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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
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
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 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 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 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
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
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
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.
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
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 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
Diagnostic shoulder arthroscopy 85 Shoulder arthroplasty 108 Arthroscopic procedures 90 Viva
(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
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
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
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
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
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
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 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 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 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 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 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 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 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 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 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 One The Shoulder Anterior Approach to the Clavicle Anterior Approach to the Shoulder Joint Applied Surgical Anatomy of the Anterior Approach to the Shoulder
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 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
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 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
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 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 © 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 ●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
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 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 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 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 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 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 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 011 Reconstruction Online 2011 Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1Which of the following methods of
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 SPORTS 2013 Sports Medicine Self-Assessment Examination by Dr.Dhahirortho 1 Question 1Figure 1 is
ORTHOPEDIC MCQS ONLINE 014 UPPER EXTREMITY Shoulder and Elbow Self-Assessment Examination AAOS 2014 by Dr.Dhahirortho
ORTHOPEDIC MCQS ONLINE SPORT016 2016 Sports Medicine Self-Assessment Examination للاب
Orthopedic MCQS online Shoulder and Elbow 017 SHOULDER AND ELBOW SELF- SCORED SELF-ASSESSMENT EXAMINATION AAOS
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 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 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 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 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 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 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 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 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
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 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 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 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 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 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 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 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 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 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 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 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 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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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 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
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
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
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 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 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 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