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| ==Radial Head==
| | *Adults |
| ===Background===
| | **[[Radial head fracture]] |
| *Most common fractures of the elbow | | **[[Capitellum fracture]] |
| *Caused by FOOSH leading to radial head being driven into the capitellum | | **[[Olecranon fracture]] |
| *Associated injuries are common:
| | *[[Elbow fracture (peds)]] |
| **Capitellum, olecranon, and coronoid fx, MCL injury, dislocation | |
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| ===Clinical Features===
| |
| *Pain in the lateral elbow, esp w/ pronation/supination of forearm | |
| *Swelling laterally and tenderness of radial head
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| ===Differential Diagnosis===
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| {{Elbow DDX}}
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| ===Diagnosis===
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| *[[Elbow X-ray|Imaging]] | |
| **Fractures are often subtle | |
| ***Look for abnormal fat pad
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| ***Look for radiocapitellar line disruption
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| ===Management===
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| *Sling immobilization in flexion, ice, elevation
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| *Nondisplaced fx w/ no mobility restrictions: ortho f/u within 1wk
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| *Displaced fx or mobility restricintons: ortho f/u within 24hr
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| ==Olecranon==
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| ===Background===
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| *Occurs via direct trauma or by fall w/ forced hyperextension of elbow
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| *Associated injuries are common:
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| **Dislocations, radial head fx, ulnar nerve injury
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| ===Clinical Features===
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| *Pain, swelling, and occasionally over posterior elbow
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| *Forearm extension strength is reduced (triceps inserts at the olecranon)
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| ===Differential Diagnosis===
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| {{Elbow DDX}}
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| ===Management===
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| *Rule-out ulnar nerve injury
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| *Immobilize w/ long arm posterior mold w/ elbow in flexion and forearm neutral
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| *Refer to ortho w/in 24hr
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| ==See Also== | | ==See Also== |
| *[[Elbow Diagnoses]] | | *[[Splinting: Humerus]] |
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| ==Source==
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| *Tintinalli
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| [[Category:Ortho]] | | [[Category:Orthopedics]] |
