Intro to Surgery of the Shoulder

Question 1

What stabilises the Glenohumeral Joint?

Answer 1

Rotator cuff (dynamic)

Capsule & Labrum (static)

Question 2

What pathologies can occur at the rotator cuffs

Answer 2

Subacromial Impingement

Rotator Cuff Tears

Calcific Tendonitis

Question 3

Subacromial

Impingement

Answer 3

Rotator Cuff Disorders

Presentation: pain on abduction and rotation of arm

Extrinsic causes: bony spurs
Intrinsic causes: tendinopathy/cuff weakness

Treatment: surgically (subacromial depression, Debridement (removal) of bony and soft tissue impinging areas)

Question 4

Glenohumeral disorders

Answer 4

• Arthritis
• Frozen Shoulder
• Instability

Question 5

Symptoms of Arthritis

Answer 5

• Stiffness
• Crepitus & grinding
• Pain at rest and at night
• Pain with activity

Question 6

Types of shoulder replacement

Answer 6

Anatomic:
Fulcrum for power
muscles provided by rotator cuff

Reversed:
Creates a mechanical
fulcrum for power
muscles

Question 7

Frozen shoulder

Answer 7

Inflammed thickened shoulder

Xray is normal

loss of passive movement

stiffness and pain

(surgical intervention: capsular release and manipulation)