What is NOT a rotator cuff muscle?

Where do the rotator cuff tendons attach?

What rotator cuff tendon is the most common to tear?

Pt presents with a deep sharp burning shoulder pain. Pt is able to sleep after finding a comfortable sleeping position and using NSAIDs/ice. ROM also improves with NSAIDs. Pt is able to bring arm overhead, but it is painful. PE shows pain over the lateral aspect of the shoulder (distal to insertion site of cuff tendon), pain with forced external rotation, + Neer test, + Hawkins test. Pt denies any popping feelings. What do you suspect?

Pt presents with shoulder pain. They recently had trauma to the shoulder where they felt a pop/pulling sensation. Pt reports that the pain is really bad at night. Pt doesn't get much improvment in strength/ROM with NSAIDs/ice. Pt cannot bring arm overhead. PE shows pain over the lateral aspect of the shoulder (distal to insertion site of cuff tendon), pain with forced external rotation, atrophy of supra/infraspinatus muscles, + Neer test, + Hawkins test. X-ray shows high riding humerus. What do you suspect?

Shoulder dislocation in younger individuals is associated with rotator cuff tear approximately 80% of the time.

Impingement signs PE special test that checks for compression of the greater tuberosity of the humerus against the acromion.

Impingement signs PE special test where you make the arm look like a wing, makes the patient sing.

Rotator cuff PE special test checking for weakness of the supraspinatus.

Rotator cuff PE special test checking for a tear. It is + if the pt cannot lift arm or loses control as lowering.

What is the best diagnostic/gold standard for rotator cuff tendinitis/tears?

What is NOT part of the treatment/recovery for rotator cuff tears?

What is NOT a MRI finding that indicates a need for referral to a surgeon?

Pt with PMH significant for diabetes presents with dull, poorly localized ache in the shoulder. Their job involves a lot of repetitive overhead movements. PE shows intact ROM, except for loss of internal rotation. X-ray shows impingement/arthritis. What do you suspect?

Pt presents with a sharp, vague pain deep within the shoulder. They have also report clicking/popping deep within their shoulder, feelings of instability, numbness/tingling in the 4th and 5th fingers. Pt tried RICE, but there was no improvement. Of note, pt loves playing tennis and does it often. PE shows scapular dyskinesia, + Mayo Shear test, + active compression. X-ray shows impingement. MRI arthrogram shows dye leakage. What do you suspect?

Pt presents with shoulder pain. PE shows crepitus. X-ray is done (image here). They deny specific trauma. What is NOT a possible treatment?

Pt presents with pain in the shoulder that radiates to the deltoid and neck. PE shows pain with palpation over the AC joint and + adduction sign (crossover test). Of note, pt is a weightlifter. You suspect something that is caused by repetitive overhead use and cross chest activity (aka weightlifter). What do you suspect?

What is NOT included in the diagnosis and treatment of Acromioclavicular joint osteoarthritis?

What type is related to POPEYE DEFORMITY?

What two are correct regarding biceps tendon tears? (choose 2)

What is the imaging study of choice for biceps tendon rupture?

What is NOT included in the treatment of biceps tendinitis?

All of the following apply to tenotomy for bicep tendon rupture EXCEPT:

All of the following apply to tenodesis for bicep tendon rupture EXCEPT:

If a biceps tendon is completely torn, surgery is the ONLY option.

What is the MC pediatric fracture?

Clavicular fracture classifications: middle 1/3 of bone; proximal fragment often displaced upward.

Clavicular fracture classifications: distal 1/3 of bone; non-displaced with intact ligaments.

Clavicular fracture classifications: distal 1/3 of bone; displaced, possible tear of coracoclavicular ligament; no AC joint involvement.

Clavicular fracture classifications: distal 1/3 of bone; displaced with AC joint involvement; ligament tears.

