Upper Limb Radiology 1 (Msq Drill 196)

Are inferior shoulder dislocations very common?

• Yes they are very common

• No, they are rare but distinctive

Is damage to the inferior glenohumeral ligament the usual cause of shoulder instability in an anterior shoulder dislocation?

• Yes

• No

In which shoulder dislocation will the patient permanently hold their arm upward or behind the head in fixed abduction?

• Anterior

• Posterior

• Inferior

Inferior shoulder dislocation is caused by _________ of the arm

• Hyper-adduction of the arm

• Hypo-adduction of the arm

• Hyper-abduction of the arm

• Hypo-abduction of the arm

Inferior shoulder dislocations are very rare - less than 1% of all shoulder dislocations. Do inferior should dislocations have a high complication rate?

• Yes

• No

• Superior shoulder dislocation

• Anterior shoulder dislocation

• Posterior shoulder dislocation

• Inferior shoulder dislocation

This shows an A C joint separation. What are you looking for when looking at the x-ray?

• Abnormal narrowing of the space

• Abnormal widening of the space

Name the following views of the elbow:

• Lateral view

• AP view

• Stress view

What is a sail sign?

• Displacement of blood around the elbow joint

• Displacement of the fat pad around the elbow joint

What wrist bone sits like a moon on top of the distal radius?

• Triquetal

• Pisiform

• Hamate

• Lunate

• Capitate

A patient has a colles fracture. They describe that they fell on their left outstretched hand with their forearm in pronation and:

• Plantaflexion

• Dorsiflexion

Name the schoulder dislocation?

• Anterior shoulder dislocation

• Posterior shoulder dislocation

• Inferior shoulder dislocation

Luxatio erecta is associated with:

• Anterior shoulder dislocations

• Posterior shoulder dislocations

• Inferior shoulder dislocations

Which of the following is frequently seen among football players and is not always obvious?

• A C joint separation

• Anterior shoulder dislocation

• Posterior shoulder dislocation

• Inferior shoulder dislocation

Calcifications of which tendon in the shoulder are very common?

• Infraspinatus

• Supraspinatus

• Teres minor

• Teres major

• Elbow medial view

• Elbow lateral view

• Elbow AP view

Which bone is the most important when considering wrist bone injuries?

• Navicular

• Triquetum

• Pisiform

• Navicular or scaphoid

• Capitate

Is a Barton fracture intra articular or extra articular?

• Intra articular

• Extra articular

What is this view?

• AP shoulder internally rotated

• AP shoulder externally rotated

What is this view?

• Glenoid fossa view

• AP internally rotated

• AP externally rotated

• Axillary view

This lesion is a complication of an anterior shoulder injury. What is this this known as?

• Bankart lesion

• Hill-Sachs lesion

• Luxatio erecta

Are A C joint separations usually obvious on x-ray?

• Yes, a regular AP view will suffice

• No, you may need to get a stress view

What is the thrid most injured bone in the wrist?

• Trapezium

• Trapezoid

• Triquetum

• Hamate

• Scaphoid

What is this view?

• Axillary view

• AP shoulder in external rotation

• Glenoid fossa view

• AP shoulder in internal rotation

How are shoulder dislocations usually divided?

• In the position of the humerus relative to the glenoid fossa

• In the direction in which the humerus exits the joint

• Into anterior and posterior dislocations only

A colles fracture is an ____________ fracture.

• Intraarticular

• Extra articular

You are looking at a posterior view of the shoulder and you observe the humeral head touching the glenoid. Is this normal?

• Yes, the humeral head always touches the glenoid

• No, the humeral head should never touch the glenoid

Most ___________ fractures are secondary to a fall on an outstretched hand with a pronated forearm.

• Gallezi

• Metarcapal head

• Colles

What view comes in handy if you cannot get a good view of a suspected posterior shoulder dislocation?

• Glenoid fossa view

• AP internal rotation

• AP external rotation

What is the diagnosis?

• Radial head fracture

• Radial neck fracture

• Humeral condyle fracture

• Ulna fracture

What is the second bone that is usually fractured in wrist injuries?

• Trapezoid

• Trapezium

• Capitate

• Lunate

• Pisiform

• Elbow lateral view

• Wrist lateral iew

• Wrist medial view

• Wrist AP

Over 95% of shoulde dislocations are anterior. They usually occur in the following three ways:

• Forced adduction

• Forced abduction

• External rotation

• Internal rotation

• Extension

What is the position of this shoulder disolocation?

• Subcoracoid

• Subclavicular

• Subglenoid

• Subacromial

Are humeral neck fractures rare or common?

• Rare

• Common

Which tendinitis is evident in this x-ray?

• Infraspinatus

• Supraspinatus

• Teres minor

• Teres major

• Subscapularis

• Forearm lateral view

• Forearm medial view

• Forearm AP view

• Wrist AP view

• Wrist PA view

• Oblique wrist

• Lateral wrist

Anterior shoulder dislocations can be further divided according to how the humeral head lies. What is the most common anterior shoulder dislocation?

• Subclavicular

• Subalenoid

• Subcoracoid

• Intrathoracic

Name the following anterior shoulder injury:

• Subclavicular

• Subglenoid

• Subcoracoid

• Intrathoracic

What is the name of the most common distal radial fracture that is particulalry common in osteoporotic women?

• Gallezi

• Colles

• Bankhart

• Barton fracture

Is this view usually very useful?

• Yes

• No

What view is key for visualizing radial neck fractures?

• AP view elbow

• Medial view elbow

• Lateral view elbow

Which shoulder dislocation anterior, posterior or inferior may occur due to electrocution, direct trauma or a seizure. It can also be the result of strength imbalance within the rotator cuff muscles.

• Posterior

• Anterior

• Inferior

• Forearm lateral view

• Forearm medial view

• Forearm AP view

Which of the following are possible complications of an anterior shoulder dislocation?

• Hill-Sachs lesion

• Bankart lesion

• anterior glenolabral injuries

• Damage to the axillary artery, or brachial plexus

• Damage to the inferior glenohumeral ligmament (IGHL) which often leads to shoulder instability

What is the diagnosis?

• Radial neck fracture

• Radial head fracture

• Ulna fracture

• Humeral condyle fracture

An inferior glenohumeral ligament damage due to an anterior shoulder dislocation is best seen with what test?

• MRI

• MR arthrography

• CT scan

• X-ray