7 - SHOULDER TRAUMATIC/BONY

Question 1

Hill-Sachs lesion

Answer 1

compression fracture of humeral head on posterolateral aspect, notch

Question 2

What causes a hill-sachs lesion?

Answer 2

Traumatic anterior dislocations / anterior instability

Question 3

What causes a reverse Hill-Sachs

Answer 3

Posterior dislocation

Question 4

Bankart lesion

Answer 4

damage to the anterior labrum with a dislocation

Question 5

Anterior dislocation MOI

Answer 5

Forced external rotation/abduction
FOOSH

Question 6

Ant.dislocation: signs and symptoms

Answer 6

Arm held in ER/ABD
Restricted ROM
Altered shoulder contour

Question 7

Bony bankart lesion

Answer 7

Fracture of the anterior glenoid rim

Question 8

What region is most likely for a bony bankart lesion?

Answer 8

3:00-6:00

Question 9

Posterior dislocation MOI

Answer 9

MOI: impact seizure/electric shock, arm is in flexion/adduction and force is taken on the hand which pushes the humerus out posteriorly

Question 10

Posterior dislocation S/S

Answer 10

Elbow held at side with hand on stomach
Can’t ER or Abduct
Easily missed on X-ray

Question 11

Clavicle fracture clinical presentation

Answer 11

Middle 1/3 shaft typically fractured
Pain +++ on palpation/pulling
Localized tenderness and swelling
Loss of function
Spasm of trapezius and SCM
Arm held to body with shoulder elevated

Question 12

MOI

Answer 12

(any force that brings the shoulder to midline)
FOOSH
Fall on point of shoulder
Direct superior/anterior force