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ELBOW
Distal Humeral Fractures

•    Intra-articular –
–    Single column
–    Bi column
–    Capitellum/ Trochlea


•    Extraaricular
–    Extracapsular- Medial/latl epicondyle

–    Intracapsular -Transcolumn fractures

Example

 
 Figure1: Very low open intraarticular fracture with Triceps rupture,
 
Figure2: which was treated with a Semiconstrained joint replacement

RADIAL HEAD FRACTURES

 Figure: Lateral view of Elbow showing  radial head fracture  and a fat pad sign

Radial Head Fracture
•    Stabiliser of the lateral column of joint  
•    Ass. Injury include elbow dislocation
•    Fall on outstretched pronated hand ,Valgus (outward) stress to the elbow
•    Classification-Mason
•    Diagnosis – aspiration which also relives pain.
•    Most radial head fractures are undisplaced or minimally displaced and are treated non-operatively.
•    Displaced fractures depending on the severity need internal fixation with screws, plates or rarely need a radial head replacement.
 
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