Orthopedic Management and Injuries Quiz
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Questions and Answers

What is the primary management for atraumatic or chronic anterior dislocations?

  • Observation and sling (correct)
  • Steroid injections
  • Immediate surgical intervention
  • Physical therapy and rehabilitation

    • Which imaging technique is most commonly used to diagnose clavicular fractures?

  • Ultrasound
  • MRI
  • X-ray (correct)
  • CT scan

    • What is the most common mechanism of injury for clavicular fractures?

  • Twisting the arm during a fall
  • Falling on an outstretched hand (correct)
  • Direct blow to the shoulder
  • Contact during sports activity

    • Which type of joint sprain involves elevation of the AC joint?

    <p>Type 3</p> Signup and view all the answers

    What describes a Bankart lesion?

    <p>Labral tear in the anteroinferior direction</p> Signup and view all the answers

    What is the most common type of sternoclavicular dislocation?

    <p>Anterior dislocation</p> Signup and view all the answers

    What is the typical treatment for a non-displaced sternoclavicular dislocation?

    <p>Splint or Figure of 8 Bandage</p> Signup and view all the answers

    In the case of anterior sternoclavicular dislocation, what is a possible complication if left untreated?

    <p>Vascular problems</p> Signup and view all the answers

    Which structure is at risk in posterior sternoclavicular dislocations?

    <p>Mediastinal structures</p> Signup and view all the answers

    What is the commonly used imaging technique to assess sternoclavicular dislocation?

    <p>Plain serendipity radiographic views and AP views</p> Signup and view all the answers

    What type of fracture is associated with a Reverse Hill-Sachs Lesion?

    <p>Compression fracture of the anteromedial aspect</p> Signup and view all the answers

    Which of the following ligaments is NOT associated with the acromioclavicular joint?

    <p>Clavicular ligament</p> Signup and view all the answers

    Which provocative test is NOT used to assess anterior instability?

    <p>Posterior Drawer Test</p> Signup and view all the answers

    How long is the typical healing period for a sternoclavicular dislocation treated conservatively?

    <p>6 weeks</p> Signup and view all the answers

    What is the mechanism of injury (MOI) commonly associated with anterior dislocations?

    <p>Abduction and external rotation</p> Signup and view all the answers

    What is the percentage of sternoclavicular joint dislocations compared to all joint dislocations in the body?

    <p>Less than 1%</p> Signup and view all the answers

    Which imaging view is specifically indicated for assessing Hill-Sachs lesions?

    <p>Stryker Notch View</p> Signup and view all the answers

    What does the Jerk Test assess?

    <p>Posterior instability</p> Signup and view all the answers

    Which statement about dislocation is correct?

    <p>It involves complete separation of the humeral head from the glenoid</p> Signup and view all the answers

    What should be avoided in rehabilitation concerning shoulder injuries?

    <p>D2 Flexion PNF Pattern</p> Signup and view all the answers

    In which position does anterior subluxation most likely occur?

    <p>Abduction and external rotation</p> Signup and view all the answers

    What is the primary cause of medial scapular winging?

    <p>Problems with the long thoracic nerve</p> Signup and view all the answers

    Which treatment is primarily recommended for children aged 3-8 years with nerve impairment due to scapular winging?

    <p>Surgical correction</p> Signup and view all the answers

    What is a common symptom observed in lateral scapular winging?

    <p>Scapula internal rotation</p> Signup and view all the answers

    Which of the following is a typical clinical feature of snapping scapula syndrome?

    <p>Sensation of shoulder popping or grinding</p> Signup and view all the answers

    What kind of sound is associated with more severe conditions in snapping scapula syndrome?

    <p>Louder grating sound</p> Signup and view all the answers

    Which of the following treatments is often included in nonsurgical management of shoulder conditions?

    <p>Strengthening of neck and periscapular muscles</p> Signup and view all the answers

    What demographic is primarily affected by proximal humeral head fractures?

    <p>Elderly women with osteoporosis</p> Signup and view all the answers

    What might be a complication following surgery for shoulder injuries?

    <p>Brachial plexus injuries</p> Signup and view all the answers

    Which condition is characterized by pain, swelling, and ecchymosis in the upper arm after a fall?

    <p>Proximal humeral head fracture</p> Signup and view all the answers

    How is the sensation experienced if there is neurologic involvement in shoulder injuries?

    <p>Complete loss of sensation</p> Signup and view all the answers

    What is a common characteristic of Complex Regional Pain Syndrome?

    <p>It often leads to crippling contractures of the limb.</p> Signup and view all the answers

    Which test is used to evaluate thoracic outlet syndrome?

    <p>Wright Test</p> Signup and view all the answers

    Which type of proximal humerus injury is characterized by C nerve involvement?

    <p>Type II (Causalgia)</p> Signup and view all the answers

    What percentage of all fractures are accounted for by proximal humerus injuries?

    <p>4-6%</p> Signup and view all the answers

    What is NOT a common treatment for thoracic outlet syndrome?

    <p>Antibiotics</p> Signup and view all the answers

    What is a primary symptom to assess in patients with thoracic outlet syndrome?

    <p>Paresthesia</p> Signup and view all the answers

    In which condition do sensory changes, trophic skin changes, and autonomic dysfunction appear?

    <p>Complex Regional Pain Syndrome</p> Signup and view all the answers

    Which of the following symptoms is NOT related to thoracic outlet syndrome?

    <p>Joint swelling</p> Signup and view all the answers

    What is a common side effect of proximal humerus injuries in elderly patients?

    <p>Peripheral nerve damage</p> Signup and view all the answers

    Which test would be inappropriate for diagnosing proximal humeral fractures?

    <p>Electromyography</p> Signup and view all the answers

    What is the main contributing factor to primary impingement of the shoulder?

    <p>Anatomical changes like a hooked acromion</p> Signup and view all the answers

    Which of the following exercises is NOT typically included in conservative treatment for shoulder conditions?

    <p>Surgical reattachment</p> Signup and view all the answers

    What imaging technique is considered the gold standard for diagnosing shoulder conditions?

    <p>MRI</p> Signup and view all the answers

    Which test is used to identify biceps tendon rupture?

    <p>Popeye's sign</p> Signup and view all the answers

    What is the most common cause of anterior shoulder pain related to primary impingement?

    <p>Hooked acromion</p> Signup and view all the answers

    What is the clinical presentation of adhesive capsulitis?

    <p>Restricted glenohumeral joint flexion and abduction</p> Signup and view all the answers

    Which SLAP lesion type is characterized by a curved labrum?

    <p>Type 2</p> Signup and view all the answers

    What is the primary goal of physical therapy in managing biceps tendonitis?

    <p>Pain relief and maintaining ROM</p> Signup and view all the answers

    Which condition is most likely associated with scapular winging?

    <p>Long thoracic nerve dysfunction</p> Signup and view all the answers

    What is the typical age demographic for individuals most affected by adhesive capsulitis?

    <p>40-60</p> Signup and view all the answers

    In the context of shoulder injuries, what does the term 'FOOSH' stand for?

    <p>Fall onto outstretched hand</p> Signup and view all the answers

    Which characteristic is NOT associated with calcific tendonitis of the supraspinatus tendon?

    <p>Overactive muscles</p> Signup and view all the answers

    What is a common treatment modality for pain management in shoulder conditions?

    <p>Anti-inflammatory medications</p> Signup and view all the answers

    Which provocative test is specifically utilized to evaluate biceps tendon involvement?

    <p>Ludington’s Test</p> Signup and view all the answers

    Study Notes

    Sternoclavicular Dislocations

    • More common (3 of all cases)
    • Direct trauma to the SC joint
    • Medial end of the clavicle becomes more prominent
    • Mechanism of injury (MOI): High energy (MVA, contact sports)
    • Posterior dislocations are less common, more painful, and more severe
    • Vascular problems and risk to mediastinal structures are possible
    • Breathing and swallowing difficulties are potential complications
    • Note: Sternoclavicular (SC) joint dislocations account for less than 1% of joint dislocations overall

    Acromioclavicular Joint Sprains

    • Ligaments: Acromioclavicular, Coracoclavicular, and Coracoacromial ligaments
    • Types of Sprains: Vary in severity from a stretched ligament (Grade 1) to a complete ligament rupture (Grade 6)
    • Complete disruption of ligaments can result in posterior displacement of the distal clavicle
    • Treatment varies from observation/sling to surgical intervention depending on the severity

    Clavicular Fractures

    • Fractures based on location (medial, distal third)
    • MOI (Mechanism of Injury): Fall on outstretched hand (FOOSH) or Fall on Shoulder (FOS)
    • Diagnosis via X-Ray
    • Age: Predominantly under 25 years old

    Glenohumeral Joint (GHJ) Injuries

    • Subluxation: Humeral head displacement on the glenoid fossa
    • Dislocation: Complete separation of the humeral head from the glenoid fossa.
    • Anterior dislocations are more common than posterior dislocations
    • Common MOI: Abduction and external rotation
    • Possible associated injuries: Axillary nerve traction, Bankart lesion, Hill-Sachs lesion, and Reverse Bankart and Hill-Sachs lesion

    Impingement Syndrome and Rotator Cuff Tears

    • Common cause of shoulder pain
    • Impingement involves compression of the rotator cuff tendons and bursa between the humeral head and acromion.
    • Supraspinatus tendon is the most commonly implicated tendon -Elderly often experience rotator cuff tears—either partial or full-thickness

    Glenoid Labrum Tears

    • Cartilage (labrum) that deepens the glenoid fossa
    • Injuries: Can involve rotator cuff and biceps tendons
    • Common tear location: Superior Labrum Anterior-Posterior (SLAP) lesion, at the bicep tendon attachment point

    Degenerative Joint Disease of the Shoulder (Osteoarthritis)

    • Narrowing of the glenohumeral joint space
    • Cartilage destruction
    • May involve the glenohumeral or acromioclavicular (AC) joints

    Biceps Tendon Ruptures

    • Injury to the long head of biceps brachii tendon
    • Seen in individuals over 40 years old, often with a history of shoulder impingement

    Calcific Tendonitis of the Supraspinatus Tendon

    • Calcium deposits (Hydroxyapatite) in the supraspinatus tendon
    • Idiopathic, more common in supraspinatus
    • Most often accompanied by pain and restricted shoulder range of motion

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    Related Documents

    MES 303: Shoulder & Arm Conditions & Rehabilitation PDF

    Description

    Test your knowledge on the management of shoulder dislocations, imaging techniques for clavicular fractures, and related injuries. This quiz covers topics including Bankart lesions, sternoclavicular dislocations, and the assessment of joint sprains. Perfect for students and professionals in orthopedic medicine.

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