Acriomioplasty

Question 1

Subacromial impingement

Answer 1

Inflammation in the rotator cuff

Question 2

Anaromic etiological factors ( causes)

Answer 2

Muscle weakness within rotator cuff

Changes in supraspinatus tendon

Question 3

Impingement of subacromial impingement syndrome

Answer 3

Glenohumeral instability

Question 4

Diagnosis and evaluation of impingement syndrome

Answer 4

Pain…. Most common symptom
Patients history
Night pain
If stiffness persists… frozen shoulder conditions
If true stiffness persists…rotator cuff tearing

Question 5

Physical exam of shoulder

Answer 5

Rom
General inspection
Glenohumeral stability testing
Ne’er impingement and hawkins kendy sighn…… gold standard tests

Question 6

When do you need surgey

Answer 6

Acromioplasty should be done when

The use of nonsteroidal anti inflammatory agents and use of subacromial cortisone injections are unsuccessful

Question 7

Goals for athroscopic sad surgery

Answer 7

Eliminate pain
Eliminate anatomic mechanical component of impingement syndrome
Return patient ti premorbid range of motion

Question 8

Lumber disc herniation occurs where

Answer 8

L5 to s1

Question 9

Lumber disc herniation depends on?

Answer 9

Size
Location
Level of vertebrate

Question 10

Treatment for ldh

Answer 10

Electrotherapy
Pharmacologic intervention
Manual therapy
Epidural steroids

Question 11

Lumber arthrodesis

Answer 11

Lumber spine fusion

Question 12

Harrington hook is used in

Answer 12

Lumber arthrodesis

But it may cause flat back syndome

Question 13

When do we use thr ( total hip replacement)

Answer 13

When oRIF or open reduction fixation is inappropriate

Question 14

When can young patients be treated with ORIF

Answer 14

In a case of fracture

Question 15

When is a positive lachmans test and positive mRI used

Answer 15

In acl injuries when the patient is exhibiting an instability of the knee