ABSTRACT
Shoulder and Elbow Scored and Recorded Self-
Assessment Examination 2025
2025
,Question N1 Nof N100
Figure N1 Nis Nthe Nradiograph Nof Na N27-year-old Nman Nwho Nis Ninvolved Nin Na Nmotorcycle
Ncollision Nand Nsustains Na Nright Nfemoral Nand Ntibial Nshaft Nfracture, Nin Naddition Nto Nthe Ninjury
Nshown Nin NFigure N1. NAll Nfractures Nare Nclosed. NIn Naddition Nto Nintramedullary Nnailing Nof Nthe
Ntibia Nand Nfemur, Nappropriate Ntreatment Nand Nweight-bearing Nstatus Nof Nthe Nhumeral Nshaft
Nfracture Nshould Ninclude
Figure N1
A. fracture Nbracing Nwith Nfull Nweight Nbearing.
B. coaptation Nsplinting Nwith Nnon-weight Nbearing.
C. plate Nfixation Nwith Nfull Nweight Nbearing.
D. plate Nfixation Nwith Nnon-weight Nbearing Nfor N4 Nweeks, Nfollowed Nby Nfull Nweight Nbearing.
,Correct NAnswer: NC
• Discussion
Bell Nand Nassociates Nand NTingstad Nand Nassociates Nboth Nshowed Nthat Nimmediate, Nfull Nweight
Nbearing Nthrough Nthe Nupper Nextremity Ncan Nbe Nsafely Nallowed Nfor Na Nhumeral Nshaft Nfracture
Nfixed Nusing Na Nplate Nand Nscrew Nconstruct. NTingstad Nand Nassociates Nshowed Nno Ndifference Nin
Nmalunion Nor Nnonunion Nrate Nfollowing Nnon-weight Nbearing Nor Nfull Nweight Nbearing. NBecause
Nhe Nis Na Npolytrauma Npatient, Nthe Npatient Nwould Nbenefit Nfrom Noperative Nfixation Nof Nhis
Nhumerus Nto Nexpedite Nrecovery Nand Nfacilitate Nmobilization. NA Ncoaptation Nsplint Nand Na
Nfracture Nbrace Nwould Nbe Nappropriate Ntreatment Noptions Nfor Na Nnon-polytrauma Npatient, Nbut
Nin Nneither Ncase Nwould Nfull Nweight Nbearing Ngenerally Nbe Nallowed Nimmediately Nfollowing
Nthe Ninjury.
• Recommended NReadings
Tingstad NEM, NWolinsky NPR, NShyr NY, NJohnson NKD. NEffect Nof Nimmediate Nweightbearing Non
Nplated Nfractures Nof Nthe Nhumeral Nshaft. NJ NTrauma. N2000 NAug;49(2):278-80. NPubMed
Bell NMJ, NBeauchamp NCG, NKellam NJK, NMcMurtry NRY. NThe Nresults Nof Nplating Nhumeral
Nshaft Nfractures Nin Npatients Nwith Nmultiple Ninjuries. NThe NSunnybrook Nexperience. NJ NBone
NJoint NSurg NBr. N1985 NMar;67(2):293-6. NPubMed
Question N2 Nof N100
A N23-year-old Nleft-hand Ndominant Nprofessional Nfootball Nplayer Nsustains Na Nleft Nshoulder Ninjury Nafter
Nbeing Ntackled Nand Nlands Ndirectly Non Nhis Nshoulder N1 Nmonth Nago. NThe Npatient Nwas Ndiagnosed Nwith
Na NRockwood Ntype N2 Nacromioclavicular Nseparation. NFollowing Nphysical Ntherapy, Nhis Nsymptoms Nhave
Nimproved. NHe Nhas Ngood Nscapular Ncontrol Nand Nshoulder Nstrength. NWhat Nphysical Nexamination Ntest
Nwould Nhelp Ndetermine Nthe Ncontribution Nof Nthe Nacromioclavicular Njoint Ninjury Nto Nhis Nresidual
Nsymptoms?
