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Question 1: A 30-year-old right-hand-dominant man presents to the emergency room following a traumatic dislocation that was self-reduced during a mosh pit at a concert. Physical exam reveals an intact axillary nerve with intact neurovascular status distally. Prior to presenting to your office, he dislocates two more times. Select MRI slices are seen below. What is the next step in management?

  1. Shoulder immobilizer and serial radiographs

  2. Arthroscopic rotator cuff repair

  3. Arthroscopic Bankart repair

  4. Biceps tenodesis

Reference: Porcellini G, Paladini P, Campi F, Paganelli M. Long-term outcome of acute versus chronic bony Bankart lesions managed arthroscopically. Am J Sports Med. 2007 Dec;35(12):2067-72. Epub 2007 Oct 31. PubMed PMID: 17978001.Lynch JR, Clinton JM, Dewing CB, Warme WJ, Matsen FA 3rd. Treatment of osseous defects associated with anterior shoulder instability. J Shoulder Elbow Surg. 2009;18(2):317-28.

Question 2: A 27 year old chef presents to the emergency room after sustaining a laceration while at work. On exam, she is unable to bend his index finger at the proximal or distal interphalangeal joints. Radiographic images are shown below. She is diagnosed with a zone 2 laceration of the flexor digitorum superficialis and profundus tendons to the index finger. Sheathed tendons, such as the flexor tendons of the hand, receive their blood supply from which of the following:

  1. Synovial fluid

  2. Vincula

  3. Paratenon

  4. Directly from the digital arteries

Reference: Benjamin M, Kaiser E, Milz S. Structure-function relationships in tendons: a review. J Anat. 2008; 212(3): 211–228.Reuther KE, Gray CF, Soslowsky LJ. Form and function of tendon and ligament. In: O’Keefe RJ, Jacobs JJ, Chu CR, Einhorn TA, eds. Orthopaedic Basic Science: Foundations of Clinical Practice. 4th ed. Rosemont, IL:American Academy of Orthopaedic Surgeons;2013:213-229.

Orthopedic Surgery MOC Question Bank

Pass the Orthopedic Surgery Recertification exam with more than 500 board-style questions including detailed explanations and evidence-based rationales. Content is targeted to both the American Board of Orthopaedic Surgery (ABOS) General Recertification Exam and the American Osteopathic Board of Orthopedic Surgery (AOBOS) Osteopathic Continuous Certification (OCC) Exam.


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