Sports Classifications Flashcards
Goutallier
0 Normal 1 Some fatty streaks 2 More muscle than fat 3 Equal amounts fat and muscle 4More fat than muscle
Cuff tear size
Cuff Tear Size Small 0-1 cm Medium 1-3 cm Large 3-5 cm Massive > 5 cm (involves multiple tendons. In the European classification a massive tear is defined as involving 2 or more tendons)
Cuff tear shape
Crescent, U-shape, L-shape, Massive & immobile
Shoulder Instability Load and shift
Anteroposterior Translation Grading Scheme
Grade 0 • Normal glenohumeral translation
Grade 1+ • Humeral head translation up to glenoid rim
Grade 2+ • Humeral head translation over glenoid rim with spontaneous reduction once force withdrawn
Grade 3+ • Humeral head translation over glenoid rim with locking
Sulcus sign
Sulcus Test Grading Scheme
Grade 1 • Acromiohumeral interval 2cm
Walch Glenoid Assessment
Walch Classification of Glenoid Wear Type A well-centered A1 minor erosion A2 deeper central erosion Type B head subluxated posteriorly B1 posterior wear B2 severe biconcave wear Type C glenoid retroversion of more than 25 degrees (dysplastic in origin)
Post rTSA notching
Sirveaux Classification of Scapular Notching Grade 1 limited to pillar Grade 2 in contact with lower screw Grade 3 over the lower screw Grade 4 extends under baseplate
SLAP
SLAP Classification
Type Description % Images
I Labral and biceps fraying, anchor intact 11%
II Labral fraying with detached biceps tendon anchor 41%
III Bucket handle tear, intact biceps tendon anchor (biceps separates from bucket handle tear) 33%
IV Bucket handle tear with detached biceps tendon anchor (remains attached to bucket handle tear) 15%
V SLAP lesion and anterior labral tear (Bankart lesion)
VI Superior flap tear
VII SLAP lesion with capsular injury
Arthroscopic Cartilage Grading
Outerbridge Arthroscopic Grading System
Grade 0 Normal cartilage
Grade I Softening and swelling
Grade II Partial thickness defect, fissures < 1.5cm diameter
Grade III Fissures down to subchondral bone, diameter > 1.5cm
Grade IV Exposed subchondral bone
OCD
Clanton Classification of Osteochondritis (Clanton and DeLee)
Type I Depressed osteochondral fracture
Type II Fragment attached by osseous bridge
Type III Detached non-displaced fragment
Type IV Displaced fragment
AC Joint
AC lig. CC lig. Displacement / Radiographs Tx Illus. Xray Type I sprain normal none sling
Type II torn sprain AC joint is disrupted with a slight vertical separation and there is a slight increase in the CC interspace of 100% of other side (usually associated with rupture of deltotrapezial fascia, resulting in subcutaneous distal clavicle) surgery
Type VI
torn
torn
rare injuries with the distal clavicle lying either in a subacromial or subcoracoid position (infero-lateral under conjoinded tendon)
Rotator Cuff Arthropathy
Seebauer Classification of Rotator Cuff Arthropathy
Type IA
(centered, stable) • Intact anterior restraints
• Minimal superior migration
• Dynamic joint stabilization
• Femoralization of the humeral head and acetabularization of coracoacromial arch
Type IB
(centered, medialized) • Intact or compensated anterior restraints
• Minimal superior migration
• Compromised joint stabilization
• Medial erosion of the glenoid
Type IIA
(decentered, limited stability) • Compromised anterior restraints
• Superior translation
• Minimum stabilization by coracoacromial arch
Type IIB
(decentered, unstable) • Incompetent anterior restraints
• Anterosuperior escape
• Nonexistent dynamic stabilization
• No coracoacromial arch stabilization
Frozen Shoulder
Clinical Stages
Painful Gradual onset of diffuse pain (6 wks to 9 mos)
Stiff Decreased ROM affecting activities of daily living (4 to 9 mos or more)
Thawing Gradual return of motion (5 to 26 mos)
Proximal tib fib dislocation
Ogden classification subluxation and 3 types of dislocation 1. anterolateral - most common 2. posteromedial 3. superior
