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An 8-year-old boy sustains the injury demonstrated in Figure A. It is a closed, isolated injury. After closed reduction and casting, post-reduction imaging demonstrates anatomic reduction. X-rays at 1 week follow-up demonstrate some loss of reduction, now with approximately 12 degrees of dorsal angulation. With continued observation and maintenance of this alignment, long term outcome is most likely to include:
Decreased elbow flexion.
No additional sequelae.
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A 9-year-old boy fell on his outstretched right hand. He has a closed injury and is neurovascularly intact. Injury films are shown in Figures A and B. The patient undergoes an anatomic closed reduction in the emergency department. What would the expected outcome be if this patient were treated in a short arm cast compared to long arm cast?
High rate of post-reduction swelling
More likely to interfere with daily activities
Increased pain medication requirements
More likely to require re-manipulation
No difference in outcomes
A 12-year old boy fell sustaining a both bone forearm fracture. Which of the following is true regarding the radiographic assessment of anatomic forearm alignment after reduction?
The ulnar styloid and coronoid process are best seen on the AP radiograph
On the lateral radiograph the radial styloid and biceps tuberosity are oriented 90 degrees apart
On the AP radiograph, the ulnar styloid and the coronoid process are oriented 180 degrees apart
On the AP radiograph, the radial styloid and biceps tuberosity are oriented 180 degrees apart
On the AP radiograph the radial styloid and biceps tuberosity are oriented 90 degrees apart
A 10-year-old boy falls off his bicycle sustaining the injury seen in Figures A and B. After initial unsuccessful closed reduction, he undergoes operative fixation. When comparing ORIF with a plate to a percutaneous technique using intramedullary nails (IMN), which of the following is true?
Non-union rates are significantly higher in the IMN group
Blood loss is higher in the IMN group
Restoration of radial bow is similar in both groups
Surgical time is greater in the IMN group
Forearm rotation is greater in the ORIF group