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