PREFERREDRESPONSE
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
PREFERREDRESPONSE
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
Modal title
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
Modal title
..
PREFERREDRESPONSE
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
PREFERREDRESPONSE
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
Modal title
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
Modal title
..
PREFERREDRESPONSE
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
PREFERREDRESPONSE
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
Modal title
.
The patient sustained a complex injury pattern that included a comminuted fracture of the coronoid. This must be identified and distinguished from a simpler olecranon fracture at the time of the initial repair. Loss of the coronoid buttress can lead to residual elbow instability if not addressed. In this situation, the bony stabilization has failed, and an attempt should be made to revise it, with particular attention to stabilizing the coronoid. As in all complex elbow injuries, the status of the collateral ligaments should be assessed, and repaired/reconstructed as needed.
A spanning external fixator can be considered as a secondary option when adequate fixation and stability cannot be achieved, but that would not address the articular incongruity currently present. Total elbow arthroplasty is not indicated due to the patient's age and injury pattern, and physical therapy is unlikely to be successful without a congruently reduced joint.
Correct answer : B
.
Modal title
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