Shoulder And Elbow Orthopedic Review

For anyone wondering about Shoulder and Elbow Orthopedic MCQS online, Subacromial PRP injections for partial supraspinatus tears show no significant benefit in pain, function, or range of motion compared to therapy alone. Research indicates that for a patient like the 52-year-old described, outcomes are equivalent "saeue a yearold" (at one year), suggesting PRP additions likely have no effect over standard therapy.

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Orthopedics Online MCQs

QUESTION 1

Shoulder and Elbow Orthopedic MCQS online

A 52-year-old, right hand dominant man comes for evaluation of right shoulder pain that has been intermittently bothering him for three months. The pain is worse with overhead activities. He denies any history of trauma. His range of forward elevation in the plane of the scapula is painful and is limited to 145 degrees, compared to 170 degrees on his unaffected side. A radiograph is shown in Figure A. He saw another orthopedist a month ago, who ordered an MRI, which showed a small, partial thickness supraspinatus tendon tear. He received a subacromial injection of lidocaine at that time which temporarily relieved 90 percent of the pain he felt with passive forward elevation of his shoulder past 90 degrees. Today he is requesting a subacromial injection of platelet rich plasma (PRP). You tell him that with regard to pain, function and range of motion, subacromial injection of PRP: ](http://www.orthobullets.com/shoulder-and-elbow/3041/subacromial-impingement)Review Topic

Will result in improvement in pain but no difference in function or range of motion compared to therapy alone.

Will result in greater improvement in pain and function compared to therapy alone, with equivalent range of motion at one year

Will prevent development of rotator cuff arthropathy in patients with rotator cuff tears.

Will likely have no effect on pain, function or range of motion at one year, compared to therapy alone.

Will result in worse outcomes in terms of pain, function and range of motion, compared with therapy alone.

QUESTION 2

An injury to the thoracodorsal nerve would result in latissimus dorsi weakness and would not cause scapular winging

Osteochondritis dissecans of the capitellum is a source of elbow pain and most commonly occurs in what patient population? ](http://www.orthobullets.com/shoulder-and-elbow/3085/osteochondritis-dissecans-of-elbow)Review Topic

Swimmers and divers

Football lineman

Rugby players

Gymnasts and throwing athletes

Cyclists The etiology of osteochondritis dissecans of the capitellum is somewhat unclear. However, trauma has been implicated in this disease process. Gymnasts who load their upper extremities during tumbling and throwing athletes with repetitive trauma during the throwing motion are common patient subgroups in which osteochondritis dissecans of the elbow is seen. This often occurs in the adolescent age population. With the arm abducted 90 degrees and fully externally rotated, which of the following glenohumeral ligaments resists anterior translation of the humerus? ](http://www.orthobullets.com/shoulder-and-elbow/3037/shoulder-exam)Review Topic

Key Medical Takeaway

Orthopedics Online MCQs