Presentation is loading. Please wait.

Presentation is loading. Please wait.

Theatre staff course Mr Lee Van Rensburg March 2012.

Similar presentations


Presentation on theme: "Theatre staff course Mr Lee Van Rensburg March 2012."— Presentation transcript:

1 Theatre staff course Mr Lee Van Rensburg March 2012

2  Bones  Distal Humerus  Proximal radius  Radial head  Proximal ulna  Olecranon  

3  Joints  Hinge – Flex and extend  Ulna and trochlea  Rotation – Supinate and pronate  

4  Joints  Hinge (Flexion and extension)  Ulna and trochlea  Rotation – Pronation and supination  Capitellum and radius  

5 Greyhen; VOL. 89-B, No. 6, JUNE 2007 

6 Lateral view Radial collateral ligament Annular ligament Medial view Ulnar collateral ligament

7  Nerves  Ulnar nerve  Median nerve  Radial nerve

8 Radial head points to capitellum Anterior humeral line Shaft condylar angle ~ 40 degrees 

9 Treatment ?  Diagnosis?

10  Treatment? Diagnosis?

11

12 Treatment ? NO TBW, needs more stability No Ex Fix in this case Early ROM 

13 Treatment ? 2 weeks 

14 Avulsed radial collateral ligament and common extensor origin Diagnosis?   Treatment ?

15

16 Removable slab 6 weeks Free ROM Radiograph at 6 months 

17 What do you see? Post Reduction EUA Stable full extension 

18 Treatment ? Don’t be tempted 

19

20 Classify ? Descriptive Treatment ? At most 2 distal screws What is the problem ? 9 Proximal 

21 Classify ? Descriptve Treatment ? 

22

23 3 months 4 months No infection 

24

25  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 ) 

26

27

28 Treatment ? Classify ? Early ROM Radiograph at 3 Months 

29 Treatment ? Classify ? 6 weeks Full pronation and supination 10 ⁰ FFD Approach ? 


Download ppt "Theatre staff course Mr Lee Van Rensburg March 2012."

Similar presentations


Ads by Google