FOREARM / ELBOW INJURIES

Question 1

DDx

Answer 1

Midshaft Radius and/or Ulna
Monteggia
Galeazzi
Traumatic Elbow Effusion
Radial Head Fracture
Coronoid Process Fracture
Olecranon Fracture
Supracondular Fracture
Posterior Elbow Dislocation
Humeral Fracture - midshaft
Proximal Humerus Fracture

Question 2

Elbow Injury Mechanism

Answer 2

Can be injured direct or indirect
Indirect elbow trauma via FOOSH can cause a radial head fracture or suprecondylar fracture

Question 3

Management Principles

Answer 3

Nevery apply a circular cast
When applying a posterior slab, elbow is ideally to 90 degrees with forearm in neutral
Elbow is prone to stiffness with immobilization

Question 4

XRAY Principles

Answer 4

Anterior fat pad - “sail sign”
Posterior fat pad - abnormal
Radio-capitellar line
Anterior humeral line (pediatrics)
Figure of 8 signs (pediatrics)