A. O'Brien Ntest
B. Hawkins-Kennedy Ntest
C. Dynamic Nlabral Nshear Ntest N(DLST)
D. Upper Ncut Ntest
Correct NAnswer: NA
• Discussion
The Nclinical Nscenario Ndescribes Nan Nathlete Nwho Nis Nrecovering Nfrom Na Ntype N2
Nacromioclavicular Njoint Nseparation. NThe Ngoal Nof Nthis Nquestion Nis Nto Nstress Nthe Nimportance
Nof Nthe Nphysical Nexamination Nto Nguide Ntreatment Ndecisions, Nas Nwell Nas Nrecovery. NIt Nis
Nimportant Nto Nrecognize Nwhich Nfactors Ncan Naid
, in Ndecision Nmaking Nespecially Nwith Ntype Ntype N2 Nacromioclavicular Njoint Nseparation Ninjuries
Nas Nthe Ndata Nare Nstill Nnot Nclear Nas Nto Nwho Nwould Nbest Nbe Nserved Nwith Nsurgical Nversus
Nnonsurgical
management. NThe Nactive Ncompression Ntest Nas Ndescribed Nby NO’Brien Nand Nassociates Nin N1998
Nwas Nequally Nas Neffective Nat Nassessing Nthe Nacromioclavicular Njoint Nas Nit Nwas Nfor Nassessment
Nof Nthe Nintegrity Nof Nthe Nsuperior Nlabrum. NThe NHawkins-Kennedy Ntest Nhas Ndemonstrated
Nutility Nin Nthe Ndiagnosis Nof Nrotator Ncuff Nimpingement, Nwherein Nthe Ngreater Ntuberosity Ncomes
Ninto Ncontact Nwith Nthe Ncoracoacromial Nligament. NThe NDLST Nhas Nbeen Ndescribed Nfor Nthe
Ndiagnosis Nof Nsuperior Nlabral Nanterior-posterior N(SLAP) Ntears, Nwherein Nthe Npatient Nreports
Npain Nand Na Nclick Nfelt Nwith Nmovement Nof Nthe Nshoulder Nthrough Nan Narc Nof Nabduction Nwith
Nthe Nshoulder Nexternally Nrotated. NThe Nupper Ncut Ntest Nhas Nbeen Ndescribed Nin Nthe Nsetting Nof
Nbiceps Ntendinopathy Nand NSLAP Ntears.
• Recommended NReadings
Simovitch NR, NSanders NB, NOzbaydar NM, NLavery NK, NWarner NJJ. NAcromioclavicular Njoint Ninjuries:
Ndiagnosis Nand Nmanagement. NJ NAm NAcad NOrthop NSurg. N2009 NApr;17(4):207-19. NFull Ntext
O'Brien NSJ, NPagnani NMJ, NFealy NS, NMcGlynn NSR, NWilson NJB. NThe Nactive Ncompression Ntest:
Na Nnew Nand Neffective Ntest Nfor Ndiagnosing Nlabral Ntears Nand Nacromioclavicular Njoint
Nabnormality. NAm NJ NSports NMed. N1998 NSep-Oct;26(5):610-3. NPubMed
Kibler NWB, NSciascia NAD, NMorris NBJ, NDome NDC. NTreatment Nof NSymptomatic
NAcromioclavicular NJoint NInstability Nby Na NDocking NTechnique: NClinical NIndications, NSurgical
NTechnique, Nand NOutcomes. NArthroscopy. N2017 NApr;33(4):696-708.e2. Ndoi:
N10.1016/j.arthro.2016.08.023. NEpub N2016 NNov N17. NPubMed
Question N3 Nof N100
Figure N1 Nis Nthe Nradiograph Nof Na N54-year-old Nman Nwho Nhas Nincreasing Nweakness Nand Nnumbness
Nin Nhis Nlateral Narm. NNo Nprior Nsurgery Nor Ninjury Nis Nreported. NWhat Nis Nthe Nmost Nappropriate Nnext
Ndiagnostic Ntest?
