American Shoulder and Elbow Surgeons
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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 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
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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
Title: Elbow Capitellar OCDSpeaker: John E. Conway, MD Length: 11 mins 23 secs
HPI - RHD female who complains of elbow pain after falling off her bike onto her left elbow
Assuming you only had the injury radiographs, what additional imaging would you obtain in this patient?
HPI - fall from bike
How would you fix this coronal shear fracture?
HPI - history of fall on semiflexed elbow
What approach would you use for this particular injury?