Inflammatory, degenerative and infective conditions of the shoulder girdle

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QUESTION 1 OF 2

A 60-year-old fit and healthy lady presents with severe shoulder pain. X-ray reveals severe bipolar glenohumeral joint osteoarthritis. There is less than 10° of glenoid retroversion and the rotator cuff, though degenerate, is structurally intact.
The most appropriate intervention is:

QUESTION ID: 1070

1. A. Anatomic total shoulder replacement
2. B. Gleno humeral joint steroid injection
3. C. Reverse polarity total shoulder replacement
4. D. Stemmed hemiarthroplasty
5. E. Surface replacement hemiarthroplasty
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QUESTION 2 OF 2

36.A 50-year-old woman presents with a three-week history of severe shoulder pain.  Radiographs show a large calcific area under the acromion. Range of movement is very limited because of the pain.
What will be the most appropriate initial management?

QUESTION ID: 3197

1. Arthroscopic subacromial decompression
2. Extracorporeal shock wave therapy
3. Immediate open excision
4. Injection of steroid plus physiotherapy
5. Platelet rich plasma injection
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