Shoulder impingement syndrome and Basic arthroscopy

Question 1

What is the Biguani classification of types of acromions?

Answer 1

• Type I: flat
• Type II: curved
• Type III: hooked

Question 2

Classification of rotator cuff tears based on size?

Answer 2

• Small < 1 cm
• Medium 1-3 cm
• Large 3-5 cm
• Massive > 5 cm or 2 or more tendons

Question 3

common position to put the patient in during a shoulder arthroscopy

Answer 3

• Lateral decubitus with arm in traction

- Beach chair

Question 4

Between what muscles does your posterior portal go in a shoulder arthroscopy

Answer 4

• inferior spinatus

- teres minor

Question 5

A common variant of the labrum is called the Buford complex. Describe what this is

Answer 5

• Has a cord like middle Glenohumoral ligament

- Missing an anterior superior portion of the labrum

Question 6

How often is a Buford complex present

Answer 6

1.5% of normal population

Question 7

What are the common shapes of rotator cuff tears

Answer 7

• Crescent
• L shaped
• U shaped

Question 8

What part of the AC ligament stabilizes the AC joint after distal clavicle resection

Answer 8

Superior

Question 9

Which band of the inferior glenohumeral ligament restricts anterior translation when the arm is externally rotated 90 degrees?

Answer 9

Anterior

Question 10

Which side, Bursal or articular, of the rotator cuff is stronger

Answer 10

-Bursal

Question 11

What should you be suspicious of if the patients ROM is severely limited both actively and passively?

Answer 11

• Frozen shoulder

- Adhesive capsulitis