– Discussion: – normally no communication exists between the shoulder joint and the subacromial bursae; – when radiopaque dye is injected into the shoulder and is subsequently demonstrated in the subacromial bursa, a rotator cuff tear is present; – Indications: – for dx of complete rotator cuff tears, adhesive capsulitis, … Read more
– Discussion: – the name given to the 40 deg cephalic tilt view of the SC joints; – used to visualize the sternoclavicular joints and medial 1/3 of the clavicles for fractures or dislocation; – SC joints are visualized on the same film and compared side to side; – … Read more
– Discussion: – serratus anterior arises from upper eight ribs, inserts on vertebral border of scapula, is innervated by long thoracic nerve, and functions to draw scapula forward in sports such as a jab in boxing; – paralysis produces characteristic prominence (“medial winging”) of vertebral border of the scapula; … Read more
– See: – septic arthritis – general orders and treatment – Discussion: – septic arthritis of the hip is a surgical emergency; – it is essential that dx be made ASAP to prevent joint damage; – if any pus is obtained from arthrotomy, … Read more
– Discussion: – see anatomy of the scapula – most common scapular frx are frx of the body, followed by the neck, glenoid, and acromion; – associated injuries: seen in upto 80-90% of patients; – pulmonary injuries and pneumothorax (23%) and pulmonary contussion; … Read more
– See: Radiographic Studies for Impingement Syndrome – Discussion: – used in the impingement patient to evaluate the subacromial space and the supraspinatus outlet from lateral view; – Technique: – position the patient for a scapular lateral view and tip the beam caudally 5 to 10 degrees The … Read more
Carl J. Basamania M.D. – Discussion: – rotatory stress test was developed to reliably test for anterior instability of of the shoulder; – in most cases, the test will identify a Bankart Lesion, but on occassion the test will pick up a Hagl lesion (avulsion of IGHL); – Technique: – test begins on … Read more
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears – etilogy of tear: – impingement syndrome: (75%) – shoulder instability (anterior or multi-directional) (15%) (should be considered in any young … Read more
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears; (partial rotator cuff tear) – etilogy of tear – ref: Association between alcohol consumption and rotator cuff tear – how do RTC tears heal? – Shoulder Exam: – impingement sign and test: – it is essential to document … Read more