4.1 of 37 Ratings
An orthopaedic surgeon performs an arthroscopic shoulder procedure on a football player. Postoperatively, there are strict instructions to avoid adduction and internal rotation of the operative shoulder. Which of the images (Figures A-E) most likely corresponds to the patient's initial diagnosis?
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A 22-year-old male wrestler presents to your clinic with complaints of deep left shoulder pain for the past 6 weeks. His pain is aggravated when grappling with other wrestlers and when performing push-ups. He has full passive and active range of motion of the left shoulder that is symmetrical to his contralateral side. He has positive Kim and jerk tests and reproduction of symptoms with the shoulder in forward flexion, adduction, and internal rotation. Which of the listed structures augments the posterior-inferior glenohumeral ligament and is a static restraint to posterior translation of the humeral head on the glenoid when the shoulder is forward flexed, adducted, and internally rotated?
Middle glenohumeral ligament
Superior glenohumeral ligament
Anterior-inferior glenohumeral ligament
A 27-year-old male bodybuilder presents to the office with vague, deep shoulder pain and weakness with his bench press. His examination is somewhat difficult due to his large size, but no significant abnormal findings are noted. Radiographs are normal, and an MRI arthrogram is shown in Figure A. Which of the following is the most likely etiology of his complaints?
Pectoralis major rupture
Supraspinatus partial thickness tear
Tendonitis of the long head of the biceps
Posterior labral tear
A 20-year-old college football offensive lineman undergoes arthroscopic right shoulder surgery for the injury shown in Figure A. Post-operatively he complains of burning pain in the region marked in yellow on Figure B. Which of the following nerves was most likely injured during the procedure?