The figure below is the MRI scan of a 52-year-old active man who fell from a ladder 6 weeks ago and sustained an isolated glenohumeral dislocation that was reduced in the emergency department. He wore his sling for about 2 weeks and arrived at your clinic today after referral by his primary care doctor. Examination reveals sensation intact throughout his hand, forearm, and shoulder girdle. Belly press examination findings are normal, but painful. He has tenderness to palpation on the anterior shoulder and a painful speed test. Rotator cuff repair associated with tenotomy of the indicated structure will result in what condition when compared to tenodesis of the same structure? ( @OrthoTalK )

60% (27) Decreased strength in forward elevation
◼️◼️◼️◼️◼️◼️◼️◼️

20% (9) Increased external rotation
◼️◼️◻️◻️◻️◻️◻️◻️

11% (5) Cosmetic deformity
◼️◻️◻️◻️◻️◻️◻️◻️

8% (4) Earlier fatigability with pronation
◼️◻️◻️◻️◻️◻️◻️◻️
👮????? ????????
👥 45 - gross votes

Our OrthO groups

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https://news.1rj.ru/str/OrthoFileS

JBJS May 2017

Your country ? ?
( @OrthoTalK )

▪️ 3% Ethiopia


▫️ 1% Nepal


▪️ 0% Spain


▫️ 27% Iraq
????????????????

▪️ 15% India
????????

▫️ 5% Egypt
??

▪️ 6% Indonesia
??

▫️ 4% Iran
??

▪️ 7% Brazil
????

▫️ 4% Yemen
??

▪️ 4% Syria
??

▫️ 3% Sudan


▪️ 2% Pakistan


▫️ 1% Venezuela


▪️ 0% Malaysia


▫️ 2% Peru


▪️ 0% Argentina


▫️ 1% Turkey


▪️ 0% Somalia


▫️ 2% Nigeria


▪️ 1% Kenya


▫️ 1% Jordan

👮Sᴀʟᴀᴍ Aʙᴀʏᴀᴛᴄʜɪ

 Figures below are the 6-week postsurgical anteroposterior hip radiograph and current radiograph of a 54-year-old avid hiker who returns for routine follow-up 3 years after an uncomplicated uncemented modular metal-on-metal hip replacement. He reports mild activity-related aching diffusely around the right hip region, but does not feel restricted with his activities. Examination reveals no local tenderness, a well-healed incision, and mild discomfort at the extremes of rotation. An erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are obtained, showing 9 mm/h (reference range, 0-20 mm/h) and 2.0 mg/L (reference range, 0.08-3.1 mg/L), respectively. What is the etiology of the radiographic finding?
( @OrthoTalK )

▪️ 63% (55) Osteolysis secondary to metal particle wear (an adverse reaction to metal debris)
????????

▫️ 19% (17) Osteolysis secondary to loosening of the femoral implant
??

▪️ 8% (7) Metastatic lesion to the proximal femur
?

▫️ 8% (7) Deep periprosthetic joint infection
?
👮????? ????????
👥 86 - gross votes

May 2017

Our OrthO groups

https://news.1rj.ru/str/OrthoBoX
https://news.1rj.ru/str/OrthoTalK
https://news.1rj.ru/str/OrthoFileS

A quick review for ABO
( American Board of Orthopedics )
before their final exam

Click the link below to go back in the
history of the channel to get these
lectures and videos

https://news.1rj.ru/str/OrthoFileS/227