Clinical indications for humerus and shoulder

Question 1

injury of the anteroinferior glenoid labrum

Answer 1

Bankart lesion

Question 2

inflammation of the fluid-filled sacs that enclose the joints

Answer 2

Bursitis

Question 3

compression fracture of the articular surface of the humeral head

Answer 3

Hill-Sachs defect

Question 4

compression between greater tuberosity and soft tissues

Answer 4

Impingement syndrome

Question 5

noninflammatory joint disease characterized by gradual deterioration of articular cartilage

Answer 5

osteoarthritis

Question 6

reduction in quantity of bone or atrophy of skeletal tissue

Answer 6

osteoporosis

Question 7

chronic systemic disease characterized by inflammatory changes in tissues

Answer 7

Rheumatoid arthritis

Question 8

traumatic injury to one or more of the supportive muscles of the shoulder girdle

Answer 8

rotator cuff tear

Question 9

inflammatory condition of the tendon

Answer 9

tendonitis

Question 10

Which clinical indications require a decrease in manual exposure factors?

Answer 10

osteoarthritis
osteoporosis
Rheumatoid arthritis

Question 11

The shoulder is the most common joint to develop bursitis due to repetitive motion.

Answer 11

true

Question 12

Rheumatoid arthritis is more prevalent in men over women

Answer 12

false

Question 13

A patient with a possible rotator cuff comes to the radiology department. Which of the following modalities would best demonstrate this injury?

arthrography
MRI
nuclear medicine
radiography

Answer 13

MRI

Question 14

A patient with a clinical history of tendon injury in the shoulder region comes to the radiology department. The orthopedic physician needs a functional study of the shoulder joint performed to determine the extend of the tendon injury. What modality would be demonstrate this injury?

Answer 14

ultrasound

Question 15

AC joint separation would appear radiographically as:

Answer 15

abnormal widening of AC joint space

Question 16

Bankart lesion would appear radiographically as:

Answer 16

an avulsion fracture of the glenoid rim

Question 17

Bursitis would appear radiographically as:

Answer 17

fluid-filled joint space

Question 18

Hill-Sachs defect would appear radiographically as:

Answer 18

compression fracture of humeral head

Question 19

Impingement syndrome would appear radiographically as:

Answer 19

subacromial spurs

Question 20

Osteoarthritis would appear radiographically as:

Answer 20

narrowing of joint space

Question 21

Osteoporosis would appear radiographically as:

Answer 21

thin bony cortex

Question 22

Rheumatoid arthritis would appear radiographically as:

Answer 22

closed joint space

Question 23

Tendonitis would appear radiographically as:

Answer 23

calcified tendons

Question 24

Which of the following projections and/or positions best demonstrates signs of impingement syndrome in the acromiohumeral space?

A. inferosuperior axial with exaggerated rotation
B. apical AP axial projection
C. AP and lateral shoulder external rotation
D. inferosuperior axial

Answer 24

apical AP axial

Question 25

To best demonstrate the Hill-Sachs defect on the inferosuperior axial projection, which additional positioning maneuver must be used? A. angle CR 35 degrees medially B. use exaggerated external rotation C. use exaggerated internal rotation D. abduct arm 120 degree rotation from midsagittal plane

Answer 25

use exaggerated external rotation

Question 26

Which of the following pathologic conditions often produces narrowing of the joint space? osteoarthritis bursitis osteoporosis idiopathic chronic adh. capsulitis

Answer 26

osteoarthritis

Question 27

Which of the following pathologic conditions may require a reduction in manual exposure factors? bursitis rheumatoid arthritis rotator cuff tear bankart lesion

Answer 27

rheumatoid arthritis

Question 28

Which clinical indication is best demonstrated with the Garth method? bursitis rheumatoid arthritis scapulohumeral dislocations signs of shoulder impingement

Answer 28

scapulohumeral dislocations

Question 29

A patient comes to radiology with a history of tendonitis of the bicep tendon. Which of the following projections will best demonstrate calcification of the tendon within the intertubercular sulcus? A. AP apical oblique axial (Garth) B. AP oblique (Grashey method) C. PA axial transaxillary projection (Bernageau method) D. Tangential projection (Fisk modification)

Answer 29

tangential projection (fisk modification)