A 72-year-old female presents to your clinic for evaluation ...

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A 72-year-old man who underwent total shoulder arthroplasty ...

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An 18-year-old collegiate rower presents with the clinical f...

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Internal impingement is characterized by...

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A 60-year-old right hand-dominant women fell on her outstret...

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A 65-year-old female presents to your clinic complaining of a longstanding history of right shoulder pain, which has persisted despite physical therapy, activity modification and oral NSAIDs. She notes that an intra-articular corticosteroid injection performed by her primary care physician four months ago provided greater than 90% pain relief. On physical examination, she has well-preserved forward flexion, external rotation with her arm at the side and at 90 degrees of abduction and internal rotation. Her radiographs and MRI can be seen in Figures A and B, respectively. Given this patient's history and imaging, which complication is she at an increased risk of experiencing should she undergo an anatomic total shoulder arthroplasty (TSA)?

A 73-year-old female presents to your clinic with complaints of persistent shoulder pain and weakness over the last year. She notes a history of proximal humerus fracture 5 years ago which was treated with hemiarthroplasty. She had been doing well up until the past year, when she noticed marked decrease in range of motion and strength. On examination, she has 2/5 strength of her shoulder in abduction and flexion and can abduct and flex her shoulder to only 70º. Her radiograph is seen in Figure A. She states her symptoms are significantly affecting her quality of life. Given these findings, what is the best treatment option at this time to regain function and improve her quality of life?

Complications following a reverse shoulder prosthesis o...

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You perform an all-arthroscopic surgery on a 68-year-old female hairdresser's right shoulder. You code the procedure with CPT code 29823 and submit to Medicare for processing. You have substantiated the extensive debridement code (29823) in your documentation because you:

Which of the following patients would be the most appropriate candidate for a reverse total shoulder replacement?

A 46 year-old female presents with right shoulder pain after reaching for a briefcase in the backseat of her car 9 months ago. On exam, she has active and passive forward elevation of 90 degrees, external rotation of 20 degrees, and internal rotation to her posterior ilium. Strength exam is limited by pain. She has no known history of diabetes. She has had conservative treatment including NSAIDs, intra-articular steroid injections, and physical therapy. When counseling her about surgical options, arthroscopic capsular release is characterized by all of the following except:

A 19-year-old collegiate pitcher presents to your clinic wit...

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A 68-year-old male presents to your office with radiographic evidence of advanced shoulder osteoarthritis as seen in Figures A & B. He has failed nonoperative management and wishes to undergo anatomic total shoulder arthroplasty (aTSA). Which of the following factors would place this patient at risk of having the most common complication after aTSA?

Five patients are being evaluated preoperatively for reverse total shoulder arthroplasty (RSA). Based on patient-specific risk factors, which of the following individuals is at the highest risk for developing an acromial stress fracture postoperatively?

A 74-year-old man underwent a hemiarthroplasty with acromiop...

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A 32-year-old male is being seen in your office for evaluation of a possible rotator cuff tear. He has been seen in your office by one of your partners previously after surgical treatment of a femoral shaft fracture. How much time has to pass since last evaluation or treatment in your group for this patient to revert to a new patient under CPT guidelines?

A 76-year-old man has a two-year history of shoulder pain which no longer responds to non-operative treatments. A radiograph is shown in Figure A. He has forward flexion to 80 degrees and abduction to 70 degrees. An example of his belly push examination is shown in Figure B. What is the most appropriate surgical procedure?

Figures 57a and 57b are the MRI scans of a 61-year-old man who is unable to elevate his dominant arm following a golf injury 24 hours ago. He has moderate pain during attempted arm elevation. Examination reveals significant spinati atrophy and he is only able to elevate his arm fully overhead while supine. The neurologic examination is normal. What is the next most appropriate step in management?

Figure A shows immediate post-operative radiographs of a 75-...

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A 62-year-old woman presents with chronic shoulder pain. On physical exam, she has anterior shoulder pain and her symptoms are reproduced with provocative testing of the biceps including supination against resistance and forward flexion of the shoulder against resistance. Internal and external rotation are painful, but her range of motion is intact. Shoulder radiograph and MRI images are shown in Figures A-E. Which of the following statements is true regarding the patient's condition?

A 56-year-old male has had progressive right shoulder pain over the past year. His primary care doctor ordered an MRI and referred him to you. Representative MRI images are shown below. What is the next step in the management of this patient?

Figure 61 shows the current radiograph of a 69-year-old woma...

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A 56-year-old male has had progressive right shoulder pain over the past year. His primary care doctor ordered an MRI and referred him to you. Representative MRI images are shown below. What is the next step in the management of this patient?

Which of the following patients is the best candidate for a superior capsular reconstruction (SCR)?