Dislocations Pathology

1. 1.For tossy I + II choice of treatment is

Sling for 1 + week followed by exercises

Exercises only

Surgical fixation will small screws.

2. A predisposing or causal factor for dislocations could be weak muscles.

True

False

3. An episode of shoulder dislocation is more predisposing for recurrent anterior dislocation than for posterior dislocation

True

False

4. The most common shoulder dislocation is posterior dislocation.

True

False

5. Central dislocation is regarded as a complex fracture of the acetabulum.

True

False

6. Is [your statement here] true or false?

True

False

7. 1.Dashboard injury is a possible mechanism causing posterior dislocation of the hip. Associated fractures is:Statement: femur (shaft, head, and neck, patella and rim of acetabulum)

True

False

8. Two of the most common sites for dislocation are

Shoulder joint and SC-joint

Shoulder joint and wrist joint

Shoulder joint and AC-joint

9. Healing and recovery for dislocation takes … weeks to reach ALD-level of function

2 - 4 weeks

4 - 6 weeks

4 - 6 months

10. When dislocation is still present the patella will always be on the lateral part of the knee.

True

False

11. Typical causal factor for anterior dislocation of the shoulder is:

Outstretched hand or forced internal rotation

Outstretched hand or forced external rotation or adduction

Backward stretched hand or forced abduction and external rotation

12. For recurrent dislocation and chronic instability, associated soft tissue injuries could be a Bankart lesion, which is

Impression fracture of glenoid rim in humeral head.

Posterior capsule torn loose from the scapula

Anterior (inferior) capsule torn loose from the scapula

13. In anterior dislocation of the hip the legs are

Adduction

Externally rotated

Externally rotated and abduction

Extended

14. A general consequence of dislocations is: almost always damage to the nerves.

True

False

15. Kocher´s method is a reduction method used for anterior shoulder dislocation, and it is as following: Start with hand in a neural postion - 75 degrees external rotation of the shoulder - slightly pull in the shoulder up - abduction with internal rotation.

True

False

Adduction, not abd.

Explanation

Adduction, not abd.

16. Habitual dislocation of the patella often shows:

Dislocation in extension and relocation in flexion

Dislocation in flexion and relocation in extension

Dislocation in flexion and relocation in flexion

17. In recurrent dislocation of the patella girls are less affected than boys.

True

False

18. In Anterior dislocation of the shoulder x-ray shows: "globular" or "Electric light bulb appearance" of the caput humerus due to it being internally rotated.

True

False

Posterior dislocation

Explanation

Posterior dislocation

19. Luxatio erecta, which is pure downward dislocation of the shoulder: is more common than posterior dislocation of the shoulder

True

False

20. Risk and complications of posterior shoulder dislocation may be damage to: axillary nerve, posterior cord of brachial plexus, the median nerve, musculocutaneus nerve and axillary artery.

True

False

Anterior dislocation

Explanation

Anterior dislocation

21. First line of dislocated shoulder is in this following order: rest, reduction, move and in some situation surgery.

True

False

22. In dislocation of the elbow injury to the brachial artery is uncommon.

True

False

23. The treatment of choice is usually conservative treatment in a plaster (10dgr flexion or plaster with hinge. With limited motion for:

1 -2 weeks

3 - 4 weeks

4 -6 weeks

24. To test for shoulder stability, a test that could be used is the aply´s grinding test

True

False

apprehension

Explanation

apprehension

25. 1.The most common form of elbow dislocation displacement is:

Anteropolateral

Medial

26. When there is damage to the joint capsule there are several surgical solution that can be performed: shortening and tightening of the capsule is a description of the:

Bankart procedure

Putti-Platt

Bristow

27. Garden´s classification describes the severity acetabular fracture

True

False

28. 1.To classify AC-joint dislocation most used is "tossy" grade, grade 2 involves

Rupture of the Acromioclavicular ligament and coracoclavicular ligament

Rupture of the coracoclavicular ligament only

Tear of the Acromioclavicular ligament

Does not involve any ligaments mentioned

Tear of the ligament will cause subluxation

Explanation

Tear of the ligament will cause subluxation

29. 1.There are several causal factors for patella dislocation: are all of these mentioned below correct?
Low lateral condyle
Weak medial retinaculum
Weak vastus lateralis
Extreme Q-angle
Sudden severe quadriceps contraction

