Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Musculoskeletal 1 > Rotator cuff repair surgeries/shoulder arthroplasty > Flashcards

Rotator cuff repair surgeries/shoulder arthroplasty Flashcards

1
Q

How is a rotator cuff tear classified

A
  • muscle involved (can find this through RI)
  • extent (full thickness, partial thickness)
  • size of tear
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the size categories of tears

A
  • small to medium <1cm
  • medium to large >1cm, <5cm
  • large to massive >5 cm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Tendinitis symptoms

A
  • full AROM, PROM
  • strong and painful (can progress to weak and painful)
  • painful arc
  • if it doesn’t get better like a tendinitis should it could be a partial tear
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

RTC Clinical signs of partial or full tear

A
  • partial or small tears look like impingement tendonitis
  • RI weak and painful
  • pain, worse with elevation = painful arc
  • tender to palpation
  • larger tears positive “drop arm” test as the RC is not stabilizing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

RTC surgical considerations

A
  • open, arthroscopic or mini open
  • acromioplasty may accompany
  • success dependent on some factors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is a mini-open surgery

A
  • vertical incision along the deltoid fibers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What factors may the success of the surgical repair of RTC depend on

A
  • size of tear (retracted?)
  • quality of tissue
  • quality of bone
  • co-morbidities
  • Tendon to tendon vs tendon to bone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Double row RTC repiar

A
  • fixed with suture anchors
  • gives “footprint” for tendon to adhere
  • tendon to bone = heals quicker and stronger than tendon to tendon
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

surgery when the RTC tear is not acute

A
  • supraspinatus/tendon may atrophy
  • tendon will retract and therefore need to be stretched to attached
  • muscle is deconditioned and may have fat developed in it
  • if the surgeon pulls it to get it to the bone it will be under more tension
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Acromioplasty

A
  • degeneration of AC joint can cause bone spurs of the acromion
  • they will go on and shave/remove part of the acromion to open up the space
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

mumford precedure

A
  • resection of distal clavicle
  • higher incidence of AC joint degeneration that causes impingement or tear of RTC
  • this procedure can be done stand alone of in conjunction with others
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the typical post surgery position for a patient

A
  • placed in abduction pillow sling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the RTC post op considerations

A
  • protect the healing tissues (watch adduction)
  • immobilization in abduction sling
  • 6-8 weeks to heal (watch ADD)
  • rehab depends on: size of tear, quality of tear, quality of tissue, how well the surgeon was able to repair the tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

RTC outcomes: arthroscopic vs mini. open

A
  • arthroscopic equals mini-open for clinical improvement and pain medication reduction
  • recurrent tear rate is higher in arthroscopic than open procedure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Total shoulder arthroplasty indications

A
  • refactory pain that doesnt go away
  • limited ROM
  • failed conservative therapy
  • ideally over 65 yrs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Total shoulder arthroplasty considerations

A
  • did they cut through the subscapulares
  • if so than when moving it you should guard against end range ER and forceful IR
17
Q

Post op goals for TSA

A
  • pain relief
  • functional UE use
18
Q

Reverse TSA

A
  • the head of the humerus becomes the socket and the glenoid becomes the ball
  • indicaiton = poor rotator cuff
  • allows for functional elevation without a RC
  • anterior dislocation = adduction, IR, extension
19
Q

SLAP lesion repair

A
  • may be associated with an accompanying tear/detachment of long head of biceps
  • labrum and biceps long head tendon (if involved) debrided and reattached with tacks or sutures
20
Q

types of SLAP lesions

A
  • type 1-4
  • post op rehab is dependent on the type of lesion and specifics of procedure
20
Q

Ruptured biceps tendon

A
  • may be convulsion from supraglenoid tubercle or in the mid tendon under acromion from impingement
  • often associated with RC tear or labral tear
  • anchored inferior to pec major or intertubercle groove
20
Q

Clinical signs and symptoms of biceps tendon rupture

A
  • shoulder pain
  • bulge in biceps region
  • may not have significant strength loss
  • often not repaired except athletes
21
Q

Biceps tendon rupture surgical considerations

A
  • primary tenodesis
  • reattach following avulsion
  • fix to humerus in intertubercular groove
22
Q

Biceps tendon rupture post op cautions

A
  • avoid elbow extension with shoulder extension (stretching)
  • no reistive elbow flexion 4-6 weeks
  • no heavy resistance 3 months

Musculoskeletal 1 (42 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions