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    Frx) occurs most often between 6-10 yrs of 6age these frxs are also prone to non union since the frx is intra-articular and is intrabathed in synovial fluid; mechanism fall on the outstretched arm w / forearm in abduction and elbow in extension. Management Cast undisplaced Percutaneous pinning minimally displaced ORIF Displacement 2 mm IMMOBILIZATION 4 Milch type II SH type II Milch type I

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    Frx) occurs most often between 6-10 yrs of 6age these frxs are also prone to non union since the frx is intra-articular and is intrabathed in synovial fluid; mechanism fall on the outstretched arm w / forearm in abduction and elbow in extension. Management Cast undisplaced Percutaneous pinning minimally displaced ORIF Displacement 2 mm IMMOBILIZATION 4 Milch type II SH type II Milch type I

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    71 views8 pages

    Elbow Injuries3

    Uploaded by

    api-3716867
    Frx) occurs most often between 6-10 yrs of 6age these frxs are also prone to non union since the frx is intra-articular and is intrabathed in synovial fluid; mechanism fall on the outstretched arm w / forearm in abduction and elbow in extension. Management Cast undisplaced Percutaneous pinning minimally displaced ORIF Displacement 2 mm IMMOBILIZATION 4 Milch type II SH type II Milch type I

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    of 8

    ANATOMY

    INJURIES
    AROUND ELBOW

    DR. ASHISH GOHIYA


    ASST. PROFESSOR
    DEPT. OF ORTHOPAEDICS
    GANDHI MEDICAL COLLEGE
    BHOPAL

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    ANATOMY OSSIFICATION
    OSSIFICATION CENTRES
    CENTRES
    CRITOE
    C 2
    R 4
    I 6
    T 8
    O 10
    E - 12

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    Fracture Lateral Condyle Mechanism

    common frx in children (20% of


    pediatric elbow frx);
    frx); fall on the outstretched arm w/ forearm
    occurs most often between 6- 6-10 yrs of in abduction & elbow in extension.
    age
    these frxs are also prone to non union
    since the frx is intra-
    intra-articular & is
    bathed in synovial fluid;

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    1
    Clinical Classification

    Pain swelling deformity Milch type I - SH type IV


    Tenderness lateral column
    Milch type II SH type II
    More common
    More unstable

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    Management

    Cast undisplaced
    Percutaneous pinning minimally
    displaced
    ORIF Displacement < 2 mm

    IMMOBILIZATION 4 6 WKS

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    Milch type II - Milch type I -


    SH type II SH type IV

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    2
    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    CUBITUS VALGUS TARDY ULNAR N PALSY

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    ANT. TRANSPOSITION Fracture medial epicondyle

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    3
    Intercondylar Fracture radial head

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    Fixation Head replacement

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    Head excision Fracture coronoid process

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    4
    Fracture Olecranon

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    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    5
    Distractive forces are
    converted in to
    Compressive forces

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    Dislocation elbow

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    6
    Dislocation elbow

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    Reduction immobolization

    Feedback at
    agohiya@yahoo.com

    www.esnips.com/web/gohiya www.esnips.com/web/gohiya

    7
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