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ConMed Training Guide (190 Questions and
Answers)
An excision of the distal clavicle is called a: - Correct answer Mumford There is a little bit of bone spurring on the acromion so the surgeon performs a: - Correct answer Subacromial Decompression The "bursal" space could also be another name for: - Correct answer subacromial space The humeral head should look like a cue ball. If it has potholes or erosion of the cartilage the patient most likely has - Correct answer Osteoarthritis Tearing of the labrum near the biceps tendon is considered a: - Correct answer SLAP tear The ________ of the biceps inserts onto the ______. - Correct answer Long head, superior labrum A suprapec tenodesis would attach the tendon proximal to the: - Correct answer pectoralis major What procedure can help with a Hills Sachs lesion? - Correct answer Remplissage The shoulder is the most dislocated joint in the body. The Scapula had ____ muscles attached to it. 17 - Correct answer True The coracoid and acromion are part of what bone? - Correct answer Scapula The Scapula had ____ muscles attached to it. - Correct answer 17 The 3 bones of the shoulder are: - Correct answer clavicle, humerus, scapula
The 2 joints of the shoulder are the: - Correct answer acromioclavicular & glenohumeral The ______ is the only RC muscle that lies on the anterior portion of the body. - Correct answer Subscapularis The glenohumeral joint is far more likely to be injured than the acromioclavicular joint. - Correct answer True The ______ & scapula articulate to create the ______. - Correct answer Humerus; glenohumeral The ____ of the biceps inserts onto the ____. - Correct answer Long head & superior labrum Tearing of the labrum near the biceps is considered a: SLAP tear - Correct answer SLAP tear The suture passer used for the labrum is the: - Correct answer Spectrum II tighten up loosen tissue or stretched tissue - Correct answer Plication stitches: to keep the sutures from tangling & suture maintenance - Correct answer Suture savers are used: help with healing by utilizing bone marrow - Correct answer Bone vents are created to: A PEEK implant is commonly referred to as a: - Correct answer plastic The rotator cuff tendon heals back better to tissue remnant than it does to direct bone contact. - Correct answer False resecting of the clavicle - Correct answer A mumford procedure is: The surgeon passes sutures as far medial and as close as possible to the musculotendinous junction where tissue is better to reduce the chance: - Correct answer of suture pulling through the tissue
The coronal plane is looking from the: - Correct answer front An MRI is a 3D picture that slices through the shoulder in these 3 planes: - Correct answer sagittal, axial, coronal What primary structures can be seen while scoping the GH joint space? - Correct answer Glenoid & humeral head, labrum, long head of the bicep tendon, glenohumeral ligament, subscapularis The long head of the bicep attaches: - Correct answer on the 12: (superior) position of the labrum Where does the short head of the biceps attach proximally? - Correct answer coracoid process What structures can be seen while scoping the subacromial joint space? - Correct answer AC joint, superior of rotator cuff, acromion, top side of the supraspinatus Vertical supraspinatus tear: - Correct answer use a margin conversion stitch (side to side) What "safe" triangular area is the surgeon looking for in the anterior portal of GH joint? - Correct answer Rotator cuff interval When starting an arthroscopy the surgeon will typically enter the camera at the: - Correct answer glenohumeral joint posteriorly A _____ tenodesis would attach the tendon proximal to the pec major. - Correct answer Suprapec What is the deployed size of the y-knot RC? - Correct answer 5 mm CrossFT DT knotless are offered in what sizes? - Correct answer 4 mm, 4.75 mm, 5.5 mm, 6.5 mm What does ARC stand for? - Correct answer Adjustable retractor cannula
What is the fixation mechanism of the Y-knot flex & RC anchors called? - Correct answer 360 degree formfit fixation The Y-knot RC is constructed of suture woven through a piece of _____ mm wide polyethylene flat braided suture. - Correct answer 4 mm Both 5 mm & 6 mm tenolok come with the option of having a suture loop? - Correct answer True The spectrum autopass uses a disposable needle? - Correct answer True The crossFT anchors are offered in PEEK, biocomposite, & metal? - Correct answer False What procedure is the perc kit used for? - Correct answer PASTA Tears ( partial, articular surface, supraspinatus tendon avulsion) Conmed offers a percutaneous kit for y-knot rc implants? - Correct answer False 1.8 mm low profile suture passer enables the surgeon to pass & retrieve suture through a single device: - Correct answer Spectrum MVP Which shoulder anchors are biocomposite (Genesys)? - Correct answer pressFT, crossFT, CrossFT knotless/cufflink What is Micro TCP? - Correct answer It's b-TCP that has been filtered down to a micro form that allows it to be evenly distributed with PLA What is conmeds biocomposite material comprised of? - Correct answer 77% PLA, 23% micro TCP The argo implant can accommodate: - Correct answer 6 #2 sutures or 2 strands of tape The argo implant retention suture is a: - Correct answer 1 mm hifi ribbon The minimum insertion depth of the y-knot rc anchor is: - Correct answer 23 mm
