Each type further divided by degree and location of fracture comminution
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A 27-year-old male motorcyclist suffers a crash sustaining an isolated right distal humerus fracture. He was treated non-operatively. Ten months later, he returns complaining of limited range of motion and continued pain. Physical examination reveals range of motion of 30-90 degrees on the right and 0-130 degrees on the left. Imaging of his elbow is shown in Figure A and B. What is the most appropriate treatment to improve flexion?
Heterotopic ossification excision with release of the posterior band of the ulnar collateral ligament
Heterotopic ossification excision with release of the anterior band of the ulnar collateral ligament
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A 33-year-old male sustains a distal humerus fracture and is treated with open reduction and internal fixation of the distal humerus with olecranon osteotomy. A postoperative radiograph is shown in Figure A. A new deficit of the anterior interosseous nerve is now noted in the recovery room. What physical exam finding would be expected with this nerve injury?
Inability to flex radiocarpal joint
Loss of sensation over palmar aspect of thumb
Loss of sensation over dorsal hand first webspace
Inability to abduct index finger
Inability to flex thumb interphalangeal joint
An 85-year-old woman falls and injures her elbow in her non-dominant arm. Radiographs are shown in Figure A and B. She also suffers from severe osteoporosis, lives independently, and is a low-level community ambulator. Which of the following is the most appropriate treatment?
Hinged elbow brace
Olecranon osteotomy, articular ORIF, locked lateral plating
Triceps-splitting approach with double plate fixation
Total elbow arthroplasty
Casting for 4 weeks then ROM
Which of the following patients is most appropriately treated with a total elbow arthroplasty?
42-year-old laborer with an open T-type supracondylar distal humerus fracture
90-year-old male with a comminuted transolecranon fracture-dislocation of the elbow
66-year old female with a coronal shear fracture of the distal humerus
50-year-old male with a nonunion of a supracondylar humerus fracture
86-year-old female with a comminuted bicolumnar distal humerus fracture
What is the most common complication of the fracture seen in figure A, if operatively treated as seen in figure B?
Decreased elbow range of motion
Wound healing complications
Iatrogenic ulnar nerve injury
Inadvertent intra-articular hardware penetration
Nonunion of the distal humerus fracture