PreOp Prepartion – Drill and Screw Sizes: – 6.0/5.0 mm cortical screws require 4.8 mm drill (110 mm long and 30-50 mm thread); – 6.0/5.0 mm cancellous screws require 3.2 mm drill (100-130 length, 40-60 mm thread); – 4.5/3.5 mm cortical screws require 3.2 mm drill; (80-100 length, 30-40 mm thread); … Read more
– Discussion: – generally the functional range of motion for the elbow is between 30 to 130 deg; – flexion contractures greater than 45 deg will significantly limit ADLs; – hetertopic ossfication: – may occur after isolated spinal cord injury (3-5%), but will tend … Read more
– See: Synthes Plates and Screws:3.5 MM DCP, LC-DCP 3.5 MM LCP 4.5 MM LCP RECONSTRUCTION PLATE – Dynamic Compression Plates: – DCP, 3.5 mm Applied as a Self Compression Plate: – DCP 3.5 mm Applied as Self Compression Plate w/ Lag Screw Thru Plate – Dynamic Compression … Read more
– See: – Plating Techniques – Radial Shaft Fractures: Discussion – Discussion: – dorsolateral approach is best suited to frxs of proximal & middle thirds of radius as well as to address injury to proximal RU joint; – advantages: – … Read more
– See: – Adult Condylar Fractures – Distal Humeral Nonunion – Humeral Fractures – Non Operative Treatment: (cast bracing); – some orthopaedists do not feel that Holestein Lewis Frx are amenable to cast bracing; – some of these fractures are amenable to cast bracing and often elbow stiffness (most feared complication) is not a problem; … Read more
– Discussion: – if frx extends distally past midpoint of trochlear notch, it no longer represents only a disruption of the triceps mechanism; – it comprimises stability of elbow in withstanding varus & valgus forces; – Reduction: – reduction of olecranon frx is easiest w/ elbow in extension which relaxes the … Read more
– See: Pediatric Elbow Injuries – Discussion: – most frx involving total distal humeral physis occur before age 6 or 7; – in an infant less than one year of age, whose elbow is swollen 2nd to trauma or suspected trauma, frx involving the entire distal humeral physis should always be … Read more
– Discussion: – see: elbow dislocations in children: – elbow dislocation is the second most common major joint dislocation; – dislocation is usually closed and posterior; – mechanism: – dislocations of elbow usually result from fall onto extended elbow. … Read more
– See: Deforming Forces – Location: – distal 1/3 : 75% – middle 1/3 : 18% – proximal 1/3: 7% – Indications for Open Treatment: – all displaced, unstable fractures of the radius and ulna in adults; – all displaced fractures of the radius with … Read more
– see carpal tunnel syndrome – Overuse Syndromes: – include muscle pain, tendinitis, fibrositis, epicondylitis, & psychological conditions that may contribute to disability; – Vascular Pathology – Anatomic Diff Dx: – Cervical Root Impingement – combination of nerve entrapment & radiculopathy (C6-C7) is not uncommon … Read more