American Shoulder and Elbow Surgeons
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A 26-year-old male sustains a fall from a ladder onto his outstretched right hand. He is evaluated in the emergency room and is found to have a closed injury to his elbow without evidence of neurovascular compromise. Plain radiographs are obtained and are shown in Figures A and B. During surgery a sequential approach is used to treat each element of this injury. Which part of the procedure is felt to add the most to rotatory stability?
Radial head replacement
Radial head ORIF
Lateral collateral ligament complex repair or reconstruction
Medial collateral ligament complex reconstruction
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At the elbow, the anterior bundle of the medial collateral ligament inserts at which site?
3mm distal to the tip of the coronoid
Anteromedial process of the coronoid
Medial border of the olecranon fossa
Radial side of ulna at origin of annular ligament
A 35-year-old woman presents with an elbow injury which includes a coronoid fracture involving more than 50%, a comminuted radial head fracture, and an elbow dislocation. What is the most appropriate treatment?
closed reduction and early range of motion
radial head resection and lateral collateral ligament reconstruction
radial head resection and coronoid open reduction internal fixation
radial head arthroplasty and coronoid open reduction internal fixation
radial head arthroplasty, coronoid open reduction internal fixation, and lateral collateral ligament repair
You are planning operative treatment of the injury shown in figure A. If the MCL is intact, in what position should the elbow and forearm be splinted at the end of the case?
extension and pronation
extension and supination
extension and neutral rotation
flexion and pronation
flexion and supination
A 62-year-old man slips on ice and sustains an elbow dislocation. Post-reduction imaging reveals a highly comminuted radial head fracture and coronoid fracture through its base. What is the most appropriate treatment?
Early passive range-of-motion in a hinged elbow brace
Application of a static spanning external fixator for 6 weeks
Radial head excision, coronoid excision, and repair of the lateral ulnar collateral ligament and medial collateral as needed
Radial head excision, open reduction internal fixation of the coronoid, and repair of the lateral ulnar collateral ligament and medial collateral as needed
Radial head replacement, open reduction internal fixation of the coronoid, and repair of the lateral ulnar collateral ligament and medial collateral as needed
Title: Terrible Triad - Tricks for dealing with the unstable elbow Authors: Mark...
Title: Terrible Triad Author: Jeffrey D. Stone, MD Duration: 21:50