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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
A 9-year-old girl trips and falls onto an outstretched hand and sustains a radial neck fracture. Closed reduction with adequate sedation under mini-C arm guidance is performed in the emergency room. Radiographs following this attempt are shown in Figures A and B. Residual angulation is 62°. What is the next best step in treatment?
Early range of motion
Percutaneous reduction with pin fixation as needed
Immobilize in 90º of elbow flexion and neutral forearm rotation
Open reduction and plate fixation
Open reduction and epiphysiodesis
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A 10-year-old boy sustains an injury to his dominant elbow and presents with the injury shown in Figures A and B. What is the next best step in management?
Immobilization in full pronation
Closed reduction and percutaneous pinning
Open reduction and internal fixation
A 12-year-old boy falls 8 feet from a tree limb and lands on his outstretched hand. He complains of elbow pain and a displaced radial neck fracture is noted on radiographs. Closed reduction is performed under sedation in the ER. A post-reduction radiograph is provided in Figure A. Which of the following actions should be taken?
Immobilization in a sling until pain subsides
Immobilization in a long arm cast for 6 weeks to allow for callus formation and subsequent bony remodeling
CT scan to further evaluate the fracture and physis
Further reduction and percutaneous fixation in the operating room with elastic stable intramedullary nailing (ESIN)
A 10-year-old female falls from the swing and lands on her left arm. She complains of left elbow pain. On physical exam she has pain exacerbated by motion, especially supination and pronation. She is neurovascularly intact. A radiograph is provided in Figure A. Which of the following is the most appropriate first step in management?
Short arm cast without reduction
Long arm cast without reduction
Attempt closed reduction
K-wire percutaneous reduction in the operating room
Open reduction with a lateral approach
A 6-year-old boy has right elbow pain after falling onto an outstretched hand eight hours ago. Radiographs are shown in Figure A. Overnight, he develops increasing pain and swelling in his right forearm. What associated condition is most likely developing in this scenario?
Extensor pollicis longus rupture
Posterior interosseous nerve neurapraxia
Forearm compartment syndrome
Common extensor origin avulsion
Medial collateral ligament rupture