Shoulder

Question 1

Types of AC Sprains

Answer 1

Type 1- AC lig sprain
Type 2- AC rupture
Type 3- AC & CC Rupture
Type 4- Full separation + post displacement of clavicle into trapezius fibers
Type 5- AC & CC lig rupture + detachment of trap and deltoid from distal 1/3 clavicle
Type 6- Distal end of clavicle is dislocated under coracoid process behind coracobrachialis and SH of biceps tendon

Question 2

Hill-Sachs lesion

Answer 2

Divet of humerus that occurs when bankhart lesion has been around for awhile.

Question 3

Types of SLAP Lesions

Answer 3

Type 1- Fraying of the superior labrum, with firm attachment of labrum to glenoid. Degenerative

Type 2- Detachment of superior labrum and origin of tendon of the long head of biceps from glenoid.

Type 3- Bucket-handle tear of labrum with biceps still intact

Type 4- Bucket-handle tear of labrum that extends into bicep tendon

Question 4

Impingement Syndrome

Answer 4

Type 1- < 25, Edema and hemorrhage
- biomechanical corrections

Type 2- Fibrotic stage
- Age 25-40

Type 3- Tendon degeneration
- > 40

Question 5

Stages of Adhesive Capsulitis

Answer 5

Painful or Freezing- first 3-4 months, painful, minimal loss of motion

Frozen Stage- Months 6-9, “Stuck”
- Motion is a lot worse, not as painful

Recovery or Thawing- Months 9-12