Argo knotless is offered in what sizes? - Correct answer 4.75 & 5. After anchor insertion, the argo knotless anchor handle allows you to easily: - Correct answer disengage the driver from the anchor without back malleting KEY MUSCLES OF ROTATOR CUFF & SHOULDER REGION: - Correct answer Infraspinatus, Teres, Supraspinatus, Subscapularis, Teres Major, and Biceps brachii part of the rotator cuff- larger muscle that runs from scapula to the greater tuberosity, main functions are external rotation & extension - Correct answer Infraspinatus part of RC, inferior to infraspinatus & runs from scapula to both the greater tuberosity & humerus; this muscle assists with external rotation & adduction of the arms - Correct answer Teres Minor part of the rotator cuff, smaller muscle on the superior side the runs from scapula to the greater tuberosity & assists in abduction of the arm - Correct answer Supraspinatus part of the RC, largest & strongest & is anterior to the others; mainly focuses on internal rotation, adduction, & plays a major role in the stabilization of the shoulder - Correct answer Subscapularis: not in RC, still plays an important role in movement & stabilization of upper extremity - Correct answer Teres Major consists of 2 heads- short originates at the coracoid process & is responsible for adduction while the long head originates at the glenoid tubercle & is responsible for abduction & inward rotation- when both heads contract simultaneously it will create flexion like the flex of a arm - Correct answer Biceps brachii: Beach chair has proven to be a better surgical position over lateral decubitus. - Correct answer False The "S" in PASTA stands for... - Correct answer Supraspinatus
- Cut into the skin at the proximal end of the long head of the biceps in the shoulder
- Cut the long head of the biceps from its original insertion site
- A hole is drilled in the humerus to create a new insertion point
- Insert long head of the bicep into insertion site
- Trim off ends of any damaged tissue
- Secure bicep back into humerus using anchor & sutures - Correct answer Steps of a biceps tenodesis:
- Injury or acute that happens suddenly as a result of a fall or overstrain on the rotator cuff (supraspinatus is most likely to get injured)
- Degenerative from age, overuse, or bone spurs - Correct answer 2 main causes of rotator cuff issues & tears: will either be a single row or double row repair. - Correct answer Rotator Cuff Repair one lateral line of anchors & sutures through the RC tendon - Correct answer Single row medial & lateral row of anchors - Correct answer Double row Partial, Articular, Supraspinatus, Tendon Avulsion - (occurs after a pulling or twisting of the arm that causes a partial tear in the RC) - Correct answer PASTA stands for
- Shoulder dislocation or subluxation
- A labral tear caused by a traumatic event - Correct answer Shoulder Instability arises from 1 of 2 major events: a direct result of an anterior dislocation of the humeral head whereby the humerus is compressed against the labrum; these usually occur due to an acute injury such as falling on an outstretched arm (FOOSH) - Correct answer Bankart Lesion: superior labrum anterior to posterior - Correct answer SLAP Tear: Argo Knotless is offered in what sizes? - Correct answer 4.75 mm, 5.5 mm
What can be used to shuttle both tape limbs through the cuff at the same time? - Correct answer HiFi passing loop What anchors can be used for the medial row? - Correct answer 2.8 mm Y-Knot RC, 4.0 mm CrossFT knotless, 4.75 mm CrossFT knotless, 5.5 mm CrossFT knotless Poplok anchors key benefits are: - Correct answer suture locks within the anchor sub-cortical wings provide fixation, tactile & audible "POP" confirms fixation Poplok anchors come in PEEK & biocomposite. - Correct answer FALSE (only PEEK) Both the 3.5 mm & 4.5 mm Poploks can take a maximum of 4 #2 suture limbs. - Correct answer ALSE (only 4.5 mm accepts 4 suture limbs) What size does ConMed offer CrossFT knotless? - Correct answer 4mm, 4.75 mm, 5.5 mm, 6.5 mm The CrossFT knotless implant is ____ mm in length. - Correct answer
