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A 38-year-old concert violinist presents after falling onto a pronated, outstretched hand this morning. She complains of lateral elbow pain. Examination reveals lateral elbow tenderness, and an 80 degree arc of flexion-extension and 60 degree arc of prono-supination, with extremes of motion limited by pain. There is no bony block to motion. Radiographs of her injury are seen in Figures A through D. The most appropriate treatment plan that would allow her to return to her occupation would be
Sling immobilization for 2 days, followed by active mobilization.
Long-arm cast immobilization for 1 week, followed by active mobilization.
Long-arm cast immobilization for 1 week, followed by passive mobilization.
Long-arm cast immobilization for 2 weeks
Open reduction and internal fixation
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Figure A shows intraoperative radiographs of a 45-year-old patient with a left elbow injury. What would be the next most appropriate step in this patients care?
Early range of motion
Hinged elbow brace for 4 weeks
Repair lateral collateral ligament
Remove and upsize implant
Remove and downsize implant
A 30-year-old female falls onto her outstretched arm and sustains the injury shown in Figures A and B. After intra-articular lidocaine injection, her elbow range of motion is 30°-95° extension/flexion, 45° supination, 65° pronation. There is no wrist tenderness and the radius pull test is symmetric to the contralateral forearm. What is the most appropriate treatment?
Fragment excision via the extensor carpi ulnaris / anconeus approach
Internal fixation with headless compression screws via the brachialis / pronator teres approach
Internal fixation with a periarticular plate via the extensor carpi ulnaris / anconeus approach
Radial head arthroplasty via the brachialis / pronator teres approach
Sling and early elbow range of motion
A 51-year-old right-hand-dominant male fell onto his left arm and sustained the isolated injury shown in Figures A and B approximately 6 months prior to presentation. Examination of the wrist is notable for a stable DRUJ and no tenderness. The elbow shows no ligamentous laxity, and the patient reports isolated elbow pain during attempted pronation/supination Current radiographs reveal a malunited radial head fracture. Treatment should now consist of?
Radial head resection
Radial head replacement
ORIF of the malunited fracture
Total elbow replacement
A 51-year-old female sustained a comminuted radial head fracture with 4 fragments and an associated elbow dislocation. She was initially closed reduced and splinted with the elbow joint in a reduced position and presents to the orthopedists office 10 days later. In response to the patient's question of what treatment offers the best chance for a good outcome, the surgeon should recommend?
Excision of the radial head
ORIF of the radial head
Continued splinting, no surgery
Radial head arthroplasty
Hinged external fixation
When performing a Kocher approach to the radial head for open reduction internal fixation the forearm is held in pronation. What structure is this maneuver attempting to protect?
anterior interosseous nerve
posterior interosseous nerve