Subacromial space

The Dislocated Shoulder: Can You Ace This Orthopedic Oral Exam

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The Shoulder Girdle: Anatomy and Function

The shoulder girdle is a complex joint that connects the upper extremity to the axial skeleton. It is composed of four bones: the sternum, clavicle, scapula, and humerus. The shoulder girdle allows for a wide range of motion, which is essential for activities such as reaching, lifting, and

shoulder

ANATOMICAL FEATURES           Fig. 4.A. The shoulder is complex, and it is important to note that it has two main components, namely the glenohumeral joint (between the head of the humerus and the

Shoulder-Spine Syndrome‌

Summary Shoulder and cervical spine patients often have overlapping symptoms, presentations, and complaints. Spine and shoulder surgeons, and all providers seeing patients with cervical and shoulder pathologies, need to be knowledgeable of common shoulder and spine pathologies, presentation,

SCAPULA FRACTURES

SCAPULA FRACTURES         EPIDEMIOLOGY This relatively uncommon injury represents 3% to 5% of shoulder fractures and 0.4% to 1% of all fractures. The mean age of patients who sustain a scapula fracture is 35 to 45

Shoulder and Elbow cases axillary neuropathy

A 47-year-old, right-hand-dominant male presents to your clinic complaining of right shoulder weakness for the past 2 months. He denies any history of trauma but notes sudden onset of pain 2 months ago that lasted approximately 2 weeks and then subsided without any intervention and was followed by

Shoulder and Elbow cases glenohumeral rheumatoid arthritis

A 55-year-old female with a history of rheumatoid arthritis diagnosed at age 40 presents to your clinic complaining of 3 years of right shoulder pain acutely worsening over the past week to the point that she is unable to reach for objects from high shelves and needs help getting dressed in the

Shoulder and Elbow cases glenohumeral osteoarthritis

A 61-year-old, right-hand-dominant female presents with 5 years of gradually worsening right shoulder pain. The pain is worse at night and she is finding it gradually more difficult to perform certain activities such as combing her hair, putting on a coat, and reaching for objects on high shelves.

Shoulder and Elbow cases rotator cuff tear

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 examination, there is no visible

Shoulder and Elbow CASES 3

CASE                               20

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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

Approaches ORTHOPEDIC MCQS ONLINE BANK

(SAE08AN.50) What complication is more likely following excessive medial retraction of the anterior covering structures during the anterolateral (Watson-Jones) approach to the hip?    Numbness over the anterolateral thigh Ischemia to the leg Quadriceps

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

Pectoralis Major Transfer for Irreparable Subscapularis Tears

DEFINITION The subscapularis is one of four muscles making up the rotator cuff. Tears can result from chronic attenuation secondary to age or overuse, but more commonly, they result from trauma. Subscapularis tears commonly occur after a fall on the outstretched arm, traction injuries

Latissimus Transfer in the Setting of Irreparable Posterosuperior Rotator Cuff Tears

DEFINITIONS Latissimus dorsi transfer (with or without concomitant teres minor transfer) can be used in properly selected patients to improve active range of motion in the setting of irreparable posterosuperior rotator cuff tears. Tendon transfer to the superior aspect of the humeral head

Acromioplasty, Distal Clavicle Excision, and Posterosuperior Rotator Cuff Repair

DEFINITION Posterosuperior tears of the rotator cuff involve the supraspinatus, infraspinatus, and occasionally the teres minor. Some of the surgical techniques to be described here are no longer commonly used, as the majority of surgeons repair most tears using arthroscopic

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

Periarticular Arthroscopy

DEFINITION   The periarticular sources of pain around the hip joint include, but are not limited to, disorders of Peritrochanteric space (trochanteric bursitis, external coxa saltans, and abductor tears) Iliopsoas

Periarticular Arthroscopy

DEFINITION The periarticular sources of pain around the hip joint include, but are not limited to, disorders of Peritrochanteric space (trochanteric bursitis, external coxa saltans, and abductor tears) Iliopsoas musculotendinous unit (internal coxa saltans) Rectus abdominis/pubic

