Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Orthopaedic Surgery


Answer 4
  1. Rotator cuff strengthening exercises. This patient has multidirectional instability and atraumatic instability. She needs aggressive rehabilitation for at least 3 to 6 months before ever considering surgical intervention. Rotator cuff strengthening is the mainstay of physical therapy efforts. Thermal capsulorrhaphy has recently been shown to have a high risk of recurrent instability in this population.2 These patients rarely have a Bankart tear. Ultrasonography and other imaging modalities play a very limited role in patients with multidirectional instability.

    REFERENCE
    2. Sperling JW, Anderson K, McCarty EC, Warren RF. Complications of thermal capsulorrhaphy. Instr Course Lect 2001;50:37-41.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj