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Coronoid Process Fracture

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61. Orbital Fractures

, lateral canthal dystopia, globe displacement with enophthalmos, diplopia with muscle imbalance, and a palpable step at the orbital rim in the regions of the ZMC or frontozygomatic suture. Problems with mastication arise, especially with displaced zygomatic arch fracture impingement on the coronoid process of the mandible. Lateral-wall fracture is seen in the image below. This lateral-wall fracture is part of a zygomaticomaxillary complex fracture that was classified as a tripod fracture. NOE fractures (...) Orbital Fractures Orbital Fractures: Practice Essentials, Problem, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODY3OTg1LW92ZXJ2aWV3 processing > Orbital Fractures Updated: Apr 25, 2018 Author

2014 eMedicine Surgery

62. Facial Fractures (Diagnosis)

motor vehicle or motorcycle accidents and are the result of the mid face being separated from the cranial base. Mandibular: Fractures of the mandible (see image below) can involve the symphysis, body, angle, ramus, condyle, and subcondyle regions. Fractures of the mandibular body, condyle, and angle occur with nearly equal frequency, followed by fractures of the ramus and coronoid process. [ ] Generally, motor vehicle accidents result in fractures of the condylar and symphysis regions because (...) Facial Fractures (Diagnosis) Facial Fractures: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODQ2MTMtb3ZlcnZpZXc= processing > Facial Fractures Updated: Jan 31, 2016

2014 eMedicine.com

63. Radial Head Fractures (Treatment)

fractures are used (see the image below). Surgical treatment options include ORIF with plates and screws, excision of fragments, or radial head replacement. Floating elbow. Combined Monteggia fracture with dislocation and supracondylar humerus fractures. Treatment of a floating elbow requires fixation of both fractures. Surgical treatment of so-called terrible triad injuries of the elbow (elbow dislocations with concomitant fractures of the radial head and the coronoid process) is controversial (...) = processing > Radial Head Fractures Treatment & Management Updated: Aug 09, 2018 Author: Steven I Rabin, MD; Chief Editor: Thomas M DeBerardino, MD Share Email Print Feedback Close Sections Sections Radial Head Fractures Treatment Approach Considerations The goal of treatment of radial head fractures and dislocations, as with all orthopedic injuries, is a successful functional outcome. A successful outcome correlates directly with accuracy of anatomic reduction, restoration of mechanical stability

2014 eMedicine Surgery

64. Olecranon Fractures (Treatment)

for noncomminuted fractures. The goal is to convert the extensor force of the triceps to a dynamic compression force along the articular surface. Tension band wiring is indicated for displaced fractures proximal to the coronoid process that are not at risk of compressing the olecranon fossa. Tension band wiring is contraindicated if the articular surface is comminuted and unstable. [ , , , , ] Takada et al have described a minimally invasive technique for tension band wiring. [ ] The fracture is usually reduced (...) . [ ] The challenges associated with appropriate technical placement of the hardware are underestimated. Despite good functional results, Schneider et al found technical imperfections to be common. [ ] Previous Next: Plate Fixation Plate fixation is most commonly recommended for comminuted fractures for which tension band wire fixation is not feasible. It also is indicated for fractures that involve the coronoid process or extend distal to the coronoid process, including those extending into the shaft

2014 eMedicine Surgery

65. Distal Humerus Fractures (Treatment)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIzOTUxNS10cmVhdG1lbnQ= processing > Distal Humerus Fractures Treatment & Management Updated: Oct 23, 2017 Author: Edward Yian, MD; Chief Editor: Harris Gellman, MD Share Email Print Feedback Close Sections Sections Distal Humerus Fractures Treatment Approach Considerations The decision to offer operative intervention for distal humerus fractures is based on many factors, including fracture type, intra-articular involvement, fragment displacement, bone quality, joint stability, and soft-tissue quality and coverage (...) , it appears that TEA may help elderly patients with severe bone loss and comminution. Elbow hemiarthroplasty (EHA) has also been described as a possible alternative to TEA in older patients. [ , ] Next: Nonoperative Therapy Nonoperative treatment depends on the fracture type. Casting and immobilization can be used for nondisplaced fractures, particularly with medial, lateral, and supracondylar process fractures (extra-articular and extracapsular). Medial epicondylar fractures can be immobilized for 7 days

