Test 2: 29 elbow Flashcards
elbow what do these stand for
- Fragmented medial coronoid process (FCP)
- Osteochondrosis dissecans (OCD)
- Ununited anconeal process (UAP)
excessive stress on medial elbow can cause
cartilage loss
subchondral bone damage
medial coronoid fissue and fragmentation
elbow radiographs will show
- Blunted MCP
- MCP fragmentation
- Osteophytosis
- Anconeal process
- Semilunar notch sclerosis
what views on xray for elbow
lateral
AP
hyperflexed lateral- easier to see osteophytosis
CT is very helpful
how to diagnosis and treat elbow
arthroscopy
what two elbow incongruities are present
abnormal semilunar notch shape (ulna and humerus do not fit together
step defect radius and ulna
surgical treatment for medial coronoid disease
fragment removal
debridement
coronoidectomy
surgical treatment for elbow incongruity
ulnar
ostesotomy
surgical treatment of UAP
removal
reattachment
UAP: ununited anconeal process
surgical treatment of OCD in elbow
fragment removal
microfracture/forage
outcome of surgery for elbow
does not cure elbow dysplasia
helps in short term
but will develop OA eventually
— humeral condylar fractures are the most common
lateral
40% of all humeral fractures
frenchies, yorkies
recommended treatment for lateral condylar fracture
surgery
or amputation
conservation managment does not work well
surgery to fix lateral condylar fracture
transcondylar lag screw and anti rotational pin
Incomplete Ossification of the Humeral Condyle (IOHC) results in
fibrosis between medial and lateral condyle instead of bone
will be weaker and prone to stress fractures and fissues
failure of medial and lateral condyle to ossify (8-12 weeks)
treatment for IOHC
Incomplete Ossification of the Humeral Condyle (IOHC)
prophylactic repair with transcondylar screw
