American Shoulder and Elbow Surgeons
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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
A 38-year-old concert violinist presents after falling onto a pronated, outstretched hand this morning. She complains of lateral elbow pain. Examination reveals lateral elbow tenderness, and an 80 degree arc of flexion-extension and 60 degree arc of prono-supination, with extremes of motion limited by pain. There is no bony block to motion. Radiographs of her injury are seen in Figures A through D. The most appropriate treatment plan that would allow her to return to her occupation would be
Sling immobilization for 2 days, followed by active mobilization.
Long-arm cast immobilization for 1 week, followed by active mobilization.
Long-arm cast immobilization for 1 week, followed by passive mobilization.
Long-arm cast immobilization for 2 weeks
Open reduction and internal fixation
Select Answer to see Preferred Response
A 51-year-old right-hand-dominant male fell onto his left arm and sustained the isolated injury shown in Figures A and B approximately 6 months prior to presentation. Examination of the wrist is notable for a stable DRUJ and no tenderness. The elbow shows no ligamentous laxity, and the patient reports isolated elbow pain during attempted pronation/supination Current radiographs reveal a malunited radial head fracture. Treatment should now consist of?
Radial head resection
Radial head replacement
ORIF of the malunited fracture
Total elbow replacement
A 51-year-old female sustained a comminuted radial head fracture with 4 fragments and an associated elbow dislocation. She was initially closed reduced and splinted with the elbow joint in a reduced position and presents to the orthopedists office 10 days later. In response to the patient's question of what treatment offers the best chance for a good outcome, the surgeon should recommend?
Excision of the radial head
ORIF of the radial head
Continued splinting, no surgery
Radial head arthroplasty
Hinged external fixation
When performing a Kocher approach to the radial head for open reduction internal fixation the forearm is held in pronation. What structure is this maneuver attempting to protect?
anterior interosseous nerve
posterior interosseous nerve
Title: Radial Head Replacement: When and How? Presenter: Mark Baratz, MdColumbia...
Title: Case Controversies, Radial Head and Instability Author: Jorge L. Orbay, M...
ORIF of Radial Head Fracture with Kocher approach, scews, Bio-suture Tak anchor,...
HPI - patient had a fall 3 weeks back had an elbow dislocation with radial head farcture(coronoid also)treated closed reduction and slab. seen by me after 3 weeks with no pronation supination.flexion extension range 30 to 100 degrees.engineer by profession
radial head orif or excision
HPI - Fall at home. Injury to left elbow.(non dominant arm)
Operative vs. conservative treatment?
HPI - History of fall from a 5 feet height at 9 years of age.? supracondylar ? radial head fracture(third world) No radiographs available,pre or post op. Had some form of fixation with k wires.C/O cubitus valgus deformity of non dominent side,
What would you recommend at this stage?