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Theatre staff course Mr Lee Van Rensburg March 2012Elbow fractures Theatre staff course Mr Lee Van Rensburg March 2012
Anatomy Bones Distal Humerus Proximal radius Proximal ulna Radial head Anatomy Bones Distal Humerus Proximal radius Radial head Proximal ulna Olecranon
Anatomy Joints Hinge – Flex and extend Rotation – Supinate and pronate Anatomy Joints Hinge – Flex and extend Ulna and trochlea Rotation – Supinate and pronate
Anatomy Joints Hinge (Flexion and extension) Anatomy Joints Hinge (Flexion and extension) Ulna and trochlea Rotation – Pronation and supination Capitellum and radius
Proximal ulna shape Greyhen; VOL. 89-B, No. 6, JUNE 2007
Anatomy - Ligaments Medial view Ulnar collateral ligament Lateral viewRadial collateral ligament Annular ligament
Anatomy Nerves Ulnar nerve Median nerve Radial nerve
Radiology Radial head points to capitellum Anterior humeral lineShaft condylar angle ~ 40 degrees
40 YO Fall Diagnosis? Treatment ?
23 YO fall Treatment? Diagnosis?
42 YO motorcycle NO TBW, needs more stability No Ex Fix in this case 42 YO motorcycle NO TBW, needs more stability No Ex Fix in this case Early ROM Diagnosis ? Treatment ?
24 YO car roll over, open Treatment ? 2 weeks
65 YO bicycle Treatment ? Diagnosis? 65 YO bicycle Avulsed radial collateral ligament and common extensor origin Treatment ? Diagnosis?
65 YO bicycle
45 YO Fall steps Removable slab 6 weeks Free ROM 45 YO Fall steps Removable slab 6 weeks Free ROM Radiograph at 6 months
40 YO Fall Post Reduction EUA Stable full extension What do you see?
80 YO Fall Don’t be tempted Treatment ?
74 YO Fall
70 YO Fall Classify ? Treatment ? 9 Proximal At most 2 distal screws 70 YO Fall Classify ? Descriptive Treatment ? What is the problem ? 9 Proximal At most 2 distal screws
20 YO Classify ? Descriptve Treatment ?
Distal humerus 2 Philosophies
32 YO 4 months No infection 3 months
External fixators around the elbow External fixators around the elbow
Minor complications (15%) 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 )
45 YO RTA
32 YO Fall Classify ? Early ROM Radiograph at 3 Months Treatment ?
Full pronation and supination 32 YO fall Classify ? 6 weeks Full pronation and supination 10⁰ FFD Treatment ? Approach ?
Elbow Anatomy. The elbow joint A hinge joint Made up of Bones Ligaments Muscles Nerves Bursae.
Upper Arm, Elbow, and Forearm Conditions
Mr Lee Van Rensburg October J Shoulder Elbow Surg (2012) 21, Flexion extension axis Centre capitellum to anteroinferior medial epicondyle.
The Elbow and Radioulnar Joint Bone and Actions Chapter 6 Bone and Actions Chapter 6.
Elbow Joint Dr Rania Gabr. Elbow Join t Articulation: Above: Trochlea and capitulum of the humerus Below: Trochlear notch of ulna and the head of.
Dr. Zeenat Zaidi. At the end of this session, students should be able to: DESCRIBE the attachments, actions & innervations of: biceps brachii, coracobrachialis,
Arm, Cubital Fossa & Elbow Joint
Fracture neck of the radius. It occur due to fall on out stretched hands. In children usually it occur in the neck while in adult it occur in the head.
ELBOW COMPLEX. Elbow Complex Type of joint: Hinge joint. Uniaxial. Function: Antebrachium extension and flexion. Antebrachium supination and pronation.
THE ELBOW: Bones and Actions
The Elbow Anatomy. Joint Complex Radio-ulnar – synovial pivot joint Humero-ulnar – synovial modified hinge Humero-radial – synovial modified hinge Movements.
Mohd. Saeed Vohra PhD. Japan MBBS. Pakistan. Mohd. Saeed Vohra PhD. Japan MBBS. Pakistan.
Khaleel Alyahya, PhD, MEd Zeenat Zaidi, MD, PhD
Approach to Pediatric Elbow
Muscles of the Anterior Forearm. Objectives Name and identify the muscles in the anterior (flexor/pronator) and posterior (extensor/supinator) compartments.
Elbow Joint Dr Rania Gabr.
Elbow and Forearm Complex
Elbow Joint Kinesiology.
Myology 2 (HS 201) Lecture 3 Myology of the Elbow.
Elbow Joint Brian Martin.
بسم الله الرحمن الرحيم. Type: Synovial hinge joint. Articulation: between the trochlea and capitulum of the humerus and trochlear notch of the ulna.
Lecture 8 The Elbow. Anatomy Review The elbow is made up of three joints -Humeroulnar jointFlexion / Extension -Humeroradial jointFlexion / Extension.
Elbow Nathan Duncan & Katelyn Maley. Surface Anatomy.
Chapter 4 Forearm and Elbow. Forearm Bones _________ ________ Joints Wrist Elbow __________ Distal Proximal.
Elbow, Forearm, Wrist and Hand
The Elbow Blessen Abraham Jainy James Naved Patel.
The Elbow and Radioulnar Joints
Muscles By: alex fiori.
Muscles of the Forearm Dr.Nivin Sharaf MD.
Medical ppt Medical ppt
The Elbow Sports Medicine John Hardin, Instructor.
U.RADHAKRISHNAN.M.P.T BIOMECHANICS OF ELBOW COMPLEX.
ELBOW. TRAUMATIC INJURIES OF THE ELBOW Fractures distal end of the humerus Fractures proximal end of the radius Fractures proximal end of the ulna.
Chapter 6 The Elbow and Radioulnar Joints 6-1. The Elbow & Radioulnar Joints Most upper extremity movements involve the elbow & radioulnar joints Usually.
Upper limb Muscles of Arm, cubital fossa, and elbow joint
Muscles of the Forearm Dr. Sama ul Haque.
Muscles of anterior compartment of forearm
The Elbow, Wrist & Hand Hard & Soft Tissue Anatomy.
Elbow Evaluation. History How did this injury occur? When did you hurt your elbow? Did you hear any sounds or feel a pop? Have you ever hurt this elbow.
The Elbow The Wrist/Hand The ForearmRehabilitationAnything Goes Really Random
Elbow Examination John M. Lavelle, D.O..
Lesson 4 Brachium. Brachium - arm A. Bony landmarks 1. humerus –a. lateral epicondyle - radial side –b. medial epicondyle - ulnar side 2. ulna –a. olecranon.
Elbow and Forearm Evaluation
Chapter 6 Elbow and radioulnar joints Click on polar bear for snow.
1 Victoria Gugenheim Body Art Kaan Yücel M.D., Ph.D. 03.March.2014 Monday.
Pathomechanics of elbow)
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