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

Arthroscopic Débridement and Glenoidplasty for Shoulder Degenerative Joint Disease

Arthroscopic Débridement and Glenoidplasty for Shoulder Degenerative Joint Disease         DEFINITION Osteoarthritis (OA) is a degenerative disorder of synovial joints characterized by focal defects in articular cartilage with reactive involvement in

Arthroscopic Capsular Releases for Loss of Motion

Arthroscopic Capsular Releases for Loss of Motion           DEFINITION Shoulder stiffness can be a function of soft tissue scarring and contracture or osseous changes. The stiff or frozen shoulder has been given the

Arthroscopic Treatment of Rotator Cuff Tears

Arthroscopic Treatment of Rotator Cuff Tears           DEFINITION Rotator cuff disease encompasses a spectrum of disorders ranging from tendinitis to partial and fullthickness tendon tears. It is the most common shoulder disorder treated by an

Throwing Shoulder

Throwing Shoulder         DEFINITION The repetitive acceleration and deceleration of the arm during the throwing motion places the thrower's shoulder in extreme positions and under significant stresses, which can lead to chronic overuse-type injuries as

Arthroscopic Treatment of Biceps Tendinopathy

  Arthroscopic Treatment of Biceps Tendinopathy         DEFINITION The long head of the biceps tendon has long been recognized as a potential source of pain and cause of shoulder impairment.1,20,21,35 Although biceps tendon pathology can occur in

Arthroscopic Treatment of Subacromial Impingement

  Arthroscopic Treatment of Subacromial Impingement       DEFINITION Impingement syndrome was originally described by Neer20 in 1972 as a chronic impingement of the rotator cuff beneath the coracoacromial arch resulting in shoulder pain, weakness, and

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 H3A

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A     1)      3341. (2079) Q8-2501: Indications for internal fixation of the humeral shaft include all of the following except:   1) Acute radial nerve palsy 3) Bilateral humeral fractures 2)

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A

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

ORTHOPEDIC MCQS ONLINE OITE 1213 1A

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

Arthroscopic Débridement and Glenoidplasty for Shoulder Degenerative Joint Disease

    Arthroscopic Débridement and Glenoidplasty for Shoulder Degenerative Joint Disease     DEFINITION Osteoarthritis (OA) is a degenerative disorder of synovial joints characterized by focal defects in articular cartilage with reactive

Arthroscopic Capsular Releases for Loss of Motion

  Chapter 15 Arthroscopic Capsular Releases for Loss of Motion   Ryan W. Simovitch, Laurence D. Higgins, and Jon J.P. Warner   DEFINITION Shoulder stiffness can be a function of soft tissue scarring and contracture or osseous changes. The

Repair and Reconstruction of Acromioclavicular Injuries

    Repair and Reconstruction of Acromioclavicular Injuries     DEFINITION About 9% of shoulder girdle injuries involve damage to the acromioclavicular (AC) joint. This is a sequential injury beginning with the AC ligaments, progressing to the

Acromioclavicular Disorders

  Chapter 9 Acromioclavicular Disorders   R. Timothy Greene and Spero G. Karas   DEFINITION A number of pathologic processes may affect the acromioclavicular (AC) joint, altering anatomy, biomechanics, and normal function. The most common of

Arthroscopic Treatment of Subacromial Impingement

  Chapter 8 Arthroscopic Treatment of Subacromial Impingement   R. Timothy Greene and Spero G. Karas   DEFINITION Impingement syndrome was originally described by Neer19 in 1972 as a chronic impingement of the rotator cuff beneath the

Arthroscopic Treatment of Biceps Tendonopathy

  Chapter 7 Arthroscopic Treatment of Biceps Tendonopathy   J. R. Rudzki and Benjamin S. Shaffer   DEFINITION The long head of the biceps tendon has long been recognized as a potential source of pain and cause of shoulder

Shoulder Arthroscopy: The Basics

Shoulder Arthroscopy: The Basics   Chapter 1&zwnj; 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 Rotator Cuff Tears

