Shoulder,elbow Flashcards
What is characteristic of frozen shoulder/adhesive capsulitis
GLOBAL reduction of active and passive ROMs
Predispositions for Frozen shoulder
Diabetes Mellitus,
Hyperlipidemia
Thyroid disorders(usually autoimmune hypothyroidism)
Smoking
Previous trauma
Difference b/w Hill sachs and bankart lesions
Hill sachs on humerus
Bankart on glenoid
Monteggia vs galleazzi fx
Monteggia is proximal DRUJ dislocation, while galleazzi is distal DRUJ
Main concern in surgical neck of humerus fracture
Axillary nerve(regimental badge paresthesia)
Main concern for fracture of spiral groove of humerus
Radial N palsy(most resolve with conservative)
Main concern for radial neck fracture
Posterior interosseus nerve injury
Surgical options for mx of rotator cuff tear
- Tendon repair or tendon transfer esp in young pts
- Reverse shoulder arthroplasty if joint is arthritic/functional req is low
Monkey Bar Injury and classification
Supracondylar fx and gartland classification
Injuries to rule out in supracondylar fx
- AIN
- Radial nerve
- Brachial artery
First Range of movement lost in frozen shoulder
External rotation
Childhood injury that causes cubitus valgus
Lateral condyle fracture
Complications of Shoulder dislocation
Bony bankart - avulsion fracture on anterior glenoid
Hill Sachs lesion - impaction fracture of posterior aspect of humeral head
What does Popeye sign indicate
Complete rupture of long head of biceps tendon
What is Cozen test and what does positive test indicate
Wrist extension against resistance indicating lateral epicondylitis(tennis elbow)
What is Reverse Cozen test and what does positive test indicate
Wrist flexion against resistance indicating medial epicondylitis(golfers elbow)
Radiological investigations for rotator cuff arthropathy
Ultrasound and MRI
Surgical management of Bankart and Hill sachs lesions
- Arthroscopic Bankart repair
- Laterjet procedure
For recurrent shoulder dislocations
What is scarf test for
Acromioclavicular subluxation/ dislocation
Grading of acriomioclavicular injury
Rockwood classification
Stages of adhesive capsulitis/ frozen shoulder
Painful (freezing), adhesive (frozen) and recovery (thawing)
Surgical options for frozen shoulder
Surgery: MUA, arthroscopic capsular release
Secondary causes of frozen shoulder
Intrinsic: rotator cuff tendinitis, post-traumatic, shoulder-hand syndrome
Systemic conditions: DM, hyperthyroidism, RA, AMI, post-stroke, chronic lung disease, cervical radiculopathy
Shoulder version of Shenton’s line
Moloney’s arch
Cx of supracondylar fx
Cubitus varus deformity, tardy ulnar nerve
Cx of lateral epicondyle of shoulder fx
Cubitus valgus deformity, tardy ulnar nerve palsy
Nerve injury a/w monteggia fx
Posterior interosseous nerve
