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18 Cards in this Set
- Front
- Back
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What is the likely etiology of decreased shoulder external rotation (ER) in adducted arm?
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Rotator interval contracture
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What is the likely etiology of decreased shoulder ER in abducted arm?
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Anteroinferior contracture
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What is the operative treatment for either of the above conditions?
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Arthroscopic release
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What is the likely etiology for decreased shoulder ER after anterior stabilization?
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Overtightening of the subscapularis
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What is the operative treatment for this condition?
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Z-lengthening of subscapularis
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lf the subscapularis ruptures after an anterior stabilization procedure and is irreparable, what is the next surgical intervention?
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Pectoralis transfer
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What is the expected long—term outcome of nonoperative treatment on pain?
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Pain decreases
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What is the expected long—term outcome of nonoperative treatment on motion?
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Motion remains limited relative to unaffected subjects
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What patient population is particularly resistant to nonoperative treatment?
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Diabetics
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When should surgery be undertaken?
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At 12 to 16 weeks if no improvement with conservative therapy
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What population is most likely to be affected by calcific tendonitis?
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Females
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What are the two phases of disease?
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I: formative phase
II: resorptive phase |
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What is the characteristic appearance of phase I?
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Homogeneous mass
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What are the three characteristics of phase II?
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Diffuse mass
Bursal rupture Increased pain |
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What is the mainstay of calcific tendonitis treatment?
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Nonoperative management
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If no response is noted with nonoperative treatment, then what?
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Excision
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In a young patient, what is the preferred treatment of a pectoralis difficult major muscle belly tear?
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Nonoperative, as fixation likely to be
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. . .of a tendon avulsion?
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Repair
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