Arthroscopic Treatment of Rotator Cuff Tears Arthroscopic Treatment of Rotator Cuff Tears DEFINITION Rotator cuff disease encompasses a spectrum of disorders ranging from tendinitis to partial and full-thickness tendon tearing. It is the most common shoulder disorder treated by an

Arthroscopic Acromioclavicular Joint Reduction and Coracoclavicular Stabilization: TightRope Fixatio

Arthroscopic Acromioclavicular Joint Reduction and Coracoclavicular Stabilization: TightRope Fixation   DEFINITION Acromioclavicular (AC) separations are relatively rare injuries that result in disruption of the AC complex. Overall incidence of the injury is 3 to 4 per

Repair and Reconstruction of Acromioclavicular Injuries

  Repair and Reconstruction of Acromioclavicular Injuriey DEFINITION About 9% of shoulder girdle injuries involve damage to the acromioclavicular (AC) joint. This is a sequential injury beginning with the AC ligaments, progressing to the coracoclavicular ligaments, and

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 ONLINE 014 UPPER EXTREMITY

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

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 011 FREE BANK

ORTHO MCQS 011 FREE BANK 01   Question 1Which of the following methods of treating a vertically oriented (eg, Pauwels III) femoral neck fracture is mechanically optimal? 1- Two parallel fully threaded screws 2- Three parallel partially threaded screws 3- Three parallel fully

ALL ORTHOPEDIC SURGICAL APPROUCHES

ALL ORTHOPEDIC SURGICAL APPROUCHES   Approaches for External Fixation Humerus-Radius,... Approaches for External Fixation... Approaches for External Fixation Dorsal Approach for Morton Neuroma Dorsal Approach to 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 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 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. 

Shoulder and elbow structured oral examination question5

Shoulder and elbow structured oral examination question5 EXAMINER: Good afternoon. Can you tell me the findings from this radiograph of the left shoulder of a 76-year-old lefthanded fit gentleman? (Figure 6.3.) CANDIDATE: This anteroposterior view of left shoulder shows no evidence of

Shoulder and elbow structured oral examination question4

Shoulder and elbow structured oral examination question4 EXAMINER: This is a radiograph of a 63-year-old gentleman’s right shoulder. Proceed. CANDIDATE: This plain AP radiograph shows normal glenohumeral joint and acromioclavicular joint, wellmaintained subacromial space but the

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

oral

Hip structured oral questions

Chapter Hip structured oral questions 2   All viva questions outlined here are examples of actual questions asked in the FRCS (Tr & Orth) exam. Currently each viva question lasts 5 minutes and examiners are advised against switching to another topic earlier even if a candidate

Orthopaedic Trauma

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ORTHOPEDICS HYPERGUIDE MCQ 451-500

ORTHOPEDICS HYPERGUIDE MCQ 451-500 451. (3639) Q1-7416: What is the most frequent intraoperative complication during the course of shoulder arthroplasty for rheumatoid arthritis? 1) Pulmonary embolism 3) Deltoid tearing 2) Cervical spine instability 5)

Arthroscopic Exploration of the Shoulder Joint through the Posterior Portal

Arthroscopic Exploration of the Shoulder Joint through the Posterior Portal&zwnj;     Order of Scoping Insert a 30-degree arthroscope through the posterior incision (see Fig. 1-79). Identify the biceps tendon and its origin as it runs from superior to

Applied Surgical Anatomy of the Anterolateral and Lateral Approaches

Applied Surgical Anatomy of the Anterolateral and Lateral Approaches&zwnj;     Overview   Two muscular sleeves cover the lateral aspect of the shoulder joint: The outer sleeve consists of the lateral portion of the deltoid muscle, and the inner sleeve is the

Anterolateral Approach to the Acromioclavicular Joint and Subacromial Space

Anterolateral Approach to the Acromioclavicular Joint and Subacromial Space&zwnj;     The anterolateral approach to the shoulder offers excellent exposure of the acromioclavicular joint and the underlying coracoacromial ligament and supraspinatus tendon. Its uses include the