2014 eMedicine Surgery

66. Supracondylar Humerus Fractures (Overview)

Supracondylar Humerus Fractures (Overview) Supracondylar Humerus Fractures: Background, Anatomy, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2OTU3Ni1vdmVydmlldw== processing > Supracondylar Humerus (...) Fractures Updated: Feb 15, 2017 Author: Jiun-Lih Jerry Lin, MBBS, MS(Orth); Chief Editor: Jeffrey D Thomson, MD Share Email Print Feedback Close Sections Sections Supracondylar Humerus Fractures Overview Background in adults are relatively uncommon injuries, representing only about 3% of all fractures in adults. In a study of 4536 consecutive fractures in adults seen in the Massachusetts General Hospital emergency department, only 0.31% were supracondylar (bicolumn) fractures of the distal humerus

2014 eMedicine Surgery

67. Fracture, Elbow (Diagnosis)

and the coronoid process of the ulna; this can be mistaken for the ossification center of the trochlea. ED management consists of immobilization of the forearm in flexion and pronation and the wrist in flexion. Lateral epicondyle fracture Lateral epicondyle fracture is very rare and is usually due to an avulsion fracture. Fracture of the lateral humeral epicondyle can be mistaken for the radiolucency of the epiphysis. [ ] Treatment is immobilization with the elbow flexed to 90 degrees and the forearm (...) Fracture, Elbow (Diagnosis) Elbow Fracture: Background, Pathophysiology, Extra-articular Fracture Patterns Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI0NjU0LW92ZXJ2aWV3 processing > Elbow Fracture Updated

2014 eMedicine Emergency Medicine

68. Supracondylar Humerus Fractures (Treatment)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2OTU3Ni10cmVhdG1lbnQ= processing > Supracondylar Humerus Fractures Treatment & Management Updated: Feb 15, 2017 Author: Jiun-Lih Jerry Lin, MBBS, MS(Orth); Chief Editor: Jeffrey D Thomson, MD Share Email Print Feedback Close Sections Sections Supracondylar Humerus Fractures Treatment Approach Considerations The main goals of surgical treatment of supracondylar humerus fractures are as follows: Prevent further injury Restore normal anatomy Provide an optimal environment for healing If these goals are met (...) to be sacrificed for later anterior transposition. Nerve then is carefully retracted and protected with vascular tape. The olecranon is isolated, and a small incision is made in the medial or lateral capsule for passage of a probe into the trochlea to palpate the level of the coronoid process. The apex of the chevron osteotomy then is planned 3-5 mm proximal to the coronoid, with the apex directed distally. (This also will correlate with a point just proximal to the radioulnar articulation.) Because the author

2014 eMedicine Surgery

69. Medial Humeral Condyle Fracture (Overview)

of metaphyseal bone is found attached to the avulsed fragment. If the fragment is incarcerated within the joint, the fragment may become adherent to the coronoid process of the ulna. When the fragment is incarcerated within the joint, the universal finding is a thick fascial band that binds the ulnar nerve to the underlying muscle. This thick fascial band is responsible for ulnar nerve dysfunction, either acutely or as a late finding. Other elbow fractures may be associated with medial epicondyle fractures (...) , and care must be taken to recognize the full extent of the injury. Associated injuries include radial neck fractures, olecranon fractures, and coronoid process fractures. Previous Next: Etiology Medial condyle fracture The following three possible mechanisms for medial condyle fracture [ , , , , , , , , , ] have been described: A fall on the palm of an outstretched arm, with the elbow forced into valgus (see the first image below) A fall on the point of the elbow (apex of the flexed elbow

2014 eMedicine Surgery

70. Radial Head Fractures (Follow-up)

fractures are used (see the image below). Surgical treatment options include ORIF with plates and screws, excision of fragments, or radial head replacement. Floating elbow. Combined Monteggia fracture with dislocation and supracondylar humerus fractures. Treatment of a floating elbow requires fixation of both fractures. Surgical treatment of so-called terrible triad injuries of the elbow (elbow dislocations with concomitant fractures of the radial head and the coronoid process) is controversial (...) = processing > Radial Head Fractures Treatment & Management Updated: Aug 09, 2018 Author: Steven I Rabin, MD; Chief Editor: Thomas M DeBerardino, MD Share Email Print Feedback Close Sections Sections Radial Head Fractures Treatment Approach Considerations The goal of treatment of radial head fractures and dislocations, as with all orthopedic injuries, is a successful functional outcome. A successful outcome correlates directly with accuracy of anatomic reduction, restoration of mechanical stability

