Shoulder Flashcards
1
Q
Rotator cuff tear - size
A
Cofield
Small 5cm
2
Q
Rotator cuff tear -shape
A
Ellman & Gartsman
- Crescent tear -supraspinatus only
- Triangular defect - anterior border supraspinatus
- L- shaped tear - posterior supraspinatus / border IS
3
Q
Rotator cuff - atrophy
A
Goutallier - based on Sagittal cut CT or MR supraspinous fossa 0 - no fat in muscle 1 - fat streaking 2 - more muscle than fat 3 - fat = muscle 4 - more fat than muscle
3/4 = no improvement with sx
4
Q
SLAP tear
A
Snyder - arthroscopic
- Degenerative scuffing. Debride
- Avulsion. Repair
- Bucket handle. Excise
- Bucket handle with extension to biceps
Maffet modification
- bankart lesion
- Biceps tendon lesion + avulsion
- Extends inferior to MGHL
5
Q
Os Acromiale
A
Lieberson 1937
- Between meso & meta
- Between pre &meso
- 1+2
- 3+ between basi and meta
6
Q
AC joint separation
A
Rockwood Radiographic
- Sprain - no shift
- AC lig tear - subluxed Joint
- CC lig tear - dislocated Joint
- Posterior dislocation
- Grossly dislocated - button holed fascia
- Sub coracoid dislocation
7
Q
Clavicle fracture
A
Allman 1. Midshaft 2. Lateral 1/3 2.1 - minimal displacement (inter ligamentous ) 2.2 - displaced (medial to ligs) 2.3 - intra articular 2.4 - periosteal sleeve 2.5 - ligs attached to inferior bone fragment 3. Medial 1/3 Sub groups analogous to group 2
8
Q
Acromial morphology
A
Bigliani - radiographic based on scapula lateral
Type 1 - straight 17%
Type 2 - curved 43%
Type 3 - hooked 40%
9
Q
Causes of Scapula winging
A
Primary -Fascio-scapulohumeral dystrophy Secondary - Neurological \: long thoracic n. (Neuritis) \: spinal acc n. (Palsy/compression/iatros/neuritis) \: dorsal scapula n. (Compression/palsy?scalenes) -tumour \: osteochondroma \: elastofibroma \: malignancy -Bursitis -shoulder contracture
10
Q
Treatment of scapula winging
A
Serratus - observe -pec major transfer Trapezius - observe -Eden-Lange transfer Rhomboid - observe -fascia lata sling
