Each type further divided by degree and location of fracture comminution
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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
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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
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HPI - Patient brought to trauma bay with isolated injury
How would you position the patient?
HPI - 44yo female falls from 6 feet.
In addition to the AP and Lateral radiographs above, what additional imaging studies would you do?
HPI - LEFT arm wresting injury
What is the most common site of humeral shaft fracture in an arm wresting injury?