Elbow Dislocations and Fractures Flashcards Preview

The Musculoskeletal System > Elbow Dislocations and Fractures > Flashcards

Flashcards in Elbow Dislocations and Fractures Deck (14):
1

Supracondylar fractures usually occur in which age group?

Children

2

In order to minimise loss of function, how are intra-articular distal humeral fractures treated?

  1. Open reduction
  2. Internal fixation (ORIF)

 

3

Which fracture commonly occurs with a fall ontop the point of the elbow with the triceps contracted?

Olecranon fracture

4

What is a comminuted fracture?

A break into many pieces (more than 2)

5

How can a simple avulsion olecranon fracture be treated?

Tension bend wiring

(compresses the tension side of the fracture)

6

Comminuted olecranon fractures must be treated via which method?

ORIF with plate and screws

7

Which fracture usually occurs when there is a fall onto an outstretched arm?

Radial head and neck fractures

8

Some undisplaced radial head/neck fractures may not show up on X-ray except for which sign?

Fat pad sign

(usually seen on the lateral X-ray)

9

How are undisplaced or minimally displaced radial head/neck fractures treated?

  1. Sling
  2. Early elbow exercises to minimise stiffness

10

With a radial head/neck fracture it is common for patients to lose up to __ degrees of terminal extension

10-15 degrees

11

How may displaced intra-articular radial head fractures be treated?

ORIF

(only if the fragment is large enough, otherwise it may be surgically excised)

12

Most elbow disloations occur in the ________ direction

Most elbow disloations occur in the posterior direction

13

In uncomplicated elbow dislocations what is the standard treatment?

  1. Closed reduction
  2. Assessment of neurovascular status pre and post reduction
  3. Short period in a sling (< 3 weeks)
  4. Elbow exercises

14

Which fractures are commonly associated with elbow dislocation?

  1. Radial head
  2. Humeral epicondyle
  3. Coronoid process of the ulna

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