These cases are are to get you to start thinking and questioning your knowledge ahead of the next webinar making good decisions in elbow trauma.

We are joined for this webinar by:

Prof Adam Watts will discuss how the Wrightington elbow classification can guide treatment of fracture dislocations.

Mr Lee Van Rensburg will present his thoughts on contemporary management options for treatment of coronoid fracture

Dr Jorge Orbay from Miami will discuss the rationale behind fixation versus replacement of radial head fractures.

Case 1

A 32 year old male involved in a motorcycle accident. He has an isolated, closed, neurovascular intact injury of his dominant arm.

Does this patient require any further imaging?

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What is the diagnosis?

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The patient complains of forearm pain and notices a change of shape of the wrist. Xrays are requested.

Do these x-rays change your management?

Would you

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Treatment planning:

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Case 2

25 year old male, fall from push bike

Initial x-rays

What is the diagnosis?

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What should next steps be?

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He goes on to have a CT Scan

Is there an associated soft tissue injury?

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How would you definitively manage this injury?

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Case 3

This next case illustrates the essential aspect of injury recognition in relation to treatment of coronoid fractures.

Both of the following cases have fractures to the tip of the coronoid

One had surgery and one did not. 

Why?

Patient A:

16 yo fall from bicycle

Patient B:

45 yo slipped playing football, felt a pop

What further imaging is needed?

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Patient A:

Is this injury stable?

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Which parts of the coronoid have been fractured?

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Patient B:

Is this injury stable?

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Which parts of the coronoid have been fractured

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What would you do?

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What is the surgical approach you would use?

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Webinar

Please post your thoughts about these cases in the comments section below.

For the answers to these questions and much more join our webinar this week, Wednesday 2nd September at 8pm BST.

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