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. Mr Lee Van Rensburg July 2014. . . Anterior dislocation of radial head and fracture of the diaphysis of the ulna at any level, with anterior angulation.

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Presentation on theme: ". Mr Lee Van Rensburg July 2014. . . Anterior dislocation of radial head and fracture of the diaphysis of the ulna at any level, with anterior angulation."— Presentation transcript:

1 . Mr Lee Van Rensburg July 2014

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3 . Anterior dislocation of radial head and fracture of the diaphysis of the ulna at any level, with anterior angulation of the fracture fragments. Posterior or posterolateral dislocation of the radial head and fracture of the diaphysis of the ulna, with posterior angulation of the fracture fragments Lateral or anterolateral dislocation of the radial head and fracture of the metaphysis of the ulna Anterior dislocation of the radial head and fracture of the proximal third of the radius and ulna at the same level

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7 . JBJS-A Dec 1959; 1489 - 1515

8 . J Bone Joint Surg Am. 2008 Sep;90(9):1891-8

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11 . Draw a line from Bicipital tuberosity to most ulna point on distal radius Measure maximal distance to Radius from line = A Max radial bow Location of maximal bow is expressed as percentage X/Y *100 A X Y

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13 . J Bone Joint Surg Br August 1964 vol. 46-B no. 3 404-425

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18 . JBJS Vol77-A(6) Jun 1995 pp 958-968 Forearm in neutral notation, proximal pole of scaphoid, the lunate, and the triquetrum superimposed Radial styloid is centered over the proximal part of the carpus

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23 . Pronate forearm mid third release pronator teres

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25 . J Bone Joint Surg Am. 1988 Oct;70(9):1372-6.  37 pts had plates removed  7 (19%) re-fracture  All refractures earlier than 3 months  Advise 2 years  Often not visible on pre removal x ray

26 .  Over 21 yr follow up  N = 71 pts  Average dash score 8 (+-12)


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