Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
8 Cards in this Set
- Front
- Back
pt has shoulder pain & dysfunction. xray Fig A. If this pt undergoes shoulder arthroscopy, which structure is abnormal? 1-supraspinatus; 2-infraspinatus; 3-subacromial bursa; 4-superior labrum; 5. biceps tendon (long head)
|
calcific tendinitis of the supraspinatus tendon. This is the MC structure involved in this dz process, disorder characterized by deposits of hydroxyapatite (a crystalline calcium phosphate) in any tendon of the body, but most commonly in the tendons of the rotator cuff (shoulder), causing pain and inflammation.Ans1
|
|
Hx:18yo competitive tennis player sustains a twisting inj to knee, c/o pain & swelling PE: unable to straighten knee. The MRI Fig A. What is the tx? 1-scopic med menisectomy/repair; 2-scopic lat menisectomy/repair; 3-Meniscus transplantation
4-PT w/gradual stretching exercises; 5-Corticosteroid injctn for acute inflam |
dx=acute bucket-handle lat meniscus tear, locked knee= cannot fully extend b/c the meniscus has flipped into the notch, repair is usually possible in large bucket-handle tears b/c the meniscus is torn in the red-red zone where most of the vascular supply is located, lateral compartment= tibia is convex and has an anvil-like appearance, presence of the fibula
medial compartment = concave tibia which looks like a champagne glass.Ans2 |
|
Splitting between the iliotibial band and biceps tendon, then retracting the gastrocnemius posteriorly provides exposure for which of the following procedures? 1-2-incision ACL recon; 2-Tibial-inlay PCL recon; 3-Peroneal nerve explortn; 4-Inside-out med meniscus repair; 5-Inside-out lat meniscus repair
|
The posterior-lateral capsular exposure needed to protect the neurovascular structures and allow suturing for an inside-out lateral meniscal repair is performed by developing the interval between the iliotibial band and biceps tendon. The lateral gastrocnemius is then retracted posteriorly and medially where it helps protect the neurovascular structures. Splitting below the biceps tendon puts the peroneal nerve at risk.Ans5
|
|
Following meniscal repair, saphenous nerve injury is MC w/which technique? 1-Inside-out lat repair
2-All-inside lat repair; 3-Inside-out med repair; 4- All-inside med repair; 5-Equal rates for both lat & med |
Saphenous nerve injury is one of the most common complications following medial meniscus repair. Peroneal nerve injuries are more common with the lateral-sided repairs. (1) tibial nerve. (2) common peroneal nerve before its division. (3) epineural sheath of the common sciatic nerve. (4) tendon of semitendinosus and semimembranous. (5) bicep femoris tendon.Ans3
|
|
All of the following variables have a (-) impact on the outcomes of isolated meniscal allograft transplantation EXCEPT? 1- Axial malalignment
2- ACL insufficiency; 3-The use of a fresh frozen graft 4-Fem condyle flattening; 5-Graft size mismatch of 15% |
Matching the size of the donor knee to the size of the recipient knee is crucial for successful meniscus transplantation, include axial malalignment, ACL insufficiency, (+) sign DJD changes femoral condylar flattening (fairbanks changes). Grade IV chondral lesions relative contraindication, if not concurrently addressed with cartilage restoration techniques.Ans3
|
|
A "double PCL sign" seen on a sagittal MRI image of a knee is indicative of which of the following conditions? 1-Skeletal immaturity; 2-ACL tear; 3-PCL injury; 4-Combo ACL &PCL tear; 5-Bucket-handle meniscal tear
|
torn meniscal fragment is flipped and displaced into the notch, MC signs on MRI w/a bucket handle meniscal tear are the fragment in the notch sign, the absent bow tie sign, and the double PCL sign.Ans5
|
|
Which statements is true regarding the anatomical boundaries of the rotator interval in the shoulder? 1. Sup border is def by the biceps long head tend; 2-Inf border is def by ant band of inf GHL; 3-Contains the axillary pouch which is a common site for intra-artic loose bodies; 4-Sup border is def by ant edge of ss tend; 5. Inf border is def by mid GHL
|
Rotator interval = biceps long head tendon, sup GHL, & coracohumeral lig. During shoulder scopy, closure of the rotator interval can be used in pts w/ shoulder instability. Conversely, this area is often contracted in pts w/adhesive capsulitis & may need to be released. Long head of biceps is located within the rotator interval.ANs4
|
|
Which pts is most likely to have a fibroblastic proliferative process as a cause for their shoulder complaints? 1-65 w/ giant cell arteritis & b/l shoulder pain & stiffness; 2-40 w/ a hx of podagra who now has acute shoulder pain; 3-50 w/ hypothyroidism & loss of both active &passive shoulder motion; 4-65 w/ulnar drift of the fingers & shoulder pain & stiffness; 5-40 w/ antinuclear antibodies w/knee & shoulder pain
|
most cases of adhesive capsulitis are idiopathic, risk factors include: females, age 40-60, and some medical conditions such as diabetes and hypothyroidism. It causes a restricted intra-capsular volume, pain, and global loss of motion. Loss of both active and passive motion helps to identify stiffness rather than weakness.Ans3
|
