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Sports Medicine Board > Shoulder > Flashcards

Shoulder Flashcards

1
Q

What are radiographic indications for middle 1/3 clavicle fractures?

A

> 100% displacmeent
Shortening >15-20mm
Symptomatic non-union 12-16 weeks

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2
Q

NFL player suffers middle 1/3 clavicle fracture. What is the managment?

A

surgical in elite athletes

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3
Q

Non-surgical managment for middle 1/3 clavicle fracture.

A

Sling or figure 8

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4
Q

Expected healing time for middle 1/3 clavicle fracture for non-operative. What is the RTP?

A 
Healing Time
Adults- 6-12 weeks
Peds 3-6 weeks
RTP
Noncontact  6-8 weeks
Contact 8-10 weeks
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5
Q

Type 1 distal clavicle fracture

A

Fracture lateral to ligament, no tear of ligament

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6
Q

Type 2 distal clavicle fracture

A

Fracture medial to CCL. Superior displacement

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7
Q

Type 3 distal clavicle fracture

A

throught the AC joint

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8
Q

What nerve injury can be seen with distal clavicle fracture?

A

Suprascapular nerve- weakness with external rotation

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9
Q

What type of distal clavicle fractures can be managed nonoperatively?

A

Type I and III

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10
Q

Nonoperative Treatment for a Type 1 (distal 1/3 clavicle) fracture ? Expected healing time? RTP?

A

Sling for comfort for 3-6 weeks
6-8 weeks for full healing.
RTP always a bit longer for contact sports

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11
Q

What type of distal 1/3 clavicle fractures require ortho consult? What decides if surgery or not?

A

II, IV V
Non-displaced consider non-op with close follow up
If displaced ORIF

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12
Q

Non op treatment for proximal third clavicle fracture

A

Sling 3-6 weeks

Healing 6-8 weeks

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13
Q

What constitues operative tx for 1/3 proximal clavicle fracture?

A

Dislocation or displacement

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14
Q

2 test for AC joint separations

A

O’Breins
rais arm to 90 and adduct about 10 degrees inward. Thumbs down. Ask them to resist downward pressure.

Scarf
elbow in 90 and arm in 90. Adduct arm. Positive if painlocalized to AC joint

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15
Q

Tx and RTP for type 1 ACJ Separation

A

sling for comfort RTP 7-10 days

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16
Q

Describe Type 2 ACJ Separation

A 
Tear of ACL, sprain of CCL
CCD< 25%
Sling
Early rehab
RTP guided by symtpoms
17
Q

Describe Type 3 ACJ Separation

A

Tear of the ACL and CCL with deltotrapezial fascia intact
CCD 25-100%
Treatment controversial

18
Q

What ACJ ligaments require surgery

A

IV and V, VI

19
Q

Describe Type 4 ACJ Separation

A

ACL and CCL torn
Clavicle posteriorly displaced
Usually most painful
Axillary view important

20
Q

Describe Type 5 ACJ Separation

A

ACL and CCL torn
deltotrapezial fascia torn
CCD 100-300% increase

21
Q

Describe Type 6 ACJ Separation

A

All and CCl torn
Subcoracoid dislocation
Eval of NV injury

Sports Medicine Board (10 decks)

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