FRACS True/False quiz 2019

Question 1

Deltoid insertional tendinitis post rTSR is not uncommon and respond to surgical distal elevation of the deltoid from humerus.

Answer 1

True

Question 2

The vertical humeral osteotomy is generally performed just medial to the pectoralis insertion

Answer 2

False

Lateral to pec insertion and 4cm proximal to the tip of the stem so a primary stem of the same length can be used

Question 3

Most common causes of rTSR dislocation

Answer 3

Component failure & mal position, inadequate soft tissue tension, Heterotopic ossification, impingement in adduction

Question 4

Most common fracture during rTSR is humeral shaft

Answer 4

False

scapula and tuberosity

Question 5

Bilateral humeri x-rays to compare the length of the humerus therefore tension of the deltoid is very important tool in revision rTSR

Answer 5

True

Question 6

The incidence of cervical kyphosis (CK) is likely to be twice as high if a patient has a higher T1 slope

Answer 6

True

Question 7

Postoperative functional outcome scores were markedly lower in patients with C2-C7 SVA –sagital vertical axis- of >50 mm

Answer 7

True

SVA is normally 16.8+/- 11.2

Question 8

C8 or T1 nerve root palsy with profound intrinsic hand weakness after C7 or T1 (pedicle substraction osteotomy) PSO

Answer 8

True

Recommended to be done @ or below T2