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| ==[[Radial head fracture]]==
| | *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
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| *Swelling laterally and tenderness of radial head | |
| | |
| ===Differential Diagnosis===
| |
| {{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 fracture]]==
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| ===Background===
| |
| *Occurs via direct trauma or by fall w/ forced hyperextension of elbow | |
| *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]] |