The CrossFT knotless 4 mm will accept: - Correct answer 2 suture limbs or 2 limbs of tape The CrossFT knotless 5.5 mm accepts: - Correct answer 6 suture limbs or 2 limbs of tape The CrossFT knotless anchor's telescoping cleat maintains constant suture tension as an achor is inserted? - Correct answer True What is the fixation mechanism called of the Y-Knot anchors? - Correct answer 360 degree Form Fit Fixation The green guide for the Y-Knot Flex is: - Correct answer curved Y-Knot Flex is made from: - Correct answer 3 mm flare braid suture & # HiFi suture
Y-Knot Flex is offered in: - Correct answer 1.3 mm single loaded & 1. mm double loaded PopLok 2.8 mm & 3.3 mm come loaded with #2 & #0 HiFi suture. - Correct answer FALSE (either 2 limbs of #2 HiFi suture or 4 limbs of #0 HiFi suture) 2.8 mm & 3.3 mm PopLock come in PEEK & biocomposite? - Correct answer False (only PEEK) Which type of sutures can you load on 2.8 mm & 3.3 mm PopLok? - Correct answer #0 HiFi & #2 HiFi Tenolok expands both cortical & subcortically for dual fixation. - Correct answer True The recommendation is to ream the tunnel _____ larger than the implant size. - Correct answer 1.5 mm- 2 mm Drill depth for tenolok is: - Correct answer 20 mm Both 5 mm & 6 mm tenolok are offered in a "cleated" version? - Correct answer FALSE (only 6 mm) Tenolok comes in what sizes? - Correct answer 5 mm & 6 mm Surgeons will need to whipstitch the tendon using tenolok? - Correct answer False Surgeons should always bury the laser line when inserting tenolok just like any other shoulder anchor? - Correct answer FALSE (laser line should be flush) Benefits of tenolok: - Correct answer no possible tendon wrap, simple technique & steps Tenolok can be used for both proximal & distal biceps repairs? - Correct answer FALSE (only proximal) Super Revos & threvos come in what size? - Correct answer 5 mm
The correct way to load suture into the autopass is? - Correct answer From left side with short tail down The autopass can fit down a ____ mm cannula? - Correct answer 5. The spectrum autopass uses a disposable needle? - Correct answer True What is true about the spectrum II? - Correct answer 8 disposable hook configurations, 12 reusable hook configurations, utilizes the super shuttle, works with PDS suture The ____ cannula features 2 distal tip threads with a smooth shaft? - Correct answer Hex Flex What is unique about the Dry Doc cannulas? - Correct answer Ribbed design transform into smooth for easy insertion ARC cannulas come in what sizes? 6 mm diameter, 8 mm diameter, 65 mm length, 85 mm length (adjustable retractor cannula) Reps can order sawbones through sawbones.org? - Correct answer False There is a 4 week lead time for ordering sawbones? - Correct answer True What is conmeds biocomposite material composed of? - Correct answer 77% PLA (poly lactic acid), 23 % micro TCP Both the 3.5 mm & 4.5 mm PopLoks can take a max of 4 #2 suture limbs? - Correct answer False (3.5 can only take 2) Tenolok can be used for both proximal or distal bicep repairs? - Correct answer False (only proximal) (what anchors can you recommend for distal biceps? Y-knot, cross FT) What body parts can the assistarm be used for? - Correct answer Shoulder, ankle, & knee (lightweight, universal bed clamp, multispecialty, hydraulic locking mechanism)
Why are crossFT, Threvos, & revos not a good choice for labral repairs? - Correct answer Too large Name the 3 main instability anchors conmed offers? - Correct answer Y- knot, PopLok, PressFT (labrum, glenoid = small) Y.P.P. This low profile 1.8 mm suture passer enables the surgeon to pass & retrieve suture through a single device? - Correct answer Spectrum MVP What hook configurations does the MVP come in? - Correct answer Curve to the right, left, & crescent What anchor do you suggest as a bailout of the Y-Knot RC (deploys to 5 mm) pulls out? - Correct answer 6.5 mm cross FT What suture passers does conmed offer? - Correct answer Autopass, Raven, MVP, spectrum i & ii, seahawk, blitz What is true about the spectrum II? - Correct answer 8 disposable hook configurations, 12 reusable hook configurations, works with PDS (comes from ethicon #2-0 or #1) suture, utilizes super shuttle Disposable hooks: - Correct answer do not get dull & are always sharp Y-knot RC is available with? - Correct answer Tape, ribbon, 2 sutures, ribbon, 3 sutures, needles (needed for open procedures Conmed offers a percutaneous kit for Y-Knot RC implants? - Correct answer False (what procedure is the the perc kit used for? PASTA repair) is there only one size kit? No there are two sizes Y-Knot flex is made from? - Correct answer 3 mm flat braid suture (the body not what it is loaded with) What anchor would you recommend for labral repair if a surgeon wanted to tie knots but didn't like all suture material? - Correct answer PressFT (what if he didnt want to tie knots? Poplok) The minimum insertion depth of the Y-knot RC anchor is? - Correct answer 23 mm (the dark line is the identifying mark)
