4.1 of 87 Ratings
A 29-year-old male falls down a flight of 10-stairs while intoxicated. He presents to the ED the following afternoon with increased difficulty using his right arm and associated pain. Radiographs of the right elbow are demonstrated in Figure A. What is a potential complication of the surgical approach to address this injury?
Loss of sensation of ring and small finger, weakness of hand intrinsic muscles
Inability to flex the thumb and index finger IP joints
Inability to extend the thumb
Brachial artery injury
Laceration of the extensor indicis proprius tendon
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A 38-year-old man falls from a ladder and presents with the injury depicted in Figure A. On examination, his skin is intact, with moderate swelling, and limited elbow range of motion due to pain/swelling. He elects to undergo surgical intervention. A CT is obtained for preoperative planning and there are no signs of trochlear involvement or posterior comminution. Which of the following provides ideal visualization and least morbidity for this fracture pattern with respect to patient positioning and surgical approach for his injury?
Prone with olecranon osteotomy
Lateral decubitus with olecranon osteotomy
Lateral decubitus with triceps elevation
Supine with medial epicondylectomy
Supine with Kaplan approach
An 88-year-old female presents after a fall onto her left arm. She reports isolated left elbow pain, and radiographs are shown in Figure A. She lives in an assisted living facility, and reports no other major medical problems. The best functional outcome can be expected with which of the following definitive treatment options?
Open reduction internal fixation of the distal humerus fracture
Nonsurgical management with early passive range of motion exercises
Initial nonsurgical management followed by interpositional arthroplasty when the fracture has healed
Total elbow arthroplasty
Excision of the capitellar fragments and fixation of the trochlear fragments
A 20-year-old man falls from his bicycle. He is going to be scheduled for open reduction internal fixation. What best describes the injury shown in Figure A and B?
Capitellum fracture with extension into the trochlea
Radial head and capitellum fracture
Isolated capitellum fracture
Which of the following elbow injuries as found in Figures A-E best characterizes the radiographic "double-arc" sign?