Elbow dislocation & fracture Flashcards
What is the most common way to dislocate elbow
fall on nearly extended elbow
- posterior dislocation
What is initial management for elbow dislocation
immobilize (sling or splint)
narcotics
What is dgx for elbow dislocation
xrays
physical exam
What is involved with reduction for elbow dislocation
sedate stabilize upper arm flexion of elbow long arm posterior splint post-reduction xrays CMS in hand test specialist referral
What is mechanism of fracture of radial head
FOOSH
- radial head driven into capitellum
What are symptoms of fracture of the radial head
elbow pain
swelling
How will fracture of the radial head present
tenderness over radial head
limitation of motion (extension/pro-supination)
How dgx fracture of the radial head
AP, lateral, oblique xray
- specialized radial head views
- positive fat pad sign
How txt fracture of the radial head
sling ice analgesics encourage AROM follow-up xrays
How do elbow fractures occur
fall backward on partly extended elbow
What is a concern with elbow fractures
vascular compromise
- brachial artery
nerve injury
- median, ulnar, or radial nerve
What should you do when see an elbow fracture
refer
How txt elbow fracture
ORIF
What are complications of elbow fracture
loss ROM arthritis non-union of fracture site infection tardy ulnar palsy nerve/vascular injury
