Elbow Trauma
A 78-year-old woman presents after a fall onto her outstretched hand. Radiographs reveal a comminuted intra-articular distal humerus fracture with separation of both columns and fragmentation of the articular surface (AO Type C3). CT confirms significant comminution with poor bone quality. She is right-hand dominant and lives independently. The surgeon discusses treatment options including dual plate fixation versus total elbow arthroplasty, considering her age, activity level, and bone quality. Regarding distal humerus fractures and treatment decision-making:
Mark each as TRUE or FALSE
The distal humerus has a BICOLUMNAR architecture forming an INVERTED TRIANGLE with medial and latera...
AO/OTA Classification: Type A = EXTRA-ARTICULAR (supracondylar); Type B = PARTIAL articular (single ...
Single plate fixation is adequate for Type C fractures; the TRICEPS-SPLITTING approach provides the ...
OLECRANON OSTEOTOMY provides the BEST visualization of the articular surface for Type C fractures; a...
TOTAL ELBOW ARTHROPLASTY (TEA) is indicated in ELDERLY patients (65+), LOW-DEMAND individuals with s...
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Click T (True) or F (False) for each option