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Reverse total shoulder arthroplasty combined with latissimus dorsi transfer would be most appropriate for which of the following patients?
75-year-old male with post-traumatic shoulder arthritis after a four-part proximal humerus fracture with no motor dysfunction
63-year-old male with grade 4 shoulder arthritis with severe deltoid muscle dysfunction secondary to a stroke
80-year-old female with significant rotator cuff arthropathy, a negative Hornblower sign and less than 5 degrees of external rotation lag
70-year-old female with pseudoparesis of anterior elevation and external rotation, narrowing of gleno-humeral joint and acetabularization of the acromion
82-year-old male with grade 4 shoulder arthritis and an isolated supraspinatus tear
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Following open pectoralis major transfer to address chronic subscapularis insufficiency, which of the following movements would most likely show weakness if an iatrogenic nerve injury occurred during the pectoralis transfer?
Shoulder external rotation
A 75-year-old retired carpenter has had 2 years of increasing left shoulder pain and intermittent swelling of the left shoulder as shown in Figure A. He is right-hand dominant and an avid bowler. He denies constitutional symptoms. Physical examination reveals 80 degrees of active forward flexion and 170 degrees of passive range of motion. Palpation of the left shoulder reveals subcutaneous fluid with no distinct mass. A radiograph is shown in Figure B. What is the next most appropriate step in management?
Biopsy and referral to orthopaedic oncologist
Reverse total shoulder arthroplasty
Arthrocentesis of the shoulder with aspirate submitted for cell count and differential
Conventional unconstrained total shoulder arthroplasty
Cervical spine MRI to evaluate for the presence of a syrinx
A 75-year-old, right-hand-dominant female has a chronic rotator cuff tear and shoulder pain for 10 years which has failed conservative treatment. A radiograph is shown in Figure A. Your examination and further imaging will help you to decide between which of the following pairs of surgical options for this patient?
hemiarthroplasty or total shoulder arthroplasty
reverse total shoulder or total shoulder arthroplasty
hemiarthroplasty or reverse total shoulder arthroplasty
total shoulder arthroplasty or glenohumeral arthrodesis
total shoulder arthroplasty or scapulothoracic arthrodesis