Shoulder Disorders

Question 1

OCD of the shoulder

Answer 1

Local mineralization defect of the articular epiphyseal complex of the proximal humerus

Question 2

What is the most common spot for OCD of shoulder

Answer 2

Humeral head

Question 3

OCD of shoulder is more common in

Answer 3

Male

Question 4

Clinical signs for OCD begin

Answer 4

4 - 8 months of age

Question 5

Causes of OCD shoulder

Answer 5

Genetics, rapid growth, nutritional imbalances, trauma

Question 6

OCD findings include atrophy of

Answer 6

Supraspinatus and infraspinatus

Question 7

Osteochondrosis

Answer 7

Disturbance of cartilage formation

Question 8

Osteochondritis

Answer 8

Detachment of cartilage flap

Question 9

Osteochondrosis is a defect in

Answer 9

Endochondral ossification

Question 10

What is different about the cartilage at an osteochondrosis joint

Answer 10

The cartilage is thicker

Question 11

Pathophysiology of osteochondritis dissecans

Answer 11

Stress creates fissure of cartilage surface, separation of retained cartilage from underlying bone, synovial fluid creates inflammation, dissection of loose cartilage flap

Question 12

Surgery TX of OCD

Answer 12

Arthrotomy or Arthroscopy

Question 13

Medical management of OCD

Answer 13

Change diet, NSAIDs

Question 14

PE findings of medial Glenn Humeral instability include

Answer 14

Exccesive abduction of the shoulder joint while the shoulder is fully extended

Question 15

What breeds get OCD in shoulder

Answer 15

Large breed dogs

Question 16

Will the dog feel pain with extension or flexion with OCD of shoulder

Answer 16

Extension

Question 17

Is OC or OCD when there is a flap

Answer 17

OCD

Question 18

OCD causes

Answer 18

Lameness, joint swelling, pain, and inflammation

Question 19

Exercise restriction after surgery

Answer 19

4 - 6 weeks

Question 20

Medial shoulder structures

Answer 20

Medial Glenohumeral ligament, subscapularis muscle and tendon

Question 21

How do you find medial glenohumeral instabilitu

Answer 21

Excessive abduction of the shoulder joint while the shoulder is fully extended

Question 22

With medial glenohumeral instability what does arthroscopy how

Answer 22

Torn medial glenohumeral ligament or tear of the subscapularis tendon

Question 23

Non surgical management of medial shoulder instability

Answer 23

Hobbles, no running/ jumping/ playing, shock wave therapy, Stem cells, rehabilitative exercised

Question 24

Surgery for MGH instability

Answer 24

Shoulder tightrope

Question 25

Post medial shoulder instability they ca begin to return to functional activities by

Answer 25

12 - 16 weeks

Question 26

Biceps Tenosynovitis is seen in

Answer 26

Large breed adults

Question 27

Bicep tenosynovitis, there is pain with

Answer 27

Flexion of shoulder and extension of the elbow

Question 28

Pathophysiology of biceps tenosynivits

Answer 28

Trauma to tendon, inflammation of the sheath, sequels to OCD of the shoulder

Question 29

Early treatment of biceps tenosynovitis

Answer 29

Activity restriction, deep friction massage, ice, and stretching of bicep tendon

Question 30

Surgical treatment of bicep tenosynovitis

Answer 30

Tenotomy

Question 31

Describe the traditional technique to biceps tenosynovitis

Answer 31

Open approach with tenotomy and relocation of tendon end to greater tubercle

Question 32

After tenotomy of Biceps restricted to

Answer 32

Leash walks 6 weeks

Question 33

Osteochondrosis v osteochondritis dissecans

Answer 33

OC: disturbance of cartilage formation, defect in endochondral ossification

Question 34

OCD

Answer 34

Detachment of cartilage flap

Question 35

How do you diagnose medial glenohumeral instability

Answer 35

Findings excessive abduction of the shoulder joint while the shoulder is fully extended

Question 36

Medial glenohumeral instability

Answer 36

Forelimb lameness

Question 37

Surgical treatment of MGH instability

Answer 37

Shoulder tightrope