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  • Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid
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Upper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid yes no Radial head replacement Plate pins and screws Small Additional medial Exposure ignore plate Retrograde fixation Formal repair LCL Consider Fix ex Decision making algorithm

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Page 1: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

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

Page 2: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Fall Beispiel

Page 3: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Fall Beispiel

Page 4: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 5: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Fall Beispiel

Page 6: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 7: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 8: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Fall Beispiel

Page 9: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 10: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 11: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

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

Page 12: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Fall Beispiel

Page 13: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 14: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 15: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities Fall Beispiel

Page 16: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Fall Beispiel

Page 17: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Fall Beispiel

Page 18: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 19: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Osteochondral bone Graft

Page 20: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Page 21: Upper Extremities Decision making algorithm fileUpper Extremities fracture dislocation of the elbow Persistant instability Radial head Fixable neck integrity Minimal comminution coronoid

Upper Extremities

Ursachen für Pittfalls mögliche Behandlungsstrategien

Ungenügende praeoperative Bildgebung Missdeutung der Bildgebung

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Ungenügende Fixation des Proc. coronoideus

«Faiulure to protect»


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