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Published byLoren Goreham
Modified about 1 year ago
Theatre staff course Mr Lee Van Rensburg March 2012
Bones Distal Humerus Proximal radius Radial head Proximal ulna Olecranon
Joints Hinge – Flex and extend Ulna and trochlea Rotation – Supinate and pronate
Joints Hinge (Flexion and extension) Ulna and trochlea Rotation – Pronation and supination Capitellum and radius
Greyhen; VOL. 89-B, No. 6, JUNE 2007
Lateral view Radial collateral ligament Annular ligament Medial view Ulnar collateral ligament
Nerves Ulnar nerve Median nerve Radial nerve
Radial head points to capitellum Anterior humeral line Shaft condylar angle ~ 40 degrees
Treatment ? Diagnosis?
Treatment ? NO TBW, needs more stability No Ex Fix in this case Early ROM
Treatment ? 2 weeks
Avulsed radial collateral ligament and common extensor origin Diagnosis? Treatment ?
Removable slab 6 weeks Free ROM Radiograph at 6 months
What do you see? Post Reduction EUA Stable full extension
Treatment ? Don’t be tempted
Classify ? Descriptive Treatment ? At most 2 distal screws What is the problem ? 9 Proximal
Classify ? Descriptve Treatment ?
3 months 4 months No infection
Minor complications (15%) Erythema and nonpurulent drainage >5 days, 9% Skin release 6% (reduce tension) Major complications (10%) Purulent pin site drainage in 1% Fixator malalignment 1% Pin loosening in 4% Deep infection 4%. No nerve injuries JSES; May 2008 (Vol. 17, Issue 3, Pages )
Treatment ? Classify ? Early ROM Radiograph at 3 Months
Treatment ? Classify ? 6 weeks Full pronation and supination 10 ⁰ FFD Approach ?
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