American Shoulder and Elbow Surgeons
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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
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
Select Answer to see Preferred Response
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
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
This video shows the Kocher approach for an open reduction internal fixation of...
Title: Radial Head Replacement: When and How? Presenter: Mark Baratz, MdColumbia...
Title: Case Controversies, Radial Head and Instability Author: Jorge L. Orbay, M...
HPI - 45 y/o male with elbow pain after a fall.
How would you treat this patient?
HPI - Fall from height (ladder) with immediate onset of pain and limited function
What is your Mason classification of this injury?
HPI - Fall from height. Injury to the rt elbow. Inabilty to move the rt elbow
Would you get addition imaging before proceeding with treatment?