Elbow Dislocations and Fractures

Question 1

Supracondylar Fractures Epidemiology

Answer 1

most commonly occur in children

Question 2

Intra-articular distal humeral fractures treatment

Answer 2

Open Reduction
Internal Fixation
–ORIF

Question 3

Olecranon Fractures Aetiology

Answer 3

Fall onto the point of elbow with the triceps contracted

Question 4

Olecranon Fracture Types

Answer 4

Simple Avulsion

Comminuted

Question 5

Olecranon Fractures Treatment

Answer 5

Simple Avulsion

• Tension bend wiring
• Compresses tension side of the fracture

Comminuted
- ORIF with plate and screws

Question 6

Radial Head and neck Fractures Aetiology

Answer 6

Fall onto outstretched arm

FOOSH

Question 7

Radial head and neck fractures types

Answer 7

Undisplaced
- Fat pad sign on x-ray

Displaced

Question 8

Radial head and neck fractures treatment

Answer 8

Undisplaced

• Sling
• Early elbow exercises to minimise stiffness
• Can lose 10-15 degrees of terminal extension

Displased
- ORIF

Question 9

Elbow Dislocation associated fractures

Answer 9

Radial head
Humeral Epicondyle
Coronoid process of the ulna

Question 10

Common elbow dislocation direction

Answer 10

Posterior

Question 11

Uncomplicated elbow dislocation treatment

Answer 11

Closed reduction
Assessment of neurovasculat status pre and post reduction
Short period in a sling
Elbow exercise