Most often affecting the extensor carpi radialis brevis (ECRB) origin and Flexor carpi radialis/pronator teres origin on the medial side Overuse leads to tendon disrepair with abnormalities of tendon collagen and degenerative features Non operative management includes Physical therapy, Bracing/splinting,Corticosteroid injections, platelet-rich plasma (PRP) injections Open surgical method : Release and debridement of the ECRB origin with or without re-attachment…
DH resembles a triangle, with the medial & lateral columns making up the sides and the trochlea forming the base Reconstruction of the premorbid anatomy of the trochlea is crucial to restoration of motion and stability AO and Riseborough & Radin’s Classification commonly used Lambotte, in the first decade of the 20th century, was one of the first to describe…
Elbow dislocations are classified according to position of ulna & radius in relation to the distal humerus Post- dislocation account for 80-90% of all dislocations Fall backward on arm with elbow in flexed position with Forearm supinated is most common mechanism Extensive myositis ossificans around joint esp. in brachialis & triceps brachi muscles, Marked shortening of triceps muscle, Shortening of…
The radial head is an important stabilizer for valgus, axial, and posterolateral rotational forces Mason classification Conservative management for Isolated stable Mason type-1 or type-2 fracture of the radial head or neck Indications for operative management are crepitus on movement bone block Surgical exposure: kocher’s approach Low profile plate and headless screws used Protect PIN Radial head excision typically not…
Most commonly seen in children aged 5-7 years with fall on out stretched hand Extension type is seen >95% Gartland Classificaiton is used to classify extension type of SCH fractures Always check for distal pulses If palpable pulses do not return, but the limb is warm and pink and/or pulses are Dopplerable, the patient may be observed for 24 to…
Common source of medial-sided elbow pain in overhead/throwing athletes Factors to consider : Injury (acute vs. chronic), Location (humeral origin or ulnar insertion), Severity (partial vs. full thickness), Functional demands, Timing with athletic season, Identification of modifiable risk factors Most commonly utilized reconstruction methods today are the modified Jobe and docking techniques Several large studies have demonstrated favorable outcomes following…
