upper extremities decision making algorithm fileupper extremities fracture dislocation of the elbow...

Upper Extremities

fracture dislocation ofthe elbow

Persistant instability

Radial head Fixable neck integrity Minimal comminution

coronoid

yes no

Radial headreplacement

Plate pinsand screws

Small Additional medialExposure

ignore plate

Retrogradefixation

Formal repair LCL

Consider Fix ex

Decision making algorithm

Upper Extremities

Fall Beispiel

Upper Extremities

Fall Beispiel

Upper Extremities

Upper Extremities

Fall Beispiel

Upper Extremities

Upper Extremities

Upper Extremities

Fall Beispiel

Upper Extremities

Upper Extremities

Upper Extremities

Split in the flexor carpi ulnaris

Anterior part of the flexor carpi ulnaris and the flexor pronator muscle are Elevated of the medial coronoid

Upper Extremities

Fall Beispiel

Upper Extremities

Upper Extremities

Upper Extremities Fall Beispiel

Upper Extremities

Fall Beispiel

Upper Extremities

Fall Beispiel

Upper Extremities

Upper Extremities

Osteochondral bone Graft

Upper Extremities

Upper Extremities

Ursachen für Pittfalls mögliche Behandlungsstrategien

Ungenügende praeoperative Bildgebung Missdeutung der Bildgebung

Exzision des Radiuskopfes

Ungenügende Fixation des Proc. coronoideus

«Faiulure to protect»