Clavicular fracture classifications: proximal 1/3

AC joint sprain/separation grades: AC joint intact; mild stretching of AC ligament; pain is mild; can usually move arm; "sprain"

AC joint sprain/separation grades: Disruption AC ligament; pain is moderate; limited movement

AC joint sprain/separation grades: Disruption AC and coracoclavicular ligaments; severe pain; distal clavicle is prominent; ROM limited

What is NOT included in treatment of GRADE 1 "SPRAIN" AC joint separation?

What is NOT included in treatment of GRADE 2 and 3 AC joint separation?

What imaging should you consider for AC joint sprain/separation if x-rays are normal, but you have high suspicion?

What is the MC dislocated joint in the body?

What is the MC direction of shoulder dislocations?

What is the MC nerve injured during shoulder dislocation?

What 2 are correct regarding shoulder dislocation direction and presentation?

What is NOT part of the shoulder dislocation diagnosis and treatment?

Pt presents with left elbow pain. Pt reports pain with picking up cups and driving. The elbow is stiff and painful in the mornings. PE reveals pain with resisted extension of the wrist and pain at lateral epicondyle. Of note, pt is an avid tennis player. What is NOT part of the diagnosis and treatment?

Pt presents with left elbow pain. PE reveals pain with resisted flexion of the wrist and pain at medial epicondyle. Of note, pt is an avid golfer. What is NOT part of the diagnosis and treatment?

Pt presents to clinic after FOOSH with pain at the elbow. PE reveals pain with supination and pronation and tenderness to palpation over radial head. X-ray shows an anterior sail sign. What is the treatment for occult, non-displaced, or minimally displaced?

Pt presents to clinic after FOOSH with pain at the elbow. PE reveals pain with supination and pronation and tenderness to palpation over radial head. X-ray shows 3 mm depression of elbow joint and anterior sail sign. What is NOT a treatment option?

The most common complication after a radial head fx is permanent loss of full flexion.

What is NOT an indication for ORIF or radial head replacement if a pt has a displaced radial head fx?

28 month-old child is brought in by their parent because they are having elbow pain after someone pulled the child up by their arm. The child is holding their arm in a flexed position. You plan to reduce it by holding UE in supination, placing thumb on radial head, and flex arm. What do you suspect?

6 yo pt is brought in by their parent after a FOOSH. PE reveals parasthesias when pt does OK sign, bruising, tenderness, deformity, and edema of the elbow. X-ray shows posterior sail sign. What do you suspect?

What is the correct order of frequency for pediatric traumatic fractures of the elbow?

What is the correct order of closure of elbow growth plates?

Pt presents with a painless soft mass on the posterior aspect of the right elbow. It is not hot or red and there is no purulent drainage. What is NOT part of the workup and treatment?

Pt presents with a soft mass on the posterior aspect of the right elbow. The area is warm, red, and painful. What is NOT part of the workup and treatment?

Pt presents with numbness of the thumb, index, and long finger. There is also pain at the wrist that extends up the forearm. PE reveals + Tinel and Phalen signs. There is interosseous muscle and thenar eminence wasting. What is NOT included in the workup and treatment?

Pt presents with pain in the wrist. PE reveals pain to palpation of first doral compartment and + finkelstein test. What is NOT included in the treatment?

What is the MC bone fractured in the hand?

Pt presents with wrist pain after a FOOSH. PE reveals tenderness to palpation of anatomic snuff box. X-ray may or may not show fx. What is the treatment?

Pt presents with finger flexed at DIP joint. You suspect injury to the extensor tendon. Of note, pt plays baseball. What is the treatment?

Pt presents with finger flexed at PIP joint and extended at DIP joint. You suspect injury to the extensor tendon where central slip tears/separates and the lateral band slips to the side. What are possible treatment opitons? (choose 2)

Pt presents with finger flexed at DIP joint and extended at PIP joint. You suspect degeneration of a ligament on the palmar (volar) side of the PIP. What is the treatment?

What is NOT included in the treatment of hand osteoarthritis?

Hand arthritis: What is NOT true about Heerden's Nodes?

Hand arthritis: What is NOT true about Bouchard's Nodes?