Orthopaedic Surgery Shoulder Instability: Review Questions Mark D. Miller, MD Dr. Miller is an Associate Professor of Orthopaedic Surgery and Co-Director of Sports Medicine, Department of Orthopaedics, University of Virginia, Charlottesville, VA. Choose the single best answer for each question.
	1. A 20-year-old male athlete with no prior history of shoulder problems sustains a traumatic anterior shoulder dislocation while snowboarding. Which of the following ranges represents his risk for recurrent anterior shoulder instability if his injury is left untreated? 0% to 20% 21% to 40% 41% to 60% 61% to 80% Greater than 80% Click here to compare your answer. 2. Which of the following statements is true regarding acute posterior dislocation of the shoulder? It has a risk for recurrent instability similar to that of anterior shoulder dislocation It is associated with greater tuberosity fractures It is more common than acute anterior shoulder dislocation It should be immobilized in a sling and swath following a reduction It should be suspected in patients with a history of seizure or shock Click here to compare your answer. 3. Patients older than 40 years who have anterior shoulder dislocations must be evaluated for which of the following possible complications? Bankart lesion Hill-Sachs lesion Lesser tuberosity fracture Musculocutaneous nerve injury Rotator cuff tear Click here to compare your answer.		4. An 18-year-old female swimmer reports shoulder instability. On physical examination, she has systemic hyperlaxity, positive responses on anterior and posterior drawer tests, and a positive sulcus sign. Initial management should consist of which of the following? Anterior/inferior capsular shift Arthroscopic Bankart repair and capsular plication Rotator cuff strengthening exercises Thermal capsulorrhaphy Ultrasonography and other imaging modalities Click here to compare your answer. 5. Which of the following initial imaging studies should be performed in a patient with a suspected shoulder dislocation? Anteroposterior (AP) radiography in internal and external rotation AP, scapular lateral, and axillary lateral radiography Computed tomographic scan Magnetic resonance imaging Ultrasonography Click here to compare your answer.
Hospital Physician     JCOM     Seminars in Medical Practice Hospital Physician Board Review Manuals About TWC    Subscribe    Contact TWC    Home    Search   Site Map Copyright © 2008, Turner White Communications Updated 1/04/08 • kkj