Elbow Injuries3
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INJURIES AROUND ELBOW
ANATOMY
DR. ASHISH GOHIYA ASST. PROFESSOR DEPT. OF ORTHOPAEDICS GANDHI MEDICAL COLLEGE BHOPAL
www.esnips.com/web/gohiya
ANATOMY
www.esnips.com/web/gohiya
OSSIFICATION CENTRES OSSIFICATION CENTRES
CRITOE C 2 R 4 I 6 T 8 O 10 E - 12
www.esnips.com/web/gohiya
Fracture Lateral Condyle common frx in children (20% of pediatric elbow frx); frx); occurs most often between 66-10 yrs of age these frxs are also prone to non union since the frx is intraintra-articular & is bathed in synovial fluid;
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Mechanism
fall on the outstretched arm w/ forearm in abduction & elbow in extension.
www.esnips.com/web/gohiya
1
Clinical
Classification
Pain swelling deformity Tenderness lateral column
Milch type I - SH type IV Milch type II
SH type II
More common More unstable
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Management Cast undisplaced Percutaneous pinning minimally displaced ORIF Displacement < 2 mm
IMMOBILIZATION 4
6 WKS
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Milch type II SH type II
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www.esnips.com/web/gohiya
Milch type I SH type IV
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2
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CUBITUS VALGUS
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ANT. TRANSPOSITION
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TARDY ULNAR N PALSY
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Fracture medial epicondyle
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3
Intercondylar
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Fixation
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Head excision
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Fracture radial head
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Head replacement
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Fracture coronoid process
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4
Fracture Olecranon
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www.esnips.com/web/gohiya
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5
Distractive forces are converted in to Compressive forces
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Dislocation elbow
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
6
Dislocation elbow
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Reduction immobolization
Feedback at [email protected]
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
7
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ANATOMY
DR. ASHISH GOHIYA ASST. PROFESSOR DEPT. OF ORTHOPAEDICS GANDHI MEDICAL COLLEGE BHOPAL
www.esnips.com/web/gohiya
ANATOMY
www.esnips.com/web/gohiya
OSSIFICATION CENTRES OSSIFICATION CENTRES
CRITOE C 2 R 4 I 6 T 8 O 10 E - 12
www.esnips.com/web/gohiya
Fracture Lateral Condyle common frx in children (20% of pediatric elbow frx); frx); occurs most often between 66-10 yrs of age these frxs are also prone to non union since the frx is intraintra-articular & is bathed in synovial fluid;
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Mechanism
fall on the outstretched arm w/ forearm in abduction & elbow in extension.
www.esnips.com/web/gohiya
1
Clinical
Classification
Pain swelling deformity Tenderness lateral column
Milch type I - SH type IV Milch type II
SH type II
More common More unstable
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Management Cast undisplaced Percutaneous pinning minimally displaced ORIF Displacement < 2 mm
IMMOBILIZATION 4
6 WKS
www.esnips.com/web/gohiya
Milch type II SH type II
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Milch type I SH type IV
www.esnips.com/web/gohiya
2
www.esnips.com/web/gohiya
CUBITUS VALGUS
www.esnips.com/web/gohiya
ANT. TRANSPOSITION
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
TARDY ULNAR N PALSY
www.esnips.com/web/gohiya
Fracture medial epicondyle
www.esnips.com/web/gohiya
3
Intercondylar
www.esnips.com/web/gohiya
Fixation
www.esnips.com/web/gohiya
Head excision
www.esnips.com/web/gohiya
Fracture radial head
www.esnips.com/web/gohiya
Head replacement
www.esnips.com/web/gohiya
Fracture coronoid process
www.esnips.com/web/gohiya
4
Fracture Olecranon
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
5
Distractive forces are converted in to Compressive forces
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Dislocation elbow
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
6
Dislocation elbow
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
Reduction immobolization
Feedback at [email protected]
www.esnips.com/web/gohiya
www.esnips.com/web/gohiya
7
This document was created with Win2PDF available at http://www.win2pdf.com. The unregistered version of Win2PDF is for evaluation or non-commercial use only. This page will not be added after purchasing Win2PDF.
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