A 43-year-old woman has a 2-week history of right shoulder p...

Sorry, only PEAK Subscribers can view this question

Figure 38 shows the radiograph of a 75-year-old woman who ha...

Sorry, only PEAK Subscribers can view this question

A 63-year-old patient that unde...

Sorry, only PEAK Subscribers can view this question

A 63-year-old patient that unde...

Sorry, only PEAK Subscribers can view this question

Which of the following rehabilitation exercises is most appropriate immediately following the repair of the injury seen in figure A?

A 49-year-old male is scheduled to undergo an anatomic total...

Sorry, only PEAK Subscribers can view this question

A 27-year-old right-hand dominant baseball pitcher presents ...

Sorry, only PEAK Subscribers can view this question

Which of the following arm positions is most associat...

Sorry, only PEAK Subscribers can view this question

A 64-year-old male presents with a 6-month history of atraumatic shoulder pain. He has tried activity modification and acetaminophen thus far. On physical examination, he has full range of motion with pain and weakness with abduction. A select MRI cut is shown below. After shared decision-making, the patient elects to undertake a course of physical therapy. What factor is most associated with failure of treatment?

An 67-year-old very active woman has chronic pain in the rig...

Sorry, only PEAK Subscribers can view this question

Internal impingement of the shoulder and posterosuperior lab...

Sorry, only PEAK Subscribers can view this question

Which patient has the best indication for latissimus dorsi transfer?

A 45-year-old woman awakens with the acute onset of burning ...

Sorry, only PEAK Subscribers can view this question

A 38-year-old male presents to your office for evaluation of...

Sorry, only PEAK Subscribers can view this question

A 14-year-old pitcher is brought in to the pediatrician beca...

Sorry, only PEAK Subscribers can view this question

When performing the diagnostic portion of a shoulder arthros...

Sorry, only PEAK Subscribers can view this question

Figure 30 shows the radiograph of an 82-year-old woman who r...

Sorry, only PEAK Subscribers can view this question

A 63-year-old man presents to the clinic with chronic right shoulder pain. His primary care provider diagnosed him with right shoulder osteoarthritis and referred him to orthopedic surgery. He states the pain worsens at night and he cannot sleep on the affected side. His goals of care are to be able to go on daily walks with his wife and do light weightlifting without pain. He smokes half a pack of cigarettes daily and has a BMI of 36. He had a cardiac stent placed two years ago on an outpatient basis and is on clopidogrel daily. He also has diabetes with some mild peripheral neuropathy. He can lift overhead but winces and side bends to do so. His presenting radiograph is shown in Figure A. Which of the following precludes him from receiving an anatomic total shoulder arthroplasty?

A 39-year-old auditor and recreational tennis player presents with nine months of shoulder pain that has not improved with physical therapy or anti-inflammatory medications. His chief complaint is that he has had to transition to serving underhanded given the amount of pain he has with overhead motion. On exam in the office today he has exquisite tenderness over the bicipital groove and a positive O'Brien's test. Representative images from his MRI are shown in Figures 1 and 2. Which of the following findings on arthroscopic assessment of the shoulder would most influence your decision to perform a biceps tenodesis instead of a superior labral repair?

A 27-year-old woman underwent shoulder arthroscopy for multi...

Sorry, only PEAK Subscribers can view this question

What is the most common cause for poor outcomes in patients who undergo total shoulder arthroplasty?

A 17-year-old male right-hand-dominant baseball pitcher with collegiate aspirations presents to clinic for evaluation of his right shoulder. The patient describes atraumatic pain, clicking, and decreased velocity in his right shoulder and upper extremity during pitching and overhead lifting, but no pain at rest. No numbness or tingling in his right upper extremity. He denies prior issues or injuries to his right shoulder. The patient has been working with his athletic trainer for the past few months without significant relief of symptoms. He has continued to play during this time, but with pain. On exam, the patient has pain in the bicipital groove and a positive O’Brien’s and Speed’s test. The patient demonstrates increased external rotation of the shoulder in abduction compared to the contralateral side. Imaging findings demonstrate a Type II SLAP tear. How should you counsel this patient regarding further treatment strategies in order to return him to his current level of play?

A 74-year-old patient is seen for follow-up 6 weeks after un...

Sorry, only PEAK Subscribers can view this question

A 42-year-old construction worker presents with right shoulder pain that has progressively worsened over the last 11 months. He has attempted to treat this with an 8-week course of physical therapy, anti-inflammatory medications, and ultrasound therapy without any improvement. He has received 3 corticosteroid injections in the right shoulder with minimal relief lasting only a couple of weeks each time. His current imaging is depicted in Figure A. What is the most appropriate treatment option at this time?