Elbow Trauma
A 68-year-old female presents following a fall directly onto her elbow. She reports severe elbow pain, swelling, and inability to move the joint. Physical examination reveals gross swelling, tenderness, and crepitus. Neurovascular examination is intact. AP and lateral radiographs demonstrate a comminuted intra-articular distal humerus fracture with separation of the medial and lateral columns. CT scan confirms an AO Type C3 fracture with severe articular comminution involving both the trochlea and capitellum. She is low-demand, osteoporotic, and has rheumatoid arthritis. Regarding distal humerus fractures:
Mark each as TRUE or FALSE
Distal humerus fractures follow a bicolumnar anatomic model with medial and lateral columns forming ...
AO Type C fractures (complete articular) require dual plate fixation using either 90-90 degree (orth...
Olecranon osteotomy is mandatory for all distal humerus fractures to achieve adequate visualization ...
Total elbow arthroplasty (TEA) is an acceptable primary treatment for elderly (age 65+), low-demand ...
Routine ulnar nerve transposition is recommended during ORIF of distal humerus fractures to prevent ...
Answer the questions to see explanations
Click T (True) or F (False) for each option