AC,CC, CLAVICLE

Question 1

Direct trauma to the shoulder summit

Answer 1

AC jt sprain

Question 2

Signs of ac jt. Sprain

Answer 2

Step up
Step off
Step deformity

Question 3

Rockwood classification I

Answer 3

Ac lig sprained + CC lig intact

Question 4

Rockwood classification ll

Answer 4

ac lig torn + cc lig sprained

Question 5

Rockwood classification lll

Answer 5

Ac lig torn + cc lig torn

cc space ⬆️ 20% - 100% from normal

Question 6

Rockwood classification lV

Answer 6

Ac lig torn + cc lig torn
cc space ⬆️ 20% - 100% from normal
+ post. Displacement

Question 7

Rockwood classification V

Answer 7

Ac lig torn + cc lig torn

cc space ⬆️ more than 100% + torn deltoid trapezial fascia

Question 8

Rockwood classification VI

Answer 8

Ac lig torn + cc lig torn

cc space ⬆️ more than 100% + inferior displacement of clavicle (can impinge internal structures)

Question 9

Rare type of dislocation(1 %)

Answer 9

SC jt dislocation

Question 10

Indirect injury resulting from a posterior blow at the shoulder

Answer 10

Ant SC dislocation

Question 11

Most common site of clavicular fx

Answer 11

Middle 1/3
Junction point
Weak point

Question 12

Moi of clavicular fxs

Answer 12

Foosh
Fos(higherchance of having clavicular Fx.)

Question 13

Sprengels deformity other name

Answer 13

Eulenberg dse

Question 14

Undescended scapula or elevated scapula

Answer 14

Eulenberg dse or sprengels deformity

Question 15

Most common disorder of the scapula

Answer 15

Eulenberg dse or sprengels deformity

Question 16

Lateral winging
Aka
Affected ms
CN affected
Surgical procedure causes

Answer 16

Sliding door paralysis
Trapezius
CN11
Radical neck dissection

Question 17

How to elicit lateral winging

Answer 17

Slight shoulder abd(<90)

Question 18

Medial winging
Aka
Affected ms
CN affected
Surgical procedure causes
Other causes

Answer 18

Open book deformity
Serratus anterior
LTN
Radical mastectomy
Rucksack palsy(traction injury)

Question 19

How to elicit medial winging

Answer 19

P ush ups
P rotraction c resistance
P unch out

Question 20

Sick scapula

Answer 20

S capular mal position (protracted / rot. Forward)
I nferomedial border prominence
C oracoid pain
K dysKinesia(abnormal movement)

Question 21

Caused by ms imbalance

Answer 21

Snapping scapula

Question 22

3 types of snapping scapula

Answer 22

1. Gentle friction sound
   
   • physiological/N
   • (-)pain, non persistent
2. Louder grapping sound
   
   • bursitis
   • anomalous ms insertion
   • fibrosis
3. Loud snapping sound
   
   • osteophyte formation
   • osteochondritis
   • mal union of rib fx