Deck 21: Orthopedic Management of the Shoulder

Question 1

In general,how many months are needed to recover from open shoulder stabilization surgery and finish the return to activity phase?

A) 2-3
B) 3-5
C) 5-7
D) 7-12

Answer 1

3-5

Question 2

Select the correct definition of a Bankart lesion.

A) An impact fracture of the posterolateral aspect of the humeral head as a result of anterior shoulder instability
B) An avulsion of the capsule and glenoid labrum off of the anterior rim of the glenoid resulting from traumatic anterior dislocation of the shoulder
C) Formation of fibrous synovial adhesions causing the reduction of the joint cavity,pain,and inflammation
D) Partial tearing of the AC ligaments with no resulting joint instability or laxity of the ligament and minimal loss of function

Answer 2

An avulsion of the capsule and glenoid labrum off of the anterior rim of the glenoid resulting from traumatic anterior dislocation of the shoulder

Question 3

Which of the following grades of ligamentous structure in the shoulder is defined by complete rupture of the AC ligaments with partial tearing of the coracoacromial ligaments?

A) First degree,grade I
B) Second degree,grade II
C) Third degree,grade II
D) Fourth degree,grade IV

Answer 3

Second degree,grade II

Question 4

Which of the following anatomic parts belongs to the "arthrology" structures of the shoulder?

A) Glenohumeral,AC,sternoclavicular articulation
B) Labrum,glenohumeral ligament,glenohumeral capsule
C) Humerus,clavicle,scapula
D) All of the above

Question 5

In the prefunctional stage following a shoulder dislocation,what signs does a PTA look for in a patient to determine whether or not exercises can be progressed?

A) Decrease in pain
B) Decrease in swelling
C) Improved strength
D) All of the above

Question 6

Which phase of nonoperative treatment of impingement and symptomatic rotator cuff tears focuses on modifying activities of daily living (ADL),management of pain and swelling,and stretching exercises to increase blood flow?

A) Phase I
B) Phase II
C) Phase III
D) Phase IV

Question 7

Your 35-year-old patient has fibrosis and tendinitis of the shoulder with pain predominantly at night.Select this patient's stage of rotator cuff impingement.

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 8

Which of the following anatomic parts are passive stabilizing structures of the shoulder?

A) Glenohumeral,AC,sternoclavicular articulation
B) Labrum,glenohumeral ligament,glenohumeral capsule
C) Humerus,clavicle,scapula
D) All of the above

Question 9

How many weeks does the nonoperative protection phase last for a 20-year-old with an acute anterior shoulder dislocation?

A) 2-4
B) 4-6
C) 6-8
D) 8-10

Question 10

For postoperative SAD patients,how many weeks does the PTA need to wait to introduce progressive motion,dumbbell isotonic concentric and eccentric exercises,and short-arc pain-free ROM exercise?

A) 2-4
B) 5-12
C) 14-26
D) Not at all during rehabilitation

Question 11

For postoperative SAD patients with massive rotator cuff tears,how many weeks must a patient wait before performing active motion or active concentric or eccentric strengthening?

A) 2
B) 4
C) 8
D) 24

Question 12

Select the best definition of a Hill-Sachs lesion.

A) An impact fracture of the posterolateral aspect of the humeral head as a result of anterior shoulder instability
B) An avulsion of the capsule and glenoid labrum off of the anterior rim of the glenoid resulting from traumatic anterior dislocation of the shoulder
C) Formation of fibrous synovial adhesions causing the reduction of the joint cavity,pain,and inflammation
D) Partial tearing of the AC ligaments with no resulting joint instability or laxity of the ligament and minimal loss of function

Question 13

Your 60-year-old patient has tendon degeneration and rotator cuff rupture after playing 18 holes of golf.Which stage of rotator cuff impingement does the patient have?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 14

Which patient would likely receive surgery to repair a shoulder dislocation?

A) A 30-year-old with a first-time shoulder dislocation
B) A 40-year-old with a repeated anterior shoulder dislocation that does not respond to therapy
C) A 20-year-old with subluxation and recurrent anterior instability
D) B and C
E) All of the above

Question 15

Which of the following anatomic parts belongs to the osteology of the shoulder?

A) Glenohumeral,acromioclavicular (AC),sternoclavicular articulation
B) Labrum,glenohumeral ligament,glenohumeral capsule
C) Humerus,clavicle,scapula
D) All of the above

Question 16

Which phase of nonoperative treatment of impingement and symptomatic rotator cuff tears focuses on progressive resistive strengthening via increased resistance while using open kinetic chain exercises?

A) Phase I
B) Phase II
C) Phase III
D) Phase IV

Question 17

Which of the following exercises are performed only in phase III (return to activity)following SAD and rotator cuff repair?

A) Scaption,prone,horizontal abduction,press ups,and seated rows
B) Manual ROM,isometric submaximal muscle sets of the shoulder extenders
C) Shoulder hike,dumbbell isotonic concentric and eccentric exercises
D) All of the above

Question 18

A patient having postdislocation of the shoulder therapy is having difficulty with isotonic resistance exercises for the glenohumeral joint.What should the PTA do?

A) Continue working with the same exercises until the patient builds strength
B) Return to lower level,or earlier exercises,until the patient builds strength
C) Modify the exercises to accommodate limitations of motion and pain
D) All of the above

Question 19

Which of the following diagnoses is characterized by a decrease in shoulder ROM,pain,inflammation,fibrous synovial adhesions,and reduction of the joint cavity?

A) Rupture of the shoulder tendons
B) Dislocation
C) Adhesive capsulitis
D) Shoulder fracture

Question 20

Which of the following interventions occur in phase I of rehabilitation after a subacromial decompression (SAD)?

A) Pain control,ice packs,ultrasound,phonophoresis,manual range of motion (ROM)exercises
B) Strengthening with TheraBand,dumbbell isotonic concentric and eccentric exercises
C) Progressive resistive exercises
D) Bodyblade