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PT 761: anatomic total shoulder arthroplasty (aTSA) questions with verified solutions
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PT 761: anatomic total shoulder arthroplasty (aTSA) questions with verified solutions
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PT 761: anatomic totalshoulder arthroplasty (aTSA)
questions with verified
solutions 2024-2025
"normal" shoulder function requires - answer -motion (smooth)
-stability (provided by soft tissue)
-strength
characteristics of shoulder arthritis - answer -pain
-decreased ROM
-crepitus and/or catching/locking
shoulder arthritis - etiology - answer -osteoarthritis (leading cause of TSA)
-post-traumatic/ instability-related
-avascular necrosis
-rheumatoid arthritis (much less now than before)
-RCT arthropathy
osteoarthritis - answer bone
-cartilage loss
-osteophyte formation
soft tissue
-intact RC
-capsular contracture
, patient evaluation - history - answer patients typically report
-pain
--> worse with activity and at night
--> "achy" at rest
-functional loss/ limited ROM
need to inquire about prior treatment
-medications/injections
-therapy
-surgery
patient evaluation - examination - answer inspection
-scar indicative of prior surgery
-muscle atrophy
-kyphosis, scoliosis, scapular malposition
-evidence of inflammatory arthropathy, skin compromise, or infection
ROM
-active and passive
-crepitus
strength
-RC function (limited ROM often inhibits subscapular evaluation)
patient evaluation - radiology - answer xrays
CT scan
-glenoid (and humeral) geometry
-humeral head subluxation
-RC musculature
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