIC MCQS 010 ONLINE

ORTHOPEDIC MCQS 010 ONLINE  Your Source for Lifelong Orthopaedic Learning   Question 1 What is the most common maxillofacial/dental injury in ice hockey? Temporomandibular   Lip laceration Tooth avulsion Crown fracture Mandible

ORTHOPEDIC MCQS ONLINE 011 RECONSTRUCTION

ORTHOPEDIC MCQS  011 Reconstruction  Online 2011 Orthopaedic Self-Assessment Examination by Dr.Dhahirortho     1         Question 1Which of the following methods of

ORTHOPEDIC MCQS O11 UPPER EXTREMITY

ORTHOPEDIC MCQS  011 UPPER EXTREMITY  2011 Upper Extremity Self-Assessment Exam by Dr.Dhahirortho     1       Question 1A 23-year-old patient with

ORTHOPEDIC MCQS ONLINE 013 SPORT

ORTHOPEDIC MCQS ONLINE 013 SPORTS  2013 Sports Medicine Self-Assessment Examination by Dr.Dhahirortho     1           Question 1Figure 1 is

ORTHOPEDIC MCQS ONLINE 014 UPPER EXTREMITY

ORTHOPEDIC MCQS ONLINE 014 UPPER EXTREMITY  Shoulder and Elbow Self-Assessment Examination AAOS 2014 by                          Dr.Dhahirortho

ORTHOPEDIC MCQS ONLINE SPORT016

ORTHOPEDIC MCQS ONLINE SPORT016             2016 Sports Medicine Self-Assessment Examination للاب

Orthopedic MCQS online Shoulder and Elbow 017

Orthopedic MCQS online Shoulder and Elbow 017   SHOULDER AND ELBOW SELF- SCORED SELF-ASSESSMENT EXAMINATION AAOS

Orthopedic Mcqs Sport 0019

Orthopedic MCQS online Sports 0019 Sports Medicine Scored and Recorded Self-Assessment Examination 2019         Question 1 of 99 Figures 1 and 2 are intrasurgical photographs from the posterolateral viewing portal that

ORTHO MCQS Shoulder and Elbow 0192

ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019   Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On

ORTHO MCQS Shoulder and Elbow 019

ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019 Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On examination,

ORTHO MCQS SPORT 10

ORTHO MCQS SPORTS 10   Your Source for Lifelong Orthopaedic Learning   Question 1 What is the most common maxillofacial/dental injury in ice hockey? Temporomandibular   Lip laceration Tooth avulsion Crown

ORTHO MCQS BANK 011 FREE 03

  ORTHO MCQS BANK 011 FREE 03 Question 2..On MRI, what nerve is most likely to demonstrate increased signal intensity about the elbow in asymptomatic patients? 1- Ulnar 2- Radial 3- Median 4- Anterior interosseous 5- Musculocutaneous DISCUSSION: The ulnar nerve has been shown to have

ORTHO MCQS 011 FREE BANK 02

ORTHO MCQS 011 FREE BANK 02   Question 101A 60-year-old woman with a long-standing history of diabetes mellitus with documented peripheral neuropathy has a plantar ulcer. The ulcer has been present for 3 months. Her primary care physician has treated her with saline dressing changes with

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW4

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW4     101) Which of the following statements most accurately describes the anatomy and kinematics of the elbow medial ulnar collateral ligament (UCL)?  1. Anterior band of the anterior bundle exhibits an isometric strain pattern

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW3

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW3 58) A 50-year-old male laborer has persistent pain in the right elbow and has been having difficulty with some activities of daily living over the last year. He has not seen any progress after 3 months of using the extension splint from his ulnar nerve

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW 2

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW 2 57) A 21-year old minor league pitcher returns to your office with persistent posteromedial pain in his throwing elbow that worsens after ball release and follow-through. His exam shows full range of motion and some tenderness to palpation over the

1ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW 

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW 1 1) A 24-year-old avid volleyball player has noted gradual onset of shoulder fatigue and weakness limiting his game. Radiographs done by his primary care physician were normal and he has failed to improve with 6 weeks of physical therapy. Given the MRI

ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01

ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01 1.         An 18-year-old high school football player sustains a thigh injury that results in the findings shown in Figure 1.  Initial management should consist

ORTHOPEDIC MCQS BANK WITH ANSWER ANATOMY 02

ORTHOPEDIC MCQS BANK WITH ANSWER ANATOMY 02 1.         A patient has right shoulder pain.  Figure 1a shows a gadolinium-enhanced transverse MRI scan at the level of the coracoid.  Figure 1b shows an arthroscopic view of the anterior structures

