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Fig. 5.A. ANATOMICAL FEATURES GENERAL POINTS The calliper-like close fit between the ulna and the trochlea (1) contributes to the impressive stability of the
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A 32-year-old man fell while rollerblading, injuring his left dominant elbow. He complained of pain and a reduced range of movement. These are the emergency department radiographs, which shows an isolated injury. Quiz on Radial Head Fractures body
A 29-year-old man fell from a horse, injuring his right dominant elbow. He is seen in the fracture clinic and these are his radiographs from the emergency department. Quiz on Terrible Triad Injury body { font-family: Arial, sans-serif; font-size:
Approaches to the upper extremity ( Table 2.22) Surgical approaches to the shoulder (Fig. 2.25) Anterior (deltopectoral) approach (Fig. 2.26) Interval: deltoid (axillary nerve) and pectoralis major (medial and lateral pectoral nerves); can be extended distally along lateral
Approaches to the upper extremity ( Table 2.22) Surgical approaches to the shoulder (Fig. 2.25) Anterior (deltopectoral) approach (Fig. 2.26) Interval: deltoid (axillary nerve) and pectoralis major (medial and lateral pectoral nerves); can be
PEDIATRIC FOREARM EPIDEMIOLOGY These injuries are very common. They make up 40% of all pediatric fractures (only 4% are diaphyseal fractures), with a 3:1 male predominance in distal radius fractures. Eighty percent occur in
PEDIATRIC ELBOW EPIDEMIOLOGY Elbow fractures represent 8% to 9% of all upper extremity fractures in children. Of all elbow fractures, 85% occur at the distal humerus; 55% to 75% of these are supracondylar. Most occur in
RADIUS AND ULNA SHAFT FRACTURES EPIDEMIOLOGY Forearm fractures are more common in men than women, secondary to the higher incidence in men of motor vehicle collisions (MVC) and motorcycle accidents (MCA), contact athletic
RADIAL HEAD FRACTURES EPIDEMIOLOGY Radial head fractures account for 1.7% to 5.4% of all fractures, and one-third of all elbow fractures. One-third of patients have associated injuries such as fracture or ligamentous damage of
OLECRANON FRACTURES EPIDEMIOLOGY Bimodal distribution, with younger individuals sustaining an olecranon fracture as a result of high-energy trauma and older individuals as a result of a simple fall. Incidence in the adult
ELBOW DISLOCATION EPIDEMIOLOGY Elbow dislocation accounts for 11% to 28% of elbow injuries. Posterior dislocation is most common, accounting for 80% to 90% of all elbow dislocations. Annual incidence of elbow dislocations
DISTAL HUMERUS fractures EPIDEMIOLOGY This is a relatively uncommon injury, comprising approximately 2% of all fractures and one-third of all humerus fractures. Incidence of distal humerus fractures in adults is 5.7 per
What are the indications for the Kocher’s approach to the humerus? Excision/ORIF/replacement of radial head Terrible triad ORIF What is the internervous plane utilised by this approach? This plane is between anconeus
You are called to the emergency department to evaluate the right arm of a 26-year-old female who fell approximately 15 ft off of an apartment balcony. She appears to have a deformity about the proximal right forearm and is markedly swollen. She also has several rib and facial fractures but is alert
You receive a call from an emergency department physician informing you that she has a patient who will need follow-up for an elbow dislocation. She tells you that she reduced and splinted the patient’s elbow, which was dislocated on her physical examination, but that she does not yet have
A 36-year-old, right-hand-dominant male presents to the emergency department with right arm and elbow pain after he fell over his handle bars while mountain biking. Physical examination finds the right upper extremity to be an isolated injury with the exception of some abrasions and ecchymosis
A 44-year-old, right-hand-dominant female is in the office with persistent lateral elbow pain of 2 years duration. She has pain at the lateral aspect of her elbow, as well as a deep aching pain that radiates down the dorsal aspect of her forearm. She has tried NSAIDs, physical therapy, bracing, and
A 54-year-old male presented to the ED with left elbow pain after sustaining an injury in a low speed motor vehicle accident. He denied any other injuries. On examination, he had no open injuries and was neurovascularly intact. He had gross deformity about the elbow. His images are below (Figs.
A 32-year-old male presented to the emergency department 1 hour after sustaining a fall while skateboarding. The patient complained of pain in the elbow with swelling and deformity present. He denied numbness or tingling. Examination reveals deformity about the elbow with no open lesions or skin
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CASE 1 A 76-year-old, right-hand-dominant man presents to clinic complaining of right shoulder pain. The pain started several months ago, has gotten progressively worse, and is located diffusely over his deltoid region. He has night pain and pain with overhead activity. On
Radial head replacement‌ 113 Elbow aspiration/injection 152 Total elbow arthroplasty‌ 123 Elbow
PREFERRED RESPONSE 3 Improved medical management has changed musculoskeletal outcomes for individuals with hemophilia. Patients with severe hemophilia receiving prophylactic administration of factor VIII may never develop a target joint that requires further orthopaedic intervention.
(SAE09TR.72) A 13-year-old girl sustained an isolated midshaft left femoral fracture in a motor vehicle accident. The fracture was treated with a rigid, antegrade intramedullary nail placed through the piriformis fossa. The fracture healed uneventfully, as shown in Figure 46a; however, at 12 months
(OBQ14.208) When treating a proximal tibia fracture, the surgeon decides to (1) use blocking screws in the proximal fragment, and (2) pick the intramedullary nail based on the location of the Herzog curve. Which of the following combinations will best prevent the classic deformity associated with
(OBQ15.201) A 52-year-old, right hand dominant man comes for evaluation of right shoulder pain that has been intermittently bothering him for three months. The pain is worse with overhead activities. He denies any history of trauma. His range of forward elevation in the plane of the scapula is
DEFINITION Primary osteoarthritis (OA) of the elbow is a relatively rare condition that has an idiopathic etiology, although it is frequently associated with heavy use of the arm. Unlike OA of other large joints, elbow OA is characterized by relatively preserved joint space and articular
DEFINITION Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory condition of unknown etiology affecting 1% to 2% of the population. It affects females two to three times as frequently as males, and the incidence increases with age, typically peaking between 35 and 50 years of
HISTORICAL PERSPECTIVE Peter S. Johnston Matthew L. Ramsey Normal elbow function requires a pain-free, mobile, and stable articulation. Nonarthroplasty surgeries Resection arthroplasty, interposition arthroplasty, and arthrodesis predominated prior to the
BACKGROUND Elbow arthrodesis (EA) is rarely performed in orthopaedic surgery and indicated only as a salvage procedure. Historically, EA was performed for tuberculous septic elbow arthritis, with about 50% successful rate of primary fusion.8,19 With modern techniques,
DEFINITION AND PATHOGENESIS Posttraumatic conditions of the elbow represent a spectrum of disorders involving the elbow as a result of previous trauma. Treatment for posttraumatic conditions is individualized depending on the characteristics of the pathology as well as the functional
DEFINITION Elbow synovectomy surgically removes the thickened, inflamed, and painful synovium of the elbow joint. Synovectomy is commonly performed for rheumatoid arthritis, hemophiliac synovitis, synovial chondromatosis, and inflammatory arthropathies. In the past, synovectomy has been
DEFINITION Simple dislocations of the elbow can most often be treated successfully with closed means: reduction and short-term immobilization followed by early motion. Fracture-dislocations of the elbow are more troublesome in that they often require operative intervention. Fractures
DEFINITION Fracture of the olecranon process is common, usually displaced, and nearly always treated operatively. Important injury characteristics include displacement, comminution, and subluxation or dislocation of the elbow, and all are accounted for in the Mayo classification (FIG
DEFINITION Radial head and neck fractures are the most common elbow fractures in adults representing 33% of elbow fractures. They may occur in isolation or with concurrent osseous, osteochondral, and/or ligamentous injuries. Management (which involves nonoperative, open reduction internal
DEFINITION Radial head fractures are the most common fracture of the elbow and usually can be managed either nonoperatively or with open reduction and internal fixation (ORIF).12 Radial head arthroplasty is indicated for unreconstructable displaced radial head fractures with an associated
DEFINITION Most comminuted elbow fractures have associated soft tissue injuries, which are often of equal or greater importance to the bony injury. The goal when treating acute elbow fractures is that of anatomic open reduction and internal fixation (ORIF) with management of any soft tissue
DEFINITION Capitellar fractures are uncommon, accounting for less than 1% of all elbow fractures and 6% of all distal humerus fractures.4 They often are associated with radial head fractures and posterior elbow dislocations. A classification system for capitellar fractures has been
PATIENT HISTORY AND PHYSICAL FINDINGS Distal humerus fractures occur in two age groups: Younger patients who sustain high-energy trauma Older patients with underlying osteopenia Comminution is the dominant feature of supracondylar and
DEFINITION Lateral collateral ligament (LCL) injuries most often occur after significant elbow trauma, most commonly after dislocation. Attenuation of the LCL can also occur after multiple surgeries to the lateral side of the elbow and after corticosteroid injections.9 It has recently
DEFINITION Simple elbow dislocation is a dislocation of the ulnohumeral joint without concomitant fracture. Complex instability denotes the presence of a fracture associated with dislocation. The elbow is the second most commonly dislocated large
DEFINITION Multiple techniques have been described for the release of elbow contractures. The medial approach has the advantages of direct access to both the anterior and posterior aspects of the ulnohumeral joint and direct visualization of the ulnar nerve. Medial-based releases were
DEFINITION Extrinsic elbow contracture refers to elbow stiffness secondary to fibrosis, thickening, and, occasionally, ossification of the elbow capsule and periarticular soft tissues. In contrast to intrinsic contracture, the articular surface is either uninvolved or minimally involved,
DEFINITION Elbow extension against gravity or resistance may be difficult or impossible when the distal triceps tendon is ruptured or avulsed from the olecranon insertion. Complete ruptures of all three heads tendon insertion (long, lateral, and medial heads) generally require surgical
DEFINITION Primary osteoarthritis of the elbow is a relatively uncommon but disabling disorder that affects mostly middle-aged men who use the upper extremity in a repetitive fashion. Typically, patients are heavy manual workers or athletes. Osteoarthritis affects the elbow less frequently than
DEFINITION Lateral epicondylitis involves tendinosis at the origin of the common wrist extensors. It is commonly referred to as tennis elbow and is likely more correctly termed lateral elbow tendinopathy.15 ANATOMY The common extensor origin
SHOULDER APPROACHES Luke S. Austin Joseph A. Abboud Matthew L. Ramsey Gerald R. Williams, Jr. ANTERIOR APPROACH TO THE SHOULDER Indications Surgical stabilization for recurrent dislocations Subscapularis repair and biceps tenodesis Shoulder arthroplasty Fracture
Anatomy and Approaches Anatomy of the Shoulder and Elbow Anatomy and Approaches OVERVIEW OF SHOULDER AND ELBOW SURGERY In order to diagnose and treat problems of the shoulder and elbow, one must fully understand the anatomy of the region and appreciate how this
BACKGROUND The humerus is a common site of metastatic bone disease requiring surgery. A metastasis at that site, and especially one involving the dominant extremity, has an immediate and profound impact on the affected individual's ability to perform activities of daily
BACKGROUND The distal humerus is a relatively rare site for primary bone sarcomas. It is more commonly involved by neoplasm through metastatic spread. The distal humerus or elbow joint also can be secondarily involved by soft tissue sarcomas arising from the adjacent
DEFINITION Multiple hereditary exostoses (MHE), first described by Boyer3 in 1814, is a familial disorder with an autosomal dominant mode of inheritance exhibiting very high penetrance and variable expressivity.12 Also known as multiple
DEFINITION Multiple techniques have been described for the release of elbow contractures. The medial approach has the advantages of direct access to both the anterior and posterior aspects of the ulnohumeral joint and direct visualization of the ulnar nerve. Medial-based
DEFINITION Extrinsic elbow contracture refers to elbow stiffness secondary to fibrosis, thickening, and, occasionally, ossification of the elbow capsule and periarticular soft tissues. In contrast to intrinsic contracture, the articular surface is either uninvolved or
DEFINITION This injury was initially reported by Giovanni Monteggia in 1814 as a fracture of the ulna associated with an anterior dislocation of the radial head.6 The term “Monteggia lesions” was coined by Bado to describe any fracture of the ulna associated with a dislocation of
DEFINITION Simple dislocations of the elbow can most often be treated successfully with closed means: reduction and short-term immobilization followed by early motion. Fracture-dislocations of the elbow are more troublesome in that they often require operative intervention. Fractures
DEFINITION This injury was initially reported by Giovanni Monteggia in 1814 as a fracture of the ulna associated with an anterior dislocation of the radial head.6 The term “Monteggia lesions” was coined by Bado to describe any fracture of the ulna associated with a dislocation of
DEFINITION Radial head fractures are the most common fracture of the elbow and usually can be managed either nonoperatively or with open reduction and internal fixation (ORIF).12 Radial head arthroplasty is indicated for unreconstructable displaced radial head fractures with an associated
DEFINITION Radial head and neck fractures are the most common elbow fractures in adults representing 33% of elbow fractures. They may occur in isolation or with concurrent osseous, osteochondral, and/or ligamentous injuries. Management (which involves nonoperative, open reduction internal
DEFINITION Fracture of the olecranon process is common, usually displaced, and nearly always treated operatively. Important injury characteristics include displacement, comminution, and subluxation or dislocation of the elbow, and all are accounted for in the Mayo classification (FIG
DEFINITION Capitellar fractures are uncommon, accounting for less than 1% of all elbow fractures and 6% of all distal humerus fractures.4 They often are associated with radial head fractures and posterior elbow dislocations. A classification system for capitellar fractures has been
PATIENT HISTORY AND PHYSICAL FINDINGS Distal humerus fractures occur in two age groups: Younger patients who sustain high-energy trauma Older patients with underlying osteopenia Comminution is the dominant feature of supracondylar and
DEFINITION Malunion of the radial or ulnar shaft can lead to pain, loss of motion, loss of strength, and instability at the level of the wrist or elbow. Malrotation, angulation (with narrowing of the interosseous space between the radius and ulna), shortening, and loss of the radial bow have
DEFINITION Diaphyseal forearm fractures include isolated or combined radial and ulnar fractures (“both-bone fractures”). They occur distal to the elbow joint and proximal to the wrist joint. It is critical to evaluate the distal radioulnar joint (DRUJ) and radiocapitellar joint
Elbow arthrodesis (EA) is rarely performed in orthopaedic surgery and indicated only as a salvage procedure. Historically, EA was performed for tuberculous septic elbow arthritis, with about 50% successful rate of primary
DEFINITION AND PATHOGENESIS Posttraumatic conditions of the elbow represent a spectrum of disorders involving the elbow as a result of previous trauma. Treatment for posttraumatic conditions is individualized depending on the characteristics of the
DEFINITION Primary osteoarthritis (OA) of the elbow is a relatively rare condition that has an idiopathic etiology, although it is frequently associated with heavy use of the arm. Unlike OA of other large joints, elbow OA is characterized by relatively preserved joint
DEFINITION Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory condition of unknown etiology affecting 1% to 2% of the population. It affects females two to three times as frequently as males, and the incidence increases with age, typically peaking between 35
DEFINITION Primary osteoarthritis of the elbow is a relatively uncommon but disabling disorder that affects mostly middle-aged men who use the upper extremity in a repetitive fashion. Typically, patients are heavy manual workers or athletes. Osteoarthritis affects the elbow
DEFINITION Elbow synovectomy surgically removes the thickened, inflamed, and painful synovium of the elbow joint. Synovectomy is commonly performed for rheumatoid arthritis, hemophiliac synovitis, synovial chondromatosis, and inflammatory arthropathies. In the past,
DEFINITION Radial tunnel syndrome was first described by Michele and Krueger7 in 1956 as radial pronator syndrome. It was described as a compression neuropathy involving primarily the posterior interosseous nerve (PIN), associated with a predominant symptom of
145) A 32-year-old carpenter complains of progressively worsening wrist pain for the last 2 months. He denies any recent history of trauma to the wrist or hand. An MRI is obtained and a representative image is provided in Figure A. Which of the following surgical interventions is thought to be
A 22-year-old college quarterback is tackled and sustains a reducible first carpometacarpal dislocation. What is the recommended treatment? Closed reduction and casting Closed reduction and percutaneous pinning First carpometacarpal
A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her
DEFINITION Panner Disease Panner disease is a condition in which there is compromised subchondral bone, potentially due to repetitive microtrauma and diminished blood supply to the developing ossific nucleus within the distal humerus chondral epiphysis in preadolescents.9 Those affected
DEFINITION Lateral epicondylitis (LE) is a common musculoskeletal disorder that is characterized by lateral epicondylar pain and tenderness over the origin of the extensor carpi radialis brevis (ECRB) slightly distal and anterior to lateral epicondyle with exacerbated pain at the resisted
Arthroscopic Débridement for Elbow Degenerative Joint Disease DEFINITION Primary degenerative arthritis of the elbow joint is a relatively uncommon condition.9,18 Patients with primary osteoarthritis of the elbow are frequently manual laborers, athletes, and those who rely
Arthroscopic Treatment of Elbow Loss of Motion DEFINITION Loss of motion is a common sequela of elbow trauma or the natural progression of nontraumatic conditions of the elbow, significantly impairing function of the upper extremity and hindering performance of
Arthroscopic Treatment of Chondral Injuries and Osteochondritis Dissecans DEFINITION Osteochondritis dissecans (OCD) is a progressive form of osteochondrosis involving focal injury to the subchondral bone or its blood supply. It may occur in many different areas
Elbow and Wrist Elbow Arthroscopy: The Basics DEFINITION Elbow arthroscopy involves the use of an arthroscope to examine the interior of the elbow joint and provides the opportunity to perform minimally invasive diagnostic and therapeutic
Corrective Osteotomy for Radius and Ulna Diaphyseal Malunions DEFINITION Malunion of the radial or ulnar shaft can lead to pain, loss of motion, loss of strength, and instability at the level of the wrist or elbow. Malrotation, angulation (with
Open Reduction and Internal Fixation of Diaphyseal Forearm Fractures DEFINITION Diaphyseal forearm fractures include isolated or combined radial and ulnar fractures (“both-bone fractures”). They occur distal to the elbow joint and proximal
Open Reduction and Internal Fixation of Fracture-Dislocations of the Elbow with Complex Instability DEFINITION Simple dislocations of the elbow can most often be treated successfully with closed means: reduction and short-term immobilization
Fractures of the Proximal Ulna Open Reduction and Internal Fixation of Fractures of the Proximal Ulna DEFINITION Fracture of the olecranon process is common, usually displaced, and nearly always treated operatively. Important injury
Radial Head Replacement DEFINITION Radial head fractures are the most common fracture of the elbow and usually can be managed either nonoperatively or with open reduction and internal fixation (ORIF).12 Radial head arthroplasty is indicated
Open Reduction and Internal Fixation of Radial Head and Neck Fractures DEFINITION Radial head and neck fractures are the most common elbow fractures in adults representing 33% of elbow fractures. They may occur in isolation or
Elbow Replacement for Acute Trauma DEFINITION Most comminuted elbow fractures have associated soft tissue injuries, which are often of equal or greater importance to the bony injury. The goal when treating acute elbow fractures is that of anatomic
Open Reduction and Internal Fixation of Capitellum and Capitellar-Trochlear Shear Fractures DEFINITION Capitellar fractures are uncommon, accounting for less than 1% of all elbow fractures and 6% of all distal humerus fractures.4 They often
Open Reduction and Internal Fixation of Supracondylar and Intercondylar Fractures PATIENT HISTORY AND PHYSICAL FINDINGS Distal humerus fractures occur in two age groups: Younger patients who sustain high-energy
Management of Simple Elbow Dislocation DEFINITION Simple elbow dislocation is a dislocation of the ulnohumeral joint without concomitant fracture. Complex instability denotes the presence of a fracture associated with dislocation. The elbow is the
Arthroscopic Treatment of Chondral Injuries and Osteochondritis Dissecans DEFINITION Osteochondritis dissecans (OCD) is a progressive form of osteochondrosis involving focal injury to the subchondral bone or its blood supply. It may occur in many
Reconstruction for Missed Monteggia Lesion DEFINITION Monteggia fracture-dislocations are rare complex traumatic upper limb injuries defined by fracture of the ulna associated with proximal radioulnar joint dissociation and radiocapitellar
Closed, Percutaneous, Intramedullary, and Open Reduction of Radial Head and Neck Fractures DEFINITION Radial neck fractures are extra-articular fractures of the radius proximal to the bicipital tuberosity. Radial neck fractures are most
Open Reduction and Internal Fixation of Pediatric T-Condylar Fractures DEFINITION T-condylar fractures of the distal humerus in children and adolescents are relatively rare occurrences. They are
Open Reduction and Internal Fixation of Pediatric T-Condylar Fractures DEFINITION T-condylar fractures of the distal humerus in children and adolescents are relatively rare occurrences. They are
Elbow Arthroscopy: The Basics DEFINITION Elbow arthroscopy involves the use of an arthroscope to examine the interior of the elbow joint and provides the opportunity to perform minimally invasive diagnostic and therapeutic procedures. Elbow
Surgical Approaches to the Elbow ELBOW APPROACHES Luke S. Austin Joseph A. Abboud Matthew L. Ramsey Gerald R. Williams Jr. The surgical exposures described for the elbow are divided into posterior, medial, and lateral approaches. These
Anatomy and Surgical Approaches of the Forearm, Wrist, and Hand l DEFINITION Safe surgical dissection and exposure require an in-depth knowledge of anatomy. In no place is this more relevant than in the surgical approaches to the hand, wrist, and
ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A 1) 3341. (2079) Q8-2501: Indications for internal fixation of the humeral shaft include all of the following except: 1) Acute radial nerve palsy 3) Bilateral humeral fractures 2)
ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A 1) 3341. (2079) Q8-2501: Indications for internal fixation of the humeral shaft include all of the following except: 1) Acute radial nerve palsy 3) Bilateral humeral fractures 2)
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2E The diagnosis of chronic exertional compartment syndrome is confirmed by measuring a resting pressure of more than mm Hg, 1-minute postexercise pressure of more than mm Hg, or a 5-minute postexercise pressure
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2A 2072. (2226) Q5-2654: The protein neurofibromin normally acts in which of the following ways: 1) Inhibits fibroblast growth factor 3) Downregulates Ras protein 2) Promotes proteoglycan assembly 5) Promotes tumor formation 4)
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2D A 4-year-old girl is brought in for examination by her mother because of a bump on the lateral side of her elbow. The girl is unable to extend her elbow. She falls as much as any child, but no particular injury to the elbow is recalled. Radiographs show a
ORTHOPEDIC MCQS ONLINE QUESTION BANK H1E 1411. (1764) Q4-2162: All of the following are characteristic of hemangiomas except: 1) 70% of hemangiomas are visible by 4 weeks of age 3) Hemangiomas are three times more common in woman than men 2) 70% of hemangiomas regress by 7
APPROACHES TO THE ELBOW The Elbow Posterior Approach to the Elbow with Olecranon Osteotomy Posterior Approach to the Elbow without Olecranon Osteotomy Anteromedial Approach to the
APPROACHES TO THE HUMERUS Two The Humerus Anterior Approach to the Humeral Shaft Minimally Invasive Anterior Approach to the Humeral Shaft Posterior Approach to the Humerus Anterolateral Approach to
Forearm Osteotomy for Multiple Hereditary Exostoses DEFINITION Multiple hereditary exostoses (MHE), first described by Boyer3 in 1814, is a familial disorder with an autosomal dominant mode of inheritance exhibiting very high penetrance and
(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture? Hip
Chapter 40 Arthroscopic Treatment of Elbow Loss of Motion Laith M. Al-Shihabi Chris Mellano Robert W. Wysocki Anthony A. Romeo DEFINITION Loss of motion is a common
Chapter 40 Arthroscopic Treatment of Elbow Loss of Motion Laith M. Al-Shihabi Chris Mellano Robert W. Wysocki Anthony A. Romeo DEFINITION Loss of motion is a common
Chapter 39 Elbow Arthroscopy for Panner Disease and Osteochondritis Dissecans Theodore J. Ganley Christine M. Goodbody J. Todd R. Lawrence R. Jay Lee DEFINITION Panner Disease Panner disease is a condition in which there is compromised subchondral
Chapter 15 Supracondylar Humeral Osteotomy for Correction of Cubitus Varus Yi-Meng Yen Richard E. Bowen Norman Y. Otsuka DEFINITION Cubitus varus is a deformity of the distal humerus that results in a change in the carrying angle from physiologic valgus alignment
Chapter 14 Open Reduction and Internal Fixation of Capitellum and Capitellar-Trochlear Shear Fractures Asif M. Ilyas Michael Rivlin Jesse B. Jupiter DEFINITION Capitellar fractures are uncommon, accounting for less than 1% of all elbow fractures and 6% of
Chapter 13 Open Reduction and Internal Fixation of Pediatric T-Condylar Fractures Keith D. Baldwin John M. Flynn DEFINITION T-condylar fractures of the distal humerus in children and adolescents are relatively
Chapter 12 Management of Simple Elbow Dislocation Bradford O. Parsons David M. Lutton DEFINITION Simple elbow dislocation is a dislocation of the ulnohumeral joint without concomitant fracture. Complex instability denotes the presence of a fracture associated with
Chapter 11 Open Reduction and Internal Fixation of Radial Head and Neck Fractures Yung Han George Frederick Hatch III John M. Itamura DEFINITION Radial head and neck fractures are the most common elbow fractures in adults representing 33% of elbow
Chapter 10 Closed, Percutaneous, Intramedullary, and Open Reduction of Radial Head and Neck Fractures Roger Cornwall DEFINITION Radial neck fractures are extra-articular fractures of the radius proximal to the bicipital tuberosity. Radial neck fractures are
Chapter 9 Reconstruction for Missed Monteggia Lesion Apurva S. Shah Peter M. Waters DEFINITION Monteggia fracture-dislocations are rare complex traumatic upper limb injuries defined by fracture of the ulna associated with proximal radioulnar joint
Chapter 4 Open Reduction and Internal Fixation of Diaphyseal Forearm Fractures Lee M. Reichel John R. Dawson DEFINITION Diaphyseal forearm fractures include isolated or combined radial and ulnar fractures (“both-bone fractures”). They occur distal to the
ARAB BOARD ORTHOPEDIC MCQS ONLINE BANK PREFACE Much effort has been put in this book, as every question was reviewed, analyzed and evaluated concerning the benefit, and information given to the student or Orthopedic Resident, that would allow one to realize his weak
Orthopedics MCQS ONLINE OITE23 1.03 What is the most common complication associated with surgical fixation of a transverse midshaft humeral fracture using antegrade statically locked medullary nail? Infection Radial nerve palsy Brachial artery injury during
ORTHOPEDIC MCQS ONLINE BANK OITE 1213 2013 & 2012 OITE Study Guide © 2012 American Academy of Orthopaedic Surgeons 2012 Orthopaedic In-Training
ORTHOPEDIC MCQS ONLINE BANK OITE 22 FOR OITE 22 FIGURES CLICK OITE22FIG 02.1 answer back A 30-year-old patient sustains an isolated type II open femoral shaft fracture. In addition to irrigation and debridement, management should include 1- skeletal traction. 2-
ORTHOPEDIC MCQS BANK ONLINE OITE 21 For OITE 21 FIGURES CLICK OITE21FIG 01.1 A 49-year-old man has a persistent Trendelenburg gait after undergoing open reduction and internal fixation of a posterior wall acetabular fracture 6 months ago. The radiographs reveal a normal
ORTHOPEDIC MCQS ONLINE BANK OITE 20 For OITE 20 FIGURE CLICK OITE 20 FIGURES 00.1 A 25-year-old man sustains the injury shown in the radiographs in Figures 1A and 1B. Examination reveals that he is neurovascularly intact, and there is a transverse 3-cm open medial
ORTHOPEDIC MCQS ONLINE BANK OITE 97 97.1 A 55-year-old woman reports a spontaneous onset of severe pain in her ribs. AP and lateral chest radiographs show severe osteopenia, two rib fractures, and three vertebral compression fractures. Laboratory studies show a hemoglobin level of 9.0
ORTHOPEDIC MCQS BANK OITE 96 96.1 A 4‑year‑old girl has had increasing left hip pain over the past 48 hours and has stopped walking. Her temperature is 38°C (100.4°F). Hip range of motion is limited. Aspiration of the hip reveals a WBC of 68,000/mm' and
ORTHOPEDIC MCQS BANK OUTE 99 99.1 Examination of a 60-year-old man who has a painful flatfoot deformity reveals no demonstrable function of the posterior tibial tendon. Neither the hindfoot valgus nor the forefoot pronation is passively correctable, and management consisting of shoe
Orthopaedic In-Training Exam 1998 Question 1 - A patient has a grade 2 open tibial fracture with 70% cross sectional bone loss that extends 2 cm in length. Treatment consists of stabilization with a nonreamed interlocking nail and successful secondary wound closure. Four months
ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B Which of the following rehabilitation exercises is most appropriate immediately following the repair of the injury seen in figure
Chapter 52 Forearm Osteotomy for Multiple Hereditary Exostoses Carla Baldrighi and Scott N. Oishi DEFINITION Multiple hereditary exostoses (MHE), first described by Boyer in 1814,2 is a familial disorder with an autosomal dominant mode of
CHAPTER ELBOW‌ ●A TENDON TESTS 90 Tennis elbow test 90 Golfer’s elbow test 93 ●B LIGAMENT/INSTABILITY TESTS 95 Valgus test 95 Varus test 97 Posterolateral pivot shift
Chapter 19‌ Elbow Arthroscopy for Panner’s Disease and Osteochondritis Dissecans Theodore J. Ganley, Gilbert Chan, Aaron B. Heath, and J. Todd R. Lawrence DEFINITION Panner’s Disease A term often used synonymously with
Chapter 8 Supracondylar Humeral Osteotomy for Correction of Cubitus Varus Yi-Meng Yen, Richard E. Bowen, and Norman Y. Otsuka DEFINITION Cubitus varus is a deformity of the distal humerus that results in a change in the carrying angle from physiologic
Chapter 7 Percutaneous Joystick and Intramedullary Reduction (Metaizeau) Techniques for Radial Neck Fractures Unni G. Narayanan and Fabio Ferri-De-Barros DEFINITION Radial neck fractures in children are typically transphyseal injuries and seldom involve
Chapter 6 Closed, Percutaneous, and Open Reduction of Radial Head and Neck Fractures Jenny M. Frances and Roger Cornwall DEFINITION Radial neck fractures are extra-articular fractures of the radius proximal to the bicipital tuberosity. Radial
ORTHOPEDIC MCQS ONLINE OB HAND 1A A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her
Arthroscopic Treatment of Epicondylitis DEFINITION Epicondylitis is overuse tendinosis at the elbow, with pain localized to the origin of the lateral common extensor mass or, much less commonly, the origin of the medial common flexor
Chapter 22 Arthroscopic Débridement for Elbow Degenerative Joint Disease Julie E. Adams and Scott P. Steinmann DEFINITION Primary degenerative arthritis of the elbow joint is a relatively rare condition.9,18 Patients with primary
Chapter 21 Arthroscopic Treatment of Elbow Loss of Motion Matthew T. Provencher, Mark S. Cohen, and Anthony A. Romeo DEFINITION Elbow stiffness can cause significant impairment in function of the upper extremity, especially in performance of
Chapter 19 Arthroscopic Treatment of Chondral Injuries and Osteochondritis Dissecans Marc Safran DEFINITION Osteochondritis dissecans (OCD) is a progressive form of osteochondrosis involving focal injury to the subchondral bone or its blood supply. It
Elbow Arthroscopy: The Basics Chapter 18‌ Elbow Arthroscopy: The Basics John E. Conway DEFINITION Elbow arthroscopy involves the use of an arthroscope to examine the interior of the elbow joint and provides the opportunity to perform
ORTHOPEDIC MCQS ONLINE OB 20 2D OrthoCash 2020 1216) Poor pre-injury cognitive function has been proven to increase mortality for which of the following injuries? Proximal humerus fracture Distal
ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2C week of indomethacin followed by 5 weeks of placebo, and (4) 6 weeks of indomethacin and followed for 1 year. The authors concluded that the use of prophylactic postoperative indomethacin increases the incidence of symptomatic nonunion of the PW as assessed
ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2B CT angiography and admit the patient for hourly neurovascular checks Interventional radiology consult for formal angiography and stenting Corrent answer: 2 This patient has a posterior knee dislocation with an ischemic limb
ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2A OrthoCash 2020 A 25 year-old-male presents with the injury seen in Figure A. Which of the following would be a contraindication to closed management with a functional
ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1D fractures is associated with decreased shoulder strength and increased nonunion rates. Risk factors for non-union in non-operative management of midshaft clavicle fractures include advanced age, female gender, displacement and comminution. Open
ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1C Figure A Buttress plating is most appropriate in which of the following clinical
ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1B Deep peroneal nerve, sural nerve Deep peroneal nerve, tibial nerve Superficial and deep peroneal nerves Superficial peroneal nerve, tibial nerve There is no true internervous
ORTHOPEDIC MCQS 20 TRAUMA 1A What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% Correct
ORTHOPEDIC MCQS 011 Reconstruction Online 2011 Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1Which of the following methods of
ORTHOPEDIC MCQS 011 UPPER EXTREMITY 2011 Upper Extremity Self-Assessment Exam by Dr.Dhahirortho 1 Question 1A 23-year-old patient with
ORTHOPEDIC MCQS ONLINE 012 TRAUMA 2012 Musculoskeletal Trauma Self-Assessment Examination by
ORTHOPEDIC MCQS ONLINE 013 PEDIATRIC 2013 Pediatric Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1-Figure 1 is the radiograph of a child who has pain in his
ORTHOPEDIC MCQS ONLINE 014 UPPER EXTREMITY Shoulder and Elbow Self-Assessment Examination AAOS 2014 by Dr.Dhahirortho
ORTHOPEDIC MCQS ONLINE PEDIATRIC 016 2016Pediatric Orthopaedic Self-Assessment Examination Question 1 of 100 Second-impact syndrome following a concussion poses minimal concern for morbidity or mortality. is less
ORTHOPEDIC MCQS ONLINE HAND017 HAND AND WRIST SELF-SCORED EXAMINATION AAOS 2016 Question 1 of
Orthopedic MCQS online Shoulder and Elbow 017 SHOULDER AND ELBOW SELF- SCORED SELF-ASSESSMENT EXAMINATION AAOS
ORTHOPEDIC MCQS ONLINE ANATOMY 017 ANATOMY-IMAGING SELF- SCORED SELF-ASSESSMENT EXAMINATION AAOS
Orthopedic MCQS online Trauma 0018 AAOS TRAUMA self Assessment 2018 Question 1 of 100 A 32-year-old man has a closed mid-shaft spiral humeral fracture after a fall. After a discussion of his treatment options, he wants to proceed with surgical management. When
ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019 Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On
ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019 Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On examination,
ORTHO MCQS BANK 011 FREE 03 Question 2..On MRI, what nerve is most likely to demonstrate increased signal intensity about the elbow in asymptomatic patients? 1- Ulnar 2- Radial 3- Median 4- Anterior interosseous 5- Musculocutaneous DISCUSSION: The ulnar nerve has been shown to have
ORTHO MCQS 011 FREE BANK 02 Question 101A 60-year-old woman with a long-standing history of diabetes mellitus with documented peripheral neuropathy has a plantar ulcer. The ulcer has been present for 3 months. Her primary care physician has treated her with saline dressing changes with
ORTHO MCQS 011 FREE BANK 01 Question 1Which of the following methods of treating a vertically oriented (eg, Pauwels III) femoral neck fracture is mechanically optimal? 1- Two parallel fully threaded screws 2- Three parallel partially threaded screws 3- Three parallel fully
ORTHOPEDIC MCQS OB 20 TRAUMA1 What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% CORRECT ANSWER: 4 Anterior knee
ALL ORTHOPEDIC SURGICAL APPROUCHES Approaches for External Fixation Humerus-Radius,... Approaches for External Fixation... Approaches for External Fixation Dorsal Approach for Morton Neuroma Dorsal Approach to the
ORTHOPEDIC MCQS BANK WITH ANSWER PEDS 01 1. The inheritance of the deformity shown in Figure 1 is most commonly 1-
ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01 1. An 18-year-old high school football player sustains a thigh injury that results in the findings shown in Figure 1. Initial management should consist
ORTHOPEDIC MCQS BANK WITH ANSWER ANATOMY 02 1. A patient has right shoulder pain. Figure 1a shows a gadolinium-enhanced transverse MRI scan at the level of the coracoid. Figure 1b shows an arthroscopic view of the anterior structures
ORTHOPEDIC MCQS BANK WITH ANSWER SHOULDER 02 1-Which of the following statements best describes why the ulnar nerve is most prone to neuropathy at the elbow?
ORTHOPEDIC MCQS WITH ANSWER TRAUMA 03 1. A 21-year-old woman who was wearing a seat belt sustained an injury of the thoracolumbar junction in a motor vehicle accident. The AP radiograph shows widening between the L1 and L2 spinous processes,
ORTHOPEDIC MCQS WITH ANSWER SPORT 04 1. A 21-year-old collegiate wrestler sustains a blow to his right eye during a match. Examination reveals anisocoria with a dilated right pupil. The globe is properly formed, and extra-occular movements and the
ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05 1. A 36-year-old woman has pain and swelling of the anterior arm after undergoing arthroscopic shoulder surgery 8 months ago. At the time of the procedure, extensive debridement and synovectomy of
ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06 1. A 36-year-old woman sustained a tarsometatarsal joint fracture-dislocation in a motor vehicle accident. The patient is treated with open reduction and internal fixation. What is the most common
ONLINE ORTHOPEDIC MCQS UPPER LIMB08 1. A 68-year-old man had a 3-year history of shoulder pain that failed to respond to nonsurgical management. Examination reveals forward elevation to 120 degrees and external rotation to 30 degrees.
ONLINE ORTHOPEDIC MCQS ANATOMY08 1. During a retroperitoneal approach to the L4-5 disk, what structure must be ligated to safely mobilize the common iliac vessels toward the midline from laterally and gain
ONLINE ORTHOPEDIC MCQS TRAUMA 9 1. A 26-year-old woman sustained a nondisplaced femoral neck fracture and treatment consisted of use of percutaneous cannulated screws. At her 3-month follow-up visit, she reports hip pain and is unable to
Orthopedic MCQS online Shoulder and Elbow 1- Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision
online orthopedic mcqs HAND AND WRIST 1- Figures 1 through 3 are the radiographs of a 40-year-old woman who sustained a minor injury to her left ring finger. Prior to this injury she was asymptomatic, but she now notes pain and swelling. What is the best course of
Elbow structured oral examination question 5 EXAMINER: I have a problem with my left elbow. Proceed. CANDIDATE: Well, I want to know your age, hand dominance, your occupation and the nature of your problem please. EXAMINER: I am 47, a right-hand dominant mechanic and in certain positions
Elbow structured oral examination question 4 EXAMINER: Good morning. Here are the radiographs of a righthand dominant 43-year-old man’s right elbow. Tell me the findings. (Figure 6.5.) CANDIDATE: Good morning. These radiographs show narrowing of joint space on both ulnohumeral and
Elbow structured oral examination question 3 EXAMINER: What do you see in this radiograph of a 67- year-old lady’s right elbow? (Figure 6.4.) CANDIDATE: This radiograph shows extensive erosion of the articular cartilage which has involved both ulnohumeral and radiocapitellar joints. The
Shoulder and elbow: Mcqs AND EMQS Answers MCQs e. The posterior rotator cuff. The primary cause of internal impingement is often anterior capsular laxity, which may result in posterior capsular tightness. This results in anterior shift of the axis of rotation of the
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Chapter Hip structured oral questions 2 All viva questions outlined here are examples of actual questions asked in the FRCS (Tr & Orth) exam. Currently each viva question lasts 5 minutes and examiners are advised against switching to another topic earlier even if a candidate
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Questions in Trauma and Orthopaedics for the FRCS Section 6 Lower Limb and Pelvic Trauma Viva 41 This 27-year-old has been involved in a road traffic accident (RTA). Describe what you see in this picture and explain your initial
Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision without any signs of infection. He
Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision without
Facts Posterior dislocation is most common, often due to a fall on an outstretched hand The result of either valgus posterolateral rotatory force, varus posteromedial rotatory force or direct blow to a flexed elbow Approximately 50% of acute elbow dislocations
SHOULDER AND ELBOW MCQS FREE 2021 1- Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior
Pediatric Orthopaedic MCQS Self-Assessment Examination 2020 Question 1 of 100 Figures 1 and 2 are the radiographs of an 11-year-old girl who is having right elbow pain after “trying to beat up a
1) What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% Corrent answer:
FREE Orthopedics MCQS 2022 1751-1800.. 1751. (585) Q5-821: A 15-year-old basketball player has mild scoliosis, pes planus, pectus carinatum, and long slender fingers. In order to help determine if he has Marfan syndrome and should be allowed to continue playing basketball, it is most
FREE Orthopedics MCQS 2022 1701-1750. 1701. (438) Q5-576: A 7-year-old child sustained a type 3 closed supracondylar fracture of the humerus 2 hours ago. Neurologic function is intact, but a pulse cannot be found by palpation or doppler. The hand is slightly cool. Your next step is to
1) What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% Corrent answer:
FREE Orthopedics MCQS 2022 1551-1600 1551. (2404) Q4-2863: Slide 1 A 1-year-old boy was born full-term and pregnancy was uneventful. However, the parents noticed deformity of the patientâs forearm, which progressed with growth. The parents consulted a pediatric orthopaedic
FREE Orthopedics MCQS 2022 1501-1550 1501. (2354) Q4-2812: All of the following may be seen with preganglionic lesion except: 1) Hornerâs syndrome 3) Positive histamine test 2) Hemidiaphragmatic palsy 5) Root avulsion sleeve on myelogram 4) Tinelâs
Lateral Approach to the Distal Humerus ‌ The lateral approach exposes the lateral epicondyle and the origin of the wrist extensors. Its uses include the following: Open reduction and internal fixation of fractures of the lateral condyle Surgical treatment of tennis
Applied Surgical Anatomy Overview The elbow is the hinge (ginglymus) joint between the lower end of the humerus and the upper end of the radius and ulna. It communicates with the superior radioulnar joint. The lower end of the humerus articulates in two areas: The
Posterolateral Approach to the Radial Head The posterolateral approach to the radial head12 is useful for all surgeries to the radial head. These include open reduction and internal fixation of radial head and neck fractures,13,14 excision of the radial head and
Anterolateral Approach to the Elbow The anterolateral approach exposes the lateral half of the elbow joint, especially the capitulum and the proximal third of the anterior aspect of the radius. Its uses include the following: Open reduction and internal fixation of fractures of the
Posteromedial Approach to the Coronoid Process of the Ulna This approach provides excellent exposure of the coronoid process and the medial aspect of the proximal ulna.10,11 Because the approach is through the bed of the ulnar nerve this structure is at risk in this exposure. The
Approaches to the Elbow click the link below Posterior Approach to the Elbow without Olecranon Osteotomy Anteromedial Approach to the Elbow Posteromedial Approach to the Coronoid Process of Ulna Anterolateral Approach to the
ELBOW APPROACHES ■ The surgical exposures described for the elbow are divided into posterior, medial, and lateral approaches. These descrip- tions denote the deep surgical interval employed. ■ Often, these deep approaches can be performed through a