Capitellum Fracture - Everything You Need To Know - Dr. Nabil Ebraheim скачать в хорошем качестве

Capitellum Fracture - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes fracture types of the capitellum. Elbow joint. Be aware of coronal shear fracture of the capitellum that includes the capitellum and part of the trochlea. The coronal shear fracture involves the capitellum and extends medially to include part of the trochlea. You will see a double arc on the lateral x-rays. One arc represents the capitellum and the other arc is the lateral ridge of the trochlea. Fracture of the capitellum in general can be missed on the lateral view x-ray if the fragment is too small. There are four types of capitellar fractures: •Type I: constitutes a large fragment of bone and articular cartilage. •Type II: characterized by a small shell of bone and articular cartilage. •Type III: comminuted fracture of the capetilllum. •Type VI: vertical shear type with the fracture extending medially to include the capitellum and trochlea. See double bubble or double arc on lateral x-ray. Fracture of the capitellum may be associated with other injuries to the ligaments or to the bones. Fracture may also block movement of the elbow or cause instability of the elbow. Rarely a CT scan is needed unless the fracture is a part of a complex injury of the elbow. Treatment •ORIF using the lateral approach. •The most common outcome with ORIF is elbow stiffness. The patient may need more surgery in the future to release the elbow contractures. •Type I: fixation •Type II: excision, occasionally fixation. •Type III: excision •Type VI: ORIF Some of these fractures require headless screws. Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC