Shoulder and Elbow Review Module 1. A 43 year old man gives a recent history of shoulder dislocation. Examination findings include a weak external rotation and a positive drop arm sign. An arthrogram was done which revealed dye extravasation into the sub acromial space. There are no signs of arthritis. The best treatment for the patient is: Bankart’s operation Total shoulder replacement Physiotherapy Rotator cuff repair Biceps tendon repair(Question 1 of 10)2. The following are true about rotator cuff tears except: a) Ellman’s staging is used for grading partial thickness tears b) Drop arm sign indicates a full thickness rotator cuff tear c) The horn blower’s sign is suggestive of teres minor tears d) Massive tears of the rotator cuff with severe chronic tendon retraction may require a muscle transfer e) Arthropathy will not occur after chronic tears (Question 2 of 10)3. The following are true about humeral shaft fractures except: Holstein Lewis fracture occurs in distal third fractures IM nailing is the gold standard for treatment of humeral shaft fractures Pathological humeral fractures are best treated by IM nailing The most preferred approach for plate fixation is the anterolateral approach Shoulder pain is the most common complaint after IM nailing (Question 3 of 10)4. The following are true about intercondylar fractures of the elbow except: An olecranon osteotomy provides better exposure An olecranon osteotomy maybe associated with non-union Dual plate fixation is considered to be the gold standard Total elbow arthroplasty is an option in elderly patients with severe communition and osteopenia Ruedi allgower classification is commonly followed(Question 4 of 10)5. The following are true about scapular fractures except: Comolli’s sign represents haematoma over the scapula Floating shoulder is treated by ORIF of clavicle and scapula Ideberg classification is followed for glenoid fractures Os acromial represents an unfused apophysis and is present in 3%-5% of population Non union is rare in scapular fracture(Question 5 of 10)6. The following are true about acromio clavicular joint injuries except: Vertical stability is provided by coraco clavicular ligaments Rockwood classification is commonly followed Stress views of the AC joint maybe required for diagnosis of subtle injuries All AC joint injuries are treated non operatively Clavicular hook plate is associated with increased complications(Question 6 of 10)7. The following are true about sterno-clavicular joint except the sternoclavicular joint is a saddle joint in children physeal injuries are common than dislocations posterior dislocations are most common posterior dislocations should be treated as an emergency serendipity view distinguishes between anterior and posterior dislocations(Question 7 of 10)8. The following are true about proximal humeral fractures except: Neer’s classification is commonly used A displaced greater tuberosity fracture more than 0.5 cm in young patients requires surgery In an elderly patient, proximal humeral fractures are most commonly treated by total shoulder arthroplasty Locking compression plates and screws may cause screw perforation through the humeral head A combination of metaphyseal head extension <8mm, medial hinge disruption more than 2 mm and anatomical neck fractures have osteonecrosis rates as high as 97% (Question 8 of 10)9. The first total shoulder replacement was performed for which of the following conditions? Tuberculosis Syphilis Charcots joint Glenohumeral arthritis Tumour from the humeral head(Question 9 of 10)10. Which of the following muscle will be atrophied following cyst at the spinoglenoid notch of the scapula? Teres major Deltoid Teres Minor Infraspinatus Supraspinatus and Infraspinatus(Question 10 of 10) Loading ... Get explanatory answers from our book, <br /> Post Views: 6,556 Related Posts Shoulder InstabilityCourtesy: Orthopaedic Principles ICL Kochi, Prof Dr Ravi Mittal, MS, FRCS, MRCS, AIIMS, NewDelhi Frozen ShoulderCourtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Frozen ShoulderCourtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
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