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Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC.
Which of the following correctly identifies the internervous plane utilized for the Modified Judet approach to the scapula?
A and B
B and I
L and J
A and E
C and F
Select Answer to see Preferred Response
A 32-year-old female is transported to your institution's emergency department after being involved in a motor vehicle collision. You are consulted after initial imaging shows the injury in Figures A and B. After your examination you conclude this to be an isolated injury and there is no neuromuscular compromise of the limb. Further imaging of the injury is shown in Figures C and D. What is the most appropriate management of this injury?
Arm sling for 1-2 weeks followed by graduated advancement of range of motion
Figure-of-Eight sling for 1-2 weeks followed by graduated advancement of range of motion
Open reduction internal fixation of only the scapula utilizing deltopectoral approach
Open reduction internal fixation of only the scapula only utilizing the extensile Judet approach
Open reduction internal fixation of the scapula and clavicle
A 30 year-old male is involved in a motor vehicle collision and sustains a scapular fracture. In patients with scapular fractures, what other fracture is MOST commonly observed?
The modified Judet approach to the posterior scapula exploits the internervous interval between what two muscles?
Supraspinatus and infraspinatus
Supraspinatus and subscapularis
Infraspinatus and teres minor
Teres minor and teres major
Teres major and lattisimus
A patient sustains a displaced scapular neck fracture. What is the internervous plane for a posterior approach to the glenohumeral joint?
Long thoracic-spinal accessory
A 35-year-old male is involved in a motor vehicle accident and suffers the fracture shown in Figure A. This is an isolated shoulder injury, and he has no neurologic deficits on physical exam. CT scan of the scapula shows the glenoid to be translated medially 3mm, and anglulated 20 degrees from its anatomic axis. What is the most appropriate initial treatment for this injury?
Immobilization in sling x 2 weeks then PT
Immobilization in sling x 8 weeks then PT
ORIF via a deltopectoral approach
ORIF via a posterior approach
ORIF via a lateral approach
In trauma patients with multiple injuries, patients with scapula fractures have been shown to have an association with which of the following, as compared to patients without scapula fractures?
Increased length of hospital stay
Increased mortality rate
Increased rate of extremity fracture(s)
Increased Injury Severity Scores
Increased length of intensive care unit stay