True

False

not vastus lateral but medialis

Explanation

not vastus lateral but medialis

30. In elderly to avoid stiffness, pendulum exercises should be started after week: internal rotation should be avoided.

True

False

external

Explanation

external

31. Injury mechanism for hip dislocation is: any type of direct force to the hip.

True

False

Only high energy injury due to strong reinforcements

Explanation

Only high energy injury due to strong reinforcements

32. For undisplaced dislocation of the elbow: The patient will have on the cast for

2 weeks

1 week

4 weeks

3 week s

Cast off after a week, collar + cuff for 3 weeks

Explanation

Cast off after a week, collar + cuff for 3 weeks

33. Posterior dislocation of the hip, there is a 10% chance of avasclular necrosisStatement: Delayed reduction for more than 2-3 hours will increase this number up to 40 %.

True

False

5 hours.

Explanation

5 hours.

Dislocations Pathology

1. 1.For tossy I + II choice of treatment is

2.

What first name or nickname would you like us to use?

2. A predisposing or causal factor for dislocations could be weak muscles.

3. An episode of shoulder dislocation is more predisposing for recurrent anterior dislocation than for posterior dislocation

4. The most common shoulder dislocation is posterior dislocation.

5. Central dislocation is regarded as a complex fracture of the acetabulum.

6. Is [your statement here] true or false?

7. 1.Dashboard injury is a possible mechanism causing posterior dislocation of the hip. Associated fractures is:Statement: femur (shaft, head, and neck, patella and rim of acetabulum)

8. Two of the most common sites for dislocation are

9. Healing and recovery for dislocation takes … weeks to reach ALD-level of function

10. When dislocation is still present the patella will always be on the lateral part of the knee.

11. Typical causal factor for anterior dislocation of the shoulder is:

12. For recurrent dislocation and chronic instability, associated soft tissue injuries could be a Bankart lesion, which is

13. In anterior dislocation of the hip the legs are

14. A general consequence of dislocations is: almost always damage to the nerves.

15. Kocher´s method is a reduction method used for anterior shoulder dislocation, and it is as following: Start with hand in a neural postion - 75 degrees external rotation of the shoulder - slightly pull in the shoulder up - abduction with internal rotation.

16. Habitual dislocation of the patella often shows:

17. In recurrent dislocation of the patella girls are less affected than boys.

18. In Anterior dislocation of the shoulder x-ray shows: "globular" or "Electric light bulb appearance" of the caput humerus due to it being internally rotated.

19. Luxatio erecta, which is pure downward dislocation of the shoulder: is more common than posterior dislocation of the shoulder

20. Risk and complications of posterior shoulder dislocation may be damage to: axillary nerve, posterior cord of brachial plexus, the median nerve, musculocutaneus nerve and axillary artery.

21. First line of dislocated shoulder is in this following order: rest, reduction, move and in some situation surgery.

22. In dislocation of the elbow injury to the brachial artery is uncommon.

23. The treatment of choice is usually conservative treatment in a plaster (10dgr flexion or plaster with hinge. With limited motion for:

24. To test for shoulder stability, a test that could be used is the aply´s grinding test

25. 1.The most common form of elbow dislocation displacement is:

26. When there is damage to the joint capsule there are several surgical solution that can be performed: shortening and tightening of the capsule is a description of the:

27. Garden´s classification describes the severity acetabular fracture

28. 1.To classify AC-joint dislocation most used is "tossy" grade, grade 2 involves

29. 1.There are several causal factors for patella dislocation: are all of these mentioned below correct?Low lateral condyleWeak medial retinaculumWeak vastus lateralisExtreme Q-angleSudden severe quadriceps contraction

30. In elderly to avoid stiffness, pendulum exercises should be started after week: internal rotation should be avoided.

31. Injury mechanism for hip dislocation is: any type of direct force to the hip.

32. For undisplaced dislocation of the elbow: The patient will have on the cast for

33. Posterior dislocation of the hip, there is a 10% chance of avasclular necrosisStatement: Delayed reduction for more than 2-3 hours will increase this number up to 40 %.

29. 1.There are several causal factors for patella dislocation: are all of these mentioned below correct?
Low lateral condyle
Weak medial retinaculum
Weak vastus lateralis
Extreme Q-angle
Sudden severe quadriceps contraction