ORTHOPEDIC MCQS WITH ANSWER SPORT 04

ORTHOPEDIC MCQS WITH ANSWER SPORT 04 1.       A 21-year-old collegiate wrestler sustains a blow to his right eye during a match.  Examination reveals anisocoria with a dilated right pupil.  The globe is properly formed, and extra-occular movements and the

ORTHOPEDIC MCQS WITH ANSWER ANATOMY 05

ORTHOPEDIC MCQS WITH ANSWER ANATOMY 05   1.         A 65-year-old man with ankylosing spondylitis sustains an extension injury to his cervical spine.  Two days later, a progressive neurologic deficit develops at the C6 level.  An MRI scan

ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05

ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05     1.      A 36-year-old woman has pain and swelling of the anterior arm after undergoing arthroscopic shoulder surgery 8 months ago.  At the time of the procedure, extensive debridement and synovectomy of

ONLINE ORTHOPEDIC MCQS SPORT07

ONLINE ORTHOPEDIC MCQS SPORT 07 1.          A 22-year-old college baseball pitcher reports the recent onset of anterior and posterosuperior shoulder pain in his throwing shoulder.  Examination shows a 15-degree loss of internal rotation,

ONLINE ORTHOPEDIC MCQS UPPER LIMB08

ONLINE ORTHOPEDIC MCQS UPPER LIMB08   1.       A 68-year-old man had a 3-year history of shoulder pain that failed to respond to nonsurgical management.  Examination reveals forward elevation to 120 degrees and external rotation to 30 degrees. 

ONLINE ORTHOPEDIC MCQS ANATOMY08

ONLINE ORTHOPEDIC MCQS ANATOMY08 1.       During a retroperitoneal approach to the L4-5 disk, what structure must be ligated to safely mobilize the common iliac vessels toward the midline from laterally and gain

Orthopedic MCQS online sports Medicine

Orthopedic MCQS online Sport Medicine    1- A 38-year-old man has increasing left knee pain and occasional instability. Several years earlier he sustained a noncontact twisting injury to his knee. He had initial soreness and pain but was able to resume his normal activities while

Orthopedic MCQS online Shoulder and Elbow

Orthopedic MCQS online Shoulder and Elbow  1- Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision

Shoulder and elbow: Mcqs AND EMQS Answers

Shoulder and elbow: Mcqs AND EMQS Answers   MCQs e.  The posterior rotator cuff. The primary cause of internal impingement is often anterior capsular laxity, which may result in posterior capsular tightness. This results in anterior shift of the axis of rotation of the

Shoulder And Elbow: Questions Mcqs AND EMQS

Shoulder And Elbow: Questions Mcqs AND EMQS MCQs The term internal impingement is used in throwers to describe a condition where the posterosuperior glenoid labrum impinges on which structure? a.          The anterior glenohumeral

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Orthopaedic Trauma

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Questions in Trauma and Orthopaedics Adult Pathology for the FRCS

  Questions in Trauma and Orthopaedics  Adult Pathology for the FRCS Section 8 Foot and Ankle  Viva 57  Reproduced from Murray Longmore, Ian Wilkinson, Edward Davidson, Alexander Foulkes, and Ahmad Mafi , Oxford Handbook of Clinical Medicine,

Questions in Trauma and Orthopaedics for the FRCS

 Questions in Trauma and Orthopaedics for the FRCS  Section 6 Lower Limb and Pelvic Trauma  Viva 41  This 27-year-old has been involved in a road traffic accident (RTA).  Describe what you see in this picture and explain your initial

SSEE

Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision without any signs of infection. He

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  Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision without

2021 SHOULDER AND ELBOW MCQS FREE

SHOULDER AND ELBOW MCQS FREE  2021 1- Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2  weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior

Posterior Approach to the Shoulder Joint

Posterior Approach to the Shoulder Joint‌ The posterior approach offers access to the posterior and inferior aspects of the shoulder joint.44 It rarely is needed, but can be used in the following instances: Repairs in cases of recurrent posterior dislocation or subluxation of

Applied Surgical Anatomy of the Anterior Approach to the Shoulder Joint

Applied Surgical Anatomy of the Anterior Approach to the Shoulder Joint‌     Overview   All approaches to the shoulder involve penetrating the two muscular coverings, or sleeves that cover the joint. The outer sleeve is the deltoid muscle. The inner sleeve is the

Anterior Approach to the Shoulder Joint

Anterior Approach to the Shoulder Joint

Anterior Approach to the Shoulder Joint The anterior surgical approach offers good wide exposure of the shoulder joint, allowing repairs to be made of its anterior, inferior, and superior coverings. Among its many uses, the anterior approach permits the following: Figure