Shoulder and Elbow Scored and Recorded Self-
Assessment Examination 2025
2025
,Question N1 Nof N100
Figure N1 Nis Nthe Nradiograph Nof Na N27-year-old Nman Nwho Nis Ninvolved Nin Na Nmotorcycle
Ncollision Nand Nsustains Na Nright Nfemoral Nand Ntibial Nshaft Nfracture, Nin Naddition Nto Nthe Ninjury
Nshown Nin NFigure N1. NAll Nfractures Nare Nclosed. NIn Naddition Nto Nintramedullary Nnailing Nof Nthe
Ntibia Nand Nfemur, Nappropriate Ntreatment Nand Nweight-bearing Nstatus Nof Nthe Nhumeral Nshaft
Nfracture Nshould Ninclude
Figure N1
A. fracture Nbracing Nwith Nfull Nweight Nbearing.
B. coaptation Nsplinting Nwith Nnon-weight Nbearing.
C. plate Nfixation Nwith Nfull Nweight Nbearing.
D. plate Nfixation Nwith Nnon-weight Nbearing Nfor N4 Nweeks, Nfollowed Nby Nfull Nweight Nbearing.
,Correct NAnswer: NC
• Discussion
Bell Nand Nassociates Nand NTingstad Nand Nassociates Nboth Nshowed Nthat Nimmediate, Nfull Nweight
Nbearing Nthrough Nthe Nupper Nextremity Ncan Nbe Nsafely Nallowed Nfor Na Nhumeral Nshaft Nfracture
Nfixed Nusing Na Nplate Nand Nscrew Nconstruct. NTingstad Nand Nassociates Nshowed Nno Ndifference Nin
Nmalunion Nor Nnonunion Nrate Nfollowing Nnon-weight Nbearing Nor Nfull Nweight Nbearing. NBecause
Nhe Nis Na Npolytrauma Npatient, Nthe Npatient Nwould Nbenefit Nfrom Noperative Nfixation Nof Nhis
Nhumerus Nto Nexpedite Nrecovery Nand Nfacilitate Nmobilization. NA Ncoaptation Nsplint Nand Na
Nfracture Nbrace Nwould Nbe Nappropriate Ntreatment Noptions Nfor Na Nnon-polytrauma Npatient, Nbut
Nin Nneither Ncase Nwould Nfull Nweight Nbearing Ngenerally Nbe Nallowed Nimmediately Nfollowing
Nthe Ninjury.
• Recommended NReadings
Tingstad NEM, NWolinsky NPR, NShyr NY, NJohnson NKD. NEffect Nof Nimmediate Nweightbearing Non
Nplated Nfractures Nof Nthe Nhumeral Nshaft. NJ NTrauma. N2000 NAug;49(2):278-80. NPubMed
Bell NMJ, NBeauchamp NCG, NKellam NJK, NMcMurtry NRY. NThe Nresults Nof Nplating Nhumeral
Nshaft Nfractures Nin Npatients Nwith Nmultiple Ninjuries. NThe NSunnybrook Nexperience. NJ NBone
NJoint NSurg NBr. N1985 NMar;67(2):293-6. NPubMed
Question N2 Nof N100
A N23-year-old Nleft-hand Ndominant Nprofessional Nfootball Nplayer Nsustains Na Nleft Nshoulder Ninjury Nafter
Nbeing Ntackled Nand Nlands Ndirectly Non Nhis Nshoulder N1 Nmonth Nago. NThe Npatient Nwas Ndiagnosed Nwith
Na NRockwood Ntype N2 Nacromioclavicular Nseparation. NFollowing Nphysical Ntherapy, Nhis Nsymptoms Nhave
Nimproved. NHe Nhas Ngood Nscapular Ncontrol Nand Nshoulder Nstrength. NWhat Nphysical Nexamination Ntest
Nwould Nhelp Ndetermine Nthe Ncontribution Nof Nthe Nacromioclavicular Njoint Ninjury Nto Nhis Nresidual
Nsymptoms?
