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PRESENTATION
5
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POLLS
8,701
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OUTCOMES
6
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VIDEOS
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EVIDENCE
32
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Comments
33
CASE DESCRIPTION
AGE 39 / Male
CC Right elbow pain
HPI A 39-year-old male fell on ice and presents with right elbow pain. The patient was seen at an outside hospital and transferred for further evaluation of a closed head injury sustained in the fall. The patient states that he has isolated right elbow pain and denies any pain in any other extremity.
PMH No significant past medical history
PE A focused physical exam reveals no open wounds. There is no pain with range of motion of the shoulder and wrist. There is swelling and tenderness to palpation over the right elbow with pain throughout range of motion. The elbow is stable from 130 degrees of flexion to full extension. There is no apparent block to motion. The patient is neurovascularly intact.
Pre-procedure IMAGES:
https://upload.orthobullets.com/cases/102012/0db899e0-51d8-4882-82c6-f76cf4ae5f18_screenshot_2022-03-01_144739.jpg https://upload.orthobullets.com/cases/102012/26d3012c-7d44-4f34-aa8f-c52a584c6db4_screenshot_2022-03-01_144751.jpg https://upload.orthobullets.com/cases/102012/8d1209f3-fe25-47c5-8c6d-355578d9d71f_screen_shot_2022-03-31_at_5.31.53_pm.jpg https://upload.orthobullets.com/cases/102012/37fdc3e7-ca17-43d5-8348-f7a28e86f4b7_screen_shot_2022-03-31_at_5.32.09_pm.jpg https://upload.orthobullets.com/cases/102012/614d362f-497a-45ee-83e8-dc70ce38a1af_screen_shot_2022-03-31_at_5.32.25_pm.jpg
POLLS
OB Community
1) In addition to plain radiographs, would you obtain any further imaging to guide your treatment?
Other
2) Would you use a classification system to guide management?
Other
3) How would you definitively manage this patient?
Other
4) If you choose Operative management, considering the patient presented to the ER at 2 PM on a weekday on the day of injury, what would be your time frame to take him to surgery and where would you do it?
Other
5) If you choose Operative management, how would you test for lateral collateral ligament (LCL) injury?
Other
6) If you choose Operative treatment, what surgery would you perform?
Other
7) If you choose ORIF, what approach would you use?
Other
8) If you choose ORIF, what technique would you utilize?
Other
9) If you choose Radial Head Arthroplasty, what type of prosthesis would you use?
Other
10) If you choose Operative management and attained the construct shown below, when would you allow full active motion of the elbow?
Other
11) If you choose Operative management and attained the construct shown, when would you allow weight-bearing post-operatively?
Other
CASE OUTCOMES
PROCEDURE 1: Radial head open reduction and internal fixation
DOP: 2/23/2022
Intra-procedure P1
https://upload.orthobullets.com/cases/102012/c5c0201c-3480-44c3-abc5-e73ada9e4030_screenshot_2022-03-01_144030.jpg https://upload.orthobullets.com/cases/102012/55adb200-8f0d-45e1-a01f-b02931f235d5_screenshot_2022-03-01_144201.jpg https://upload.orthobullets.com/cases/102012/5ea6daf8-0c5a-4432-bbf0-145464a718ca_screenshot_2022-03-01_144233.jpg https://upload.orthobullets.com/cases/102012/7ddd1781-6b1f-473b-8144-09afc1bb6c1c_screenshot_2022-03-29_081645.jpg
Post-procedure P1
https://upload.orthobullets.com/cases/102012/2ddef619-20d2-4e64-9945-fff913c27775_screen_shot_2022-03-01_at_8.34.59_pm.jpg https://upload.orthobullets.com/cases/102012/e35f035a-047c-4397-b9bb-a783c8a0a951_screen_shot_2022-03-01_at_8.34.51_pm.jpg
VIDEOS & PODCASTS (5)
EVIDENCE (32)
EXPERT COMMENTS