ORTHOPAEDICS - ADULT
ELBOW
PromptFOOSH D4 + Elbow pain
ResponseSwollen anterior fat pad (Sail sign)
Swollen posterior fat pad
Nondisplaced radial head fracture anterior aspect of radial head
Significance = missed fracture, however minimal clinical significance as treated conservatively with early mobilisation
Swollen posterior fat pad
Nondisplaced radial head fracture anterior aspect of radial head
Significance = missed fracture, however minimal clinical significance as treated conservatively with early mobilisation
Prompt
ResponseRight posterior elbow dislocation
Displaced fracture of right radial head
Complications:
Major peripheral nerves - Ulnar/radial/median/PIN - motor sensory examination
Brachial artery dissection - Peripheral pulse deficit,delayed CRT
Ligamentous injury - medial/colateral ligamentous injury. Difficult in acute setting ? laxity on EUA
Compartment syndrome - Compartment pressure high, vascular/sensory deficits
Displaced fracture of right radial head
Complications:
Major peripheral nerves - Ulnar/radial/median/PIN - motor sensory examination
Brachial artery dissection - Peripheral pulse deficit,delayed CRT
Ligamentous injury - medial/colateral ligamentous injury. Difficult in acute setting ? laxity on EUA
Compartment syndrome - Compartment pressure high, vascular/sensory deficits
PromptManagement
ResponseReduction under procedural sedation
Plaster immobilisatoin
Orthopaedic review to facilitate timely fixation
Plaster immobilisatoin
Orthopaedic review to facilitate timely fixation