A. O'Brien Ntest
B. Hawkins-Kennedy Ntest
C. Dynamic Nlabral Nshear Ntest N(DLST)
D. Upper Ncut Ntest
Correct NAnswer: NA
• Discussion
The Nclinical Nscenario Ndescribes Nan Nathlete Nwho Nis Nrecovering Nfrom Na Ntype N2
Nacromioclavicular Njoint Nseparation. NThe Ngoal Nof Nthis Nquestion Nis Nto Nstress Nthe Nimportance
Nof Nthe Nphysical Nexamination Nto Nguide Ntreatment Ndecisions, Nas Nwell Nas Nrecovery. NIt Nis
Nimportant Nto Nrecognize Nwhich Nfactors Ncan Naid
, in Ndecision Nmaking Nespecially Nwith Ntype Ntype N2 Nacromioclavicular Njoint Nseparation Ninjuries
Nas Nthe Ndata Nare Nstill Nnot Nclear Nas Nto Nwho Nwould Nbest Nbe Nserved Nwith Nsurgical Nversus
Nnonsurgical
management. NThe Nactive Ncompression Ntest Nas Ndescribed Nby NO’Brien Nand Nassociates Nin N1998
Nwas Nequally Nas Neffective Nat Nassessing Nthe Nacromioclavicular Njoint Nas Nit Nwas Nfor Nassessment
Nof Nthe Nintegrity Nof Nthe Nsuperior Nlabrum. NThe NHawkins-Kennedy Ntest Nhas Ndemonstrated
Nutility Nin Nthe Ndiagnosis Nof Nrotator Ncuff Nimpingement, Nwherein Nthe Ngreater Ntuberosity Ncomes
Ninto Ncontact Nwith Nthe Ncoracoacromial Nligament. NThe NDLST Nhas Nbeen Ndescribed Nfor Nthe
Ndiagnosis Nof Nsuperior Nlabral Nanterior-posterior N(SLAP) Ntears, Nwherein Nthe Npatient Nreports
Npain Nand Na Nclick Nfelt Nwith Nmovement Nof Nthe Nshoulder Nthrough Nan Narc Nof Nabduction Nwith
Nthe Nshoulder Nexternally Nrotated. NThe Nupper Ncut Ntest Nhas Nbeen Ndescribed Nin Nthe Nsetting Nof
Nbiceps Ntendinopathy Nand NSLAP Ntears.
• Recommended NReadings
Simovitch NR, NSanders NB, NOzbaydar NM, NLavery NK, NWarner NJJ. NAcromioclavicular Njoint Ninjuries:
Ndiagnosis Nand Nmanagement. NJ NAm NAcad NOrthop NSurg. N2009 NApr;17(4):207-19. NFull Ntext
O'Brien NSJ, NPagnani NMJ, NFealy NS, NMcGlynn NSR, NWilson NJB. NThe Nactive Ncompression Ntest:
Na Nnew Nand Neffective Ntest Nfor Ndiagnosing Nlabral Ntears Nand Nacromioclavicular Njoint
Nabnormality. NAm NJ NSports NMed. N1998 NSep-Oct;26(5):610-3. NPubMed
Kibler NWB, NSciascia NAD, NMorris NBJ, NDome NDC. NTreatment Nof NSymptomatic
NAcromioclavicular NJoint NInstability Nby Na NDocking NTechnique: NClinical NIndications, NSurgical
NTechnique, Nand NOutcomes. NArthroscopy. N2017 NApr;33(4):696-708.e2. Ndoi:
N10.1016/j.arthro.2016.08.023. NEpub N2016 NNov N17. NPubMed
Question N3 Nof N100
Figure N1 Nis Nthe Nradiograph Nof Na N54-year-old Nman Nwho Nhas Nincreasing Nweakness Nand Nnumbness
Nin Nhis Nlateral Narm. NNo Nprior Nsurgery Nor Ninjury Nis Nreported. NWhat Nis Nthe Nmost Nappropriate Nnext
Ndiagnostic Ntest?
