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Distal Humerus Fractures
Posted: Jan 16 2019 #(C101153)
A

Distal Humerus Fracture in 44F

HPI

44yo female falls from 6 feet.

PMH

PE

Closed injury. Neurovascular status is intact.

Poll
1 of 7
1. In addition to the AP and Lateral radiographs above, what additional imaging studies would you do?
Xrays only - No additional imaging needed
3%
58/1599
CT scan
83%
1329/1599
Traction view radiograph
5%
92/1599
MRI
2%
33/1599
CT, Traction View, and MRI
5%
87/1599
2. How would you position the patient?
Supine
21%
321/1526
Prone
21%
333/1526
Lateral
57%
872/1526
3. What approach would you use?
Olecranon osteomy
74%
1076/1450
Triceps sparing
25%
374/1450
4. What plating configuration would you do?
Parallel plating
50%
690/1374
Orthogonal plating
49%
684/1374
5. How would you fix the osteotomy if you performed one?
Tension band
39%
553/1396
Lag screw +/- tension band
31%
437/1396
Plate
23%
333/1396
Would not perform osteotomy
5%
73/1396
6. What do you do with the ulnar nerve?
Soft tissue transposition to protect against the plate?
29%
420/1414
Anterior Subcutaneous transposition
32%
461/1414
Leave in situ
37%
533/1414
7. How do you fix small osteochondral fragments with limited bone stock?
Mini frag screws
33%
205/607
Small threaded K wire
13%
81/607
Bioabsorbable pins
18%
113/607
Compress it bewteen larger fragments
34%
208/607
PROCEDURE #1 DOP: 1/31/2018

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