Orthopaedics: Shoulder

Question 1

What are the rotator cuff muscles?

Answer 1

Supraspinatous
Infraspinatous
Teres minor
Subscapularis

Question 2

Where do supraspinatous, infraspinatous and teres minor attach to?

Answer 2

Greater tuberosity

Question 3

Where does subscapularis attach to?

Answer 3

Lesser tuberosity

Question 4

What does supraspinatous do?

Answer 4

Initiation of abduction

Question 5

What does infraspinatous do?

Answer 5

External roation

Question 6

What does teres minor do?

Answer 6

External rotation

Question 7

What does subscapular do?

Answer 7

Internal rotations

Question 8

What is the hawkins kennedy test?

Answer 8

Bring the shoulder to 90 degrees and internally rotate the shoulder. This test for impingment of supraspinatpus

Question 9

What is impingment syndrome?

Answer 9

The tendons of the rotator cuff (moslty supraspinatous) are compressed in the right subacromial space during movmement, producing pain.

Question 10

What tests would you do if you wanted to confirm a rotator cuff tear?

Answer 10

Ultrasound

MRI

Question 11

What is the treatment of a rotator cuff tear?

Answer 11

Physio
Subacromial injection
Surgery

Question 12

What condition causes loss of external rotation with stiffness?

Answer 12

Frozen shoulder (adhesive capsulitis)

Question 13

What conditions pre dispose you to adhesive capsulitis?

Answer 13

Diabetes
High cholesterol
Dupuytrens

Question 14

What is the treatment of adhesive capsulitis?

Answer 14

Physio
Analgesics
Intr articular injections

Question 15

What is acute calcific tendonitis?

Answer 15

Severe shoulder pain that is charecterised by calcium deposition in the supraspinatous tendon (seen on X Ray just proximal to the greater tuberosity

Question 16

What is biceps tendonitis and how does it present?

Answer 16

anterior shoulder pain on resisted biceps contraction. can also rupture and cause the popeye deformity

Question 17

What are the median nerve innervated digits?

Answer 17

Thumb and radial 2.5 fingers

Question 18

What is tinnels test?

Answer 18

Persussing over the media nerve causes the symptoms of carpal tunnel syndrome

Question 19

What is phalens test?

Answer 19

Reverse prayer sign brings on carpal tunnel syndrome

Question 20

What can you do to confirm the diagnosis of carpal tunnel syndrome?

Answer 20

Nerve conduction syndrome

Question 21

What are the treatment options for carpal tunnel syndrome?

Answer 21

Wrist splints

Steroid injection Surgical decompression

Question 22

What muscles are supplies by the median nerve?

Answer 22

LOAF
Lateral 2 lumbricals 
Opponens pollicis 
Abductor pollicis brevis 
Flexor pollicis brevis

Question 23

What are the symptoms of cubital tunnel syndrome

Answer 23

Parasthesia in the ulnar 1.5 fingers

Inability to abduct the index finger

Question 24

What specific movement does subscapularis do?

Answer 24

Internal rotation

Question 25

What specific movement does supraspinatous do?

Answer 25

First 20 degrees of shoulder abduction. (The rest is done by the deltoid

Question 26

What specific movement does infraspinatous do?

Answer 26

External rotation

Question 27

What specific movement does teres minor do?

Answer 27

External rotation

Question 28

What nerve supplies suprspinatous?

Answer 28

Suprascapular

Question 29

What nerve supplies infraspinatous?

Answer 29

Suprascapular

Question 30

What nerve supplies teres minor?

Answer 30

Axillary

Question 31

What nerve supplies subscapularis?

Answer 31

Superior and inferior subscapular nerves

Question 32

What nerve supplies the deltoid muscle?

Answer 32

Axillary nerve