Orthonotes
Orthonotes
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Supraspinatus — Anatomy & Clinical Tests

Origin: supraspinous fossa; insertion: superior facet of greater tuberosity; innervation: suprascapular nerve (C5–6). Action: initiates abduction, contributes to humeral head depression and centering. Blood supply: suprascapular artery; critical zone of hypovascularity near tendon insertion (degeneration site). Impingement & tears: subacromial impingement (Neer), degenerative & traumatic tears; clinical tests for integrity. Tests: Jobe (empty can), full can, drop‑arm, external rotation lag (for supra±infra involvement). Imaging: AP, outlet view, MRI for tendon quality/tear, US dynamic assessment. Management: physio (scapular stabilization), injections, arthroscopic repair indications based on symptoms/tear size.

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Origin: supraspinous fossa; insertion: superior facet of greater tuberosity; innervation: suprascapular nerve (C5–6). Action: initiates abduction, contributes to humeral head depression and centering. Blood supply: suprascapular artery; critical zone of hypovascularity near tendon insertion (degeneration site). Impingement & tears: subacromial impingement (Neer), degenerative & traumatic tears; clinical tests for integrity. Tests: Jobe (empty can), full can, drop‑arm, external rotation lag (for supra±infra involvement). Imaging: AP, outlet view, MRI for tendon quality/tear, US dynamic assessment. Management: physio (scapular stabilization), injections, arthroscopic repair indications based on symptoms/tear size.
MCQs

High-yield practice questions

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Question 1

Which structure forms the superior boundary of the subacromial space?

Question 2

What is the primary action of the supraspinatus muscle?

Question 3

Which clinical test is specifically designed to assess the integrity of the supraspinatus tendon?

Question 4

The suprascapular nerve innervates which of the following muscles?

Question 5

Which of the following is a common site of entrapment for the suprascapular nerve?

Question 6

What is the critical zone of the supraspinatus tendon?

Question 7

Which imaging modality is the best for assessing the quality of the supraspinatus tendon?

Question 8

What does the full can test primarily assess?

Question 9

Which type of acromion has the highest risk of impingement on the supraspinatus tendon?

Question 10

In managing a supraspinatus tear, which treatment is indicated for symptomatic tears based on size?