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Images
  • summary
  • Epidemiology
  • Etiology
  • Anatomy
  • Classification
  • Presentation
  • Imaging
  • Treatment
    • Nonoperative
      • closed reduction and immobilization with early motion 
        • indications
          • acute simple stable dislocations
          • recurrent instability after simple dislocations is rare (<1-2% of dislocations)
      • techniques
        • splint in at least 90° of flexion for 5-10 days
        • begin early supervised physical therapy
    • Operative
      • open reduction internal fixation (ORIF) with ligament repair
        • indications
          • closed reduction cannot be performed
            • often due to entrapped soft tissue or osteochondral fragments
          • persistent instability after reduction
          • acute complex elbow dislocations
            • presence of coronoid, radial head, olecranon fractures
        • technique
          • ORIF of coronoid, radial head, olecranon fracture if present
          • ligament repair
            • perform LCL repair +/- MCL repair depending on intraoperative stability
          • postoperative
            • elbow requires >50-60° to maintain reduction
      • open reduction, capsular release, and dynamic hinged elbow fixator
        • indications
          • chronic dislocations
        • postoperative
          • hinged external fixator indicated in chronic dislocation to protect the reconstruction and allow early range of motion
  • Technique
  • Complications
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Question
1 of 18
In scope icon L 2
QID 219576 (Type "219576" in App Search)
A 29-year-old female presents to the clinic as a referral from your partner for evaluation of a painful right wrist mass, which has been slowly enlarging over the past six months. Imaging obtained prior to the visit is shown in Figures A-D. A biopsy is obtained and an abundance of mononuclear cells overexpressing receptor activator of nuclear factor kappa beta ligand (RANKL) are observed. What is the most likely diagnosis?
  • A
  • B
  • C
  • D

aneurysmal bone cyst

2%

19/884

chondroblastoma

4%

31/884

giant cell tumor of bone

85%

755/884

intramedullary osteosarcoma

7%

62/884

unicameral bone cyst

1%

9/884

  • A
  • B
  • C
  • D

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Trauma⎜Elbow Dislocations (ft. Dr. Mark S. Cohen)
  • Trauma
  • - Elbow Dislocation
31:52 min
12/3/2019
621 plays
5.0
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(2)
Trauma⎪Elbow Dislocation
  • Trauma
  • - Elbow Dislocation
17:5 min
12/11/2019
710 plays
4.0
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(4)
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