Shoulder Disorders
A 72-year-old woman presents with progressive right shoulder pain and dysfunction over 5 years. She has significant weakness of elevation and external rotation. Examination reveals marked atrophy of the supraspinatus and infraspinatus, a positive lift-off test (subscapularis weakness), active elevation to only 60 degrees, and crepitus with motion. Radiographs show superior humeral head migration with acromiohumeral interval of 3mm, glenohumeral arthritis, acetabularization of the acromion, and femoralization of the humeral head. Regarding rotator cuff arthropathy (cuff tear arthropathy):
Mark each as TRUE or FALSE
Cuff tear arthropathy (CTA) is a distinct pattern of glenohumeral arthritis secondary to massive, ir...
Radiographic features include superior humeral head migration (acromiohumeral interval less than 7mm...
CTA results from primary osteoarthritis; the rotator cuff is typically intact; humeral head migratio...
Clinical presentation: elderly patients (typically greater than 65 years), variable pain (some have ...
Treatment: conservative management for low-demand patients (activity modification, physiotherapy, in...
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Click T (True) or F (False) for each option