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9 Cards in this Set
- Front
- Back
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FOOSH Injury - Elbow |
Extended Elbow Valgus Load Postero lateral Rotation (SUPINATION) Body Rotates around fixed hand |
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FOOSH Injury -Mechanism - Elbow |
Grade 1 Compression & rotation Sprain/ Strain Capsule/Ligament Failure from LCL --> MCL Ligament Instability Dislocation of HumeroUlnar Joint Fractures of Radial Head: Coronoid Process; Humerus supracondylar region. Humerus driven forward over coronoid of ulnar Risk of develp of Myositis ossificans Dislocation OBVIOUS but still NEED XRAY to exclude fracture Stage 1-3 Acute but more for Orthopaedics not us! |
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FOOSH Injury - Elbow - Treatment
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Closed manipulation & reduction asap Ensure elbow capable of full extension Full Flex/Ext to confirm within Trochlear groove Re Xray - Confirm Reduction 3 weeks immobilisation; 90Deg Forearm Pronation Begin Gentle Exercise after 1 week |
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What is terrible Triad? (relating to elbow) |
Radial head fracture Posterlateral Disclocation Coronoid fracture |
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Foosh Fractured Radial Head |
Common in adults May split or Break Cartilage of Capitulum may be bruise or chipped (cannot be seen on xray but important) Local Pain Limitation of Movements...Supination |
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Foosh Fractured Radial Head |
Surgical correction for fragments Comminuted fracture - Radial head taken out and replaced with prosthesis Aspiration of joint to remove blood Immobilise for 7 days Active exercise to that the joint doesnt have permanent limitations later. Early movement Key! |
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Foosh - Elbow Coronoid Fracture |
May lead to Varus Posteromedial rotatory instability if left untreated Treat open reduction(surgery needed) internal fixation |
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Foosh injuries - Elbow Supracondylar Fracture |
Common on kids Displacement of proximal Fragment may injure the brachial artery/vein; median, ulnar or deep muscular branch radial nerve
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Foosh injuries - Elbow Supracondylar Fracture Treatment |
If no displacement - Sling 2-3 weeks Flexion allowed after 3 weeks Extension after 6 weeks If displacement - reduce ASAP - traction immobilisation best for unstable elbow continously examine fracture in case of Volkmans Iscaemic fracture. In cases of irreducible fractures Kirschner method of 2 wires is used. |