2014 eMedicine Surgery

71. Distal Humerus Fractures (Follow-up)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIzOTUxNS10cmVhdG1lbnQ= processing > Distal Humerus Fractures Treatment & Management Updated: Oct 23, 2017 Author: Edward Yian, MD; Chief Editor: Harris Gellman, MD Share Email Print Feedback Close Sections Sections Distal Humerus Fractures Treatment Approach Considerations The decision to offer operative intervention for distal humerus fractures is based on many factors, including fracture type, intra-articular involvement, fragment displacement, bone quality, joint stability, and soft-tissue quality and coverage (...) , it appears that TEA may help elderly patients with severe bone loss and comminution. Elbow hemiarthroplasty (EHA) has also been described as a possible alternative to TEA in older patients. [ , ] Next: Nonoperative Therapy Nonoperative treatment depends on the fracture type. Casting and immobilization can be used for nondisplaced fractures, particularly with medial, lateral, and supracondylar process fractures (extra-articular and extracapsular). Medial epicondylar fractures can be immobilized for 7 days

2014 eMedicine Surgery

72. Supracondylar Humerus Fractures (Follow-up)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2OTU3Ni10cmVhdG1lbnQ= processing > Supracondylar Humerus Fractures Treatment & Management Updated: Feb 15, 2017 Author: Jiun-Lih Jerry Lin, MBBS, MS(Orth); Chief Editor: Jeffrey D Thomson, MD Share Email Print Feedback Close Sections Sections Supracondylar Humerus Fractures Treatment Approach Considerations The main goals of surgical treatment of supracondylar humerus fractures are as follows: Prevent further injury Restore normal anatomy Provide an optimal environment for healing If these goals are met (...) to be sacrificed for later anterior transposition. Nerve then is carefully retracted and protected with vascular tape. The olecranon is isolated, and a small incision is made in the medial or lateral capsule for passage of a probe into the trochlea to palpate the level of the coronoid process. The apex of the chevron osteotomy then is planned 3-5 mm proximal to the coronoid, with the apex directed distally. (This also will correlate with a point just proximal to the radioulnar articulation.) Because the author

2014 eMedicine Surgery

73. Olecranon Fractures (Follow-up)

for noncomminuted fractures. The goal is to convert the extensor force of the triceps to a dynamic compression force along the articular surface. Tension band wiring is indicated for displaced fractures proximal to the coronoid process that are not at risk of compressing the olecranon fossa. Tension band wiring is contraindicated if the articular surface is comminuted and unstable. [ , , , , ] Takada et al have described a minimally invasive technique for tension band wiring. [ ] The fracture is usually reduced (...) . [ ] The challenges associated with appropriate technical placement of the hardware are underestimated. Despite good functional results, Schneider et al found technical imperfections to be common. [ ] Previous Next: Plate Fixation Plate fixation is most commonly recommended for comminuted fractures for which tension band wire fixation is not feasible. It also is indicated for fractures that involve the coronoid process or extend distal to the coronoid process, including those extending into the shaft

2014 eMedicine Surgery

74. Fracture, Elbow (Overview)

and the coronoid process of the ulna; this can be mistaken for the ossification center of the trochlea. ED management consists of immobilization of the forearm in flexion and pronation and the wrist in flexion. Lateral epicondyle fracture Lateral epicondyle fracture is very rare and is usually due to an avulsion fracture. Fracture of the lateral humeral epicondyle can be mistaken for the radiolucency of the epiphysis. [ ] Treatment is immobilization with the elbow flexed to 90 degrees and the forearm (...) Fracture, Elbow (Overview) Elbow Fracture: Background, Pathophysiology, Extra-articular Fracture Patterns Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI0NjU0LW92ZXJ2aWV3 processing > Elbow Fracture Updated

2014 eMedicine Emergency Medicine

75. Pediatric Terrible Triad Elbow Fracture Dislocations: Report of 2 Cases. (Abstract)

Pediatric Terrible Triad Elbow Fracture Dislocations: Report of 2 Cases. An elbow dislocation associated with radial head and coronoid process fractures, the terrible triad injury, has an unpredictable outcome in adults and is rare in children. We present 2 such injuries in children, 1 combined with an olecranon fracture, and both with good early clinical outcomes. However, in 1 of the 2 cases, avascular necrosis of the proximal radius was evident on radiographs. Copyright © 2013 American

2013 Journal of Hand Surgery - American

76. Characterization of mandibular fractures using 64-slice multidetector CT Full Text available with Trip Pro

Characterization of mandibular fractures using 64-slice multidetector CT The aim of this study was to characterize mandibular fracture locations using 64-slice multidetector CT (MDCT).CT scans of 138 patients with mandibular fractures who underwent 64-slice MDCT were studied. Mandibular fractures were classified into five types: median, paramedian, angle, condylar and coronoid process. Statistical analysis for the relationship between multiple fractures and type of mandibular fractures (...) was performed using χ(2) test with Fisher's exact test.The percentage of multiple mandibular fractures was 80.9% median type, 74.3% paramedian type, 52.9% angle type and 60.9% condylar type. The resultant data showed a significant relationship between multiple fractures and the median type (p = 0.000), paramedian type (p = 0.002) and condylar type (p = 0.003).The results suggest that multiple fractures are related to the type of mandibular fractures.

