A patient sustains a posterior shoulder dislocation. Shown an x-ray of a reduced shoulder with a large reverse hill-sachs lesion. List 3 reasonable surgical treatment options
MOdified mclaughlin procedure: Transfer of LT into defect
Hemiarthroplasty
ROtational osteotomy
Allograft
List 3 possible mechanisms for a SLAP lesion
Forceful traction
Repetitive overhead activity
DIrect compression load
List the 4 progressions for perilunar instability
SL tear
SL + CL
SL + CL + LT
Lunate dislocation
A patient has lunate AVN. List the 4 stages
Keinbochs disease
Stage 1: normal x rays, MRI changes
Stage 2: Lunate sclerosis
Stage 3A: Lunate collapse with normal carpal height
Stage 3B: Lunate collapse and proximal migration of capitate and scaphoid felxion
Stage 4: scaphoid collapse with perilunate OA
55 year-old patient has ulnar head, triquetral pain. Normal ROM and stable wrist. Active woman and cannot play tennis anymore. a. list 3 possible diagnoses b. the patient has hyperintensity on an MRI and needs a wrist scope. List the dorsoradial and dorsoulnar portals. c. list 6 stabilizers of the DRUJ.
A
DRUJ injury
TFCC tear
Ulnocarpal impaction
Lunotriquetral ligament tear
ECU tendonitis
B1-2
3-4
4-5
6R
6U
CDorsal RU ligament
Volar RU ligament
ECU tendon
IOM
Sigmoid notch and ulnar head
PQ
RA patient with decreased extension of 4th and 5th digits. List 3 possible reasons for this
VAughn Jackson: Ulnar extensor tendon ruptures
Ulnar subluxation of extensor tendon: sagittal band rupture
MCP dislocation
A patient with PIN/radial tunnel syndrome. List 3 possible compression sites
Leash of henry at radiocapitellar joint
Proximal edge of ECRB
Arcade of frohse: proximal supinator
DIstal supinator
List four indications for a hemi-resection interpositional arthroplasty of the distal radioulnar joint of the wrist?
OA
DRUJ intability
Fracture ulnar head not amenable to fixation
Ulnocarpal impaction with DRUj incongruity
Give the 4 types of SLAP tears.
SNyder classification
Degenerative
COmplete detachment of bicep anchor from superior labrum
Bucket handle tear with intact bicep anchor
Bucket handle tear including bicep tendon
List 3 anatomic causes of swan neck deformity in a RA patient as a result of synovitis.
FDS rupture
PIP synovitis
Mallet finger
Attenuation of collateral ligament
Attenuation of volar plate
Define the 4 borders of the quadrangular space and its content
Borders: Teres major, Teres minor, long head of tricep, humerus
COntents: Posterior circumflex A, axillary nerve
List the 2 muscles that surround the radial nerve after it pierces the intramuscular septum.
Brachialis
Brachioradialis
Other than medical comorbidities or tear characteristics, list 4 patient factors that are predictive of poor healing of the rotator cuff tear following surgery
Diabetes
Smoking
Osteoporosis
Age >65
List 4 successful things to non-operatively manage carpal tunnel syndrome
NSAID's
Night splinting
Corticosteroids
Activity modification
List the 5 structures of the shoulder superior suspensory complex (SSSC)
Distal clavicle
AC ligament
CC ligaments
Coracoid
Glenoid
Acromion
List 2 motion sparing techniques to manage a stage II SLAC wrist
PRC
4CF
List 4 possible compression sites for the AIN from the elbow to the forearm
BTW 2 heads of PT
FDS arch
Accessory muscles
Aberrant vessels
Define these terms regarding syndactyly: complex, complete, synonychia