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12 Cards in this Set

  • Front
  • Back
What are the intraarticular features of a Buford complex?
Middle glenohumeral ligament complex (MGHLC) is cordlike and attached to superior labrum anterior to the biceps
Absent superoanterior labrum
Should an attempt be made to repair a Buford complex? Why?
No
lt is a normal anatomic variant
What happens if a Buford complex "repair" is attempted?
Decreased shoulder external rotation
How are SLAP lesions classihed?
l: frayed
ll: detached biceps anchor
lll: bucket handle, biceps intact
IV: bucket handle into biceps
tendon
V: SLAP and labral tear
VI: flap tear
Vll: SLAP and capsule tear
lf conservative treatment fails, what is the operative treatment for each type?
I: debride
ll: reattach biceps anchor
lll: debride
IV: repair/tenodesis
V: repair
VI: debride
Vll: repair
Superior glenohumeral instability may be associated with what type of SLAP
lesion?
ll
lf superior glenohumeral instability is present, what is the operative treatment of choice?
Fix SLAP lesion only
What muscle activity is seen within the long head of biceps when the elbow is immobilized?
None
What is bicipital subluxation generally indicative of?
Subscapularis tear
What is the treatment of an isolated acute rupture of the proximal long head of the biceps tendon?
Physical therapy is generally first treatment
Compare the preferred treatment of chronically ruptured or degenerative biceps at time of rotator cuff surgery in younger versus older patient populations.
Younger: tenodesis
Older: tenotomy
What are the two reported benefits of tenodesis?
Improved cosmesis
Decreased cramping