2012 Dentomaxillofacial Radiology

77. Potential Dangers of Tension Band Wiring of Olecranon Fractures: An Anatomic Study. (Abstract)

cadavers with intact proximal ulnas. The K-wires were drilled obliquely through the tip of the olecranon process and directed to engage the anterior ulnar cortex, distal to the coronoid. Using calipers, we measured the distance from the tip of each pin to the anterior interosseous nerve (AIN), ulnar artery, proximal radioulnar joint (PRUJ), and volar cortex of the ulna, as well as the distance from the volar cortex of the ulna to the AIN and ulnar artery. The angle created by the K-wires (...) Potential Dangers of Tension Band Wiring of Olecranon Fractures: An Anatomic Study. Displaced olecranon fractures are often amenable to treatment with open reduction and tension-band wiring. The purpose of this study is to examine the relationships of the tips of K-wires used in a tension-band construct to volar neurovascular structures in the proximal forearm and the proximal radioulnar joint.We performed simulated percutaneous pinnings of the proximal ulna under fluoroscopic guidance on 15

2011 Journal of Hand Surgery - American

78. [Case-control study on combined therapy for preventing postsurgery stiffness after elbow fracture]. (Abstract)

23 to 63 years, averaged (43.53 +/- 7.74) years old; 15 patients had two parts fractures, including humeral intercondylar fractures combined with olecroanon and (or) ulna coronoid process fractures in 8 cases, fractures of exterior and interior humeral condyle combined with capitulum radius in 3 cases, fractures of olecroanon and ulna coronoid process in 3 cases, fractures of olecroanon and capitulum radius in 1 case; other 15 patients had one part fractures, including fractures of exterior (...) or interior humeral condyle in 8 cases,fractures of olecroanon or ulna coronoid process in 6 cases, fractures of capitulum radius in 1 patient. Thirty patients in the past procedure group,including 11 males and 19 females, ranging in age from 24 to 67 years, averaged (46.13 +/- 6.22) years; 15 patients had two parts fractures, including fractures of humeral intercondylar fracture combined with olecroanon and(or) ulna coronoid process in 7 cases, fractures of exterior and interior humeral condyle combined

2011 Zhongguo gu shang = China journal of orthopaedics and traumatology Controlled trial quality: uncertain

79. AIUM Practice Parameter for the Performance of a Musculoskeletal Ultrasound Examination

to external rotation. Posterior subluxation is assessed visually and by measuring the a angle, which is the angle between the posterior margin of the scapula and the line drawn tangentially to the humeral head and posterior edge of the glenoid. The normal value of the a angle is 30° or less. The clavicle and proximal humerus are also evaluated for fracture. ? 6 B. Specifications for an Elbow Examination An elbow examination may be indicated to evaluate for synovial hypertrophy or synovitis, crystal (...) space and other recesses of the elbow are assessed for effusion, synovial hypertrophy, and intra-articular bodies. Longitudinal and transverse scanning of the anterior humeroradial and humeroulnar joints and coronoid and radial fossae is performed to assess the articular cartilage and cortical bone. The annular recess of the neck of the radius is scanned dynamically with forearm pronation and supination. The same dynamic assessment can be made for the biceps brachii tendon and its attachment

2017 American Institute of Ultrasound in Medicine

80. Predrilled locking compression plate is more accurate than tension band wiring in restoring articular geometry of the ulnar greater sigmoid notch after olecranon Chevron osteotomy. (Abstract)

of the ulnar greater sigmoid notch pre- and postoperatively. The diameter of the best-fitting circle (diameter), the distance between the tip of the coronoid and the olecranon processes (distance) and the maximum articular depth were measured.With the TBW technique, after OCO and fixation, all three postoperative measurements were significantly (p≤0.001) different from preoperative measurements. The diameter and distance increased by a mean of 1.5±0.5 mm and 0.9±0.3 mm, respectively, while the depth (...) Predrilled locking compression plate is more accurate than tension band wiring in restoring articular geometry of the ulnar greater sigmoid notch after olecranon Chevron osteotomy. The olecranon Chevron osteotomy (OCO) is commonly used to approach complex intra-articular fractures of the distal humerus. Predrilled tension band wiring (TBW) has historically been used to fix OCO. However, clinical outcomes are burdened by secondary loss of reduction and up to 21.3% non-union rates

2020 Injury

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