Hill-Sachs lesion

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

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

POSTERIOR GLENOHUMERAL DISLOCATION

POSTERIOR GLENOHUMERAL DISLOCATION Incidence These injuries represent 2% to 4% of shoulder dislocations and 2% of shoulder injuries. They are often unrecognized by primary care and emergency physicians, with 60% to 80% missed on initial examination. Mechanism of

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 Sternoclavicular (SC) joint dislocations

A patient is brought to the emergency room trauma bay after a motor vehicle collision. During the initial trauma evaluation, a deformity and swelling is noted over the medial aspect of the right clavicle. She has noticeable venous congestion over her right neck and is complaining of numbness and

Shoulder and Elbow cases anterior instability

A 28-year-old, recreational athlete presents to your clinic with shoulder pain and a history of multiple subluxations in the past. He describes a recent frank dislocation that had to be “popped” back in place on the field. His imaging is shown below (Fig.

Shoulder and Elbow CASES 3

CASE                               20

    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

Latarjet Procedure for Instability with Bone Loss

DEFINITION Recognizing and properly addressing bone defects is crucial to achieving good surgical outcomes in shoulder instability. One of the most important requirements for glenohumeral stability is a long congruent articular arc in which the humerus and glenoid remain in contact throughout

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

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

Latarjet Procedure for Instability with Bone Loss

Latarjet Procedure for Instability with Bone Loss         DEFINITION Recognizing and properly addressing bone defects is crucial to achieving good surgical outcomes in shoulder instability. One of the most important requirements for glenohumeral stability is

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 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 Posterior Shoulder Instability

Arthroscopic Treatment of Posterior Shoulder Instability       DEFINITION Posterior shoulder instability results in pathologic glenohumeral translation ranging from mild subluxation to traumatic dislocation. Most patients with this pathologic entity report pain in

Arthroscopic Treatment of Posterior 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 describe the passive

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

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 OITE23

Orthopedics MCQS ONLINE OITE23 1.03 What is the most common complication associated with surgical fixation of a transverse midshaft humeral fracture using antegrade statically locked medullary nail?   Infection Radial nerve palsy Brachial artery injury during

ORTHOPEDIC MCQS ONLINE OITE 1213 1A

ORTHOPEDIC MCQS ONLINE BANK OITE 22

ORTHOPEDIC MCQS ONLINE BANK OITE 22 FOR OITE 22 FIGURES CLICK OITE22FIG 02.1 answer back A 30-year-old patient sustains an isolated type II open femoral shaft fracture. In addition to irrigation and debridement, management should include 1- skeletal traction. 2-

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

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 Posterior Shoulder Instability

Arthroscopic Treatment of Posterior Shoulder Instability   Chapter 3 Arthroscopic Treatment of Posterior Shoulder Instability   Fotios P. Tjoumakaris and James P. Bradley   DEFINITION Posterior shoulder instability results in pathologic

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 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 011 ANATOMY IMAGING

ORTHOPEDIC MCQS O11  ANATOMY  IMAGING  Online 2011 Anatomy-Imaging Self-Assessment Examination by Dr.Dhahirortho     1       Q 1 1a 1b 1c 1d 1e A 43-year-old

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 014 ANATOMY IMAGING

ORTHOPEDIC MCQS ONLINE 014 ANATOMY IMAGING  Anatomy Imaging Self-Assessment Examination   AHMED

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 BANK 011 FREE 04

ORTHO MCQS BANK 011 FREE 04 Q 1 1a 1b 1c 1d 1e A 43-year-old female factory worker has had a 6-month history of right plantar and lateral foot pain. She has pain with weight bearing and has difficulty standing at work. Management consisting of physical therapy, time off of work, and fracture

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 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 BANK WITH ANSWER SHOULDER 02

ORTHOPEDIC MCQS BANK WITH ANSWER SHOULDER 02                 1-Which of the following statements best describes why the ulnar nerve is most prone to neuropathy at the elbow?

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 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 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. 

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

Orthopaedic Trauma

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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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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