– Discussion: – used in conjunction w/ a posterior approach: for fixation of condylar fractures, as well as exposure of distal humeral non unions; – olecranon osteotomy can be either non-articularl or trans-articular; – usually the non-articular olecranon osteotomy is used for non-articular condylar fractures; … Read more
– are placed on the medial (ulnar) side to avoid damaging the ulnar nerve; – elbow in 90 deg of flexion; – entry site is 1 1/2″ from the distal end of the olecranon
– See: – Erb’s Palsy – Lower Root Injury: (Klumpke) – Shoulder in brachial plexus injuries: – Traumatic Brachial Plexus Palsy in Children – Discussion: – incidence of brachial plexus birth palsy is approx two / 1,000 births; – … Read more
– Avulsion Fracture – Comminuted Fractures – Distal Olecranon Fracture: – Fracture Dislocations – Oblique Fractures – Surgical Approach: – Transverse Fractures – Discussion: – results from indirect forces (hyperextension) – frx begins at midpoint of trochlear notch and extends distally to enter semilunar notch; – amount of frx … Read more
– See: – Epiphyseal Artery – Metaphyseal Artery – Periosteal Artery – Discussion: – nutrient artery enters into the diaphysis of long bones through an oblique canal; – direction of canal is determined by relative amount of growth that has occurred at … Read more
– Discussion: – few indications, except in elderly and osteoporotic patients w/ low energy extra-articular fractures; – these fractures have a high rate of hardware failure w/ operative treatment; – unfortunately, non operative treatment in elderly patients can also be associated w/ a … Read more
– See: Nerve Injury – Discussion: – always consider an occult compartment syndrome before a neurpraxia; – median nerve: – most common neural injury is to anterior-interosseous branch; – in type III frx, upto 50% of pts may show median … Read more
– See: Images kindly provided … Read more
– Discussion: – derives from lateral cord (C5, C6): – musculocutaneous nerve passes through coracobrachialis; between biceps & brachialis, & becomes lateral antebrachial cutaneous nerve at elbow; – it has only muscular branches above elbow & only sensory branches below; – lesion of this nerve produces weakness of … Read more