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The posterior fat pad is normally pressed in the olecranon fossa by the triceps tendon, and hence invisible on lateral radiograph of the elbow. [3] When there is a fracture of the distal humerus, or other pathology involving the elbow joint, inflammation develops around the synovial membrane forcing the fat pad out of its normal physiologic resting place.
Elbow fractures are any broken bone in or near the elbow joint and include olecranon fractures, supracondylar humerus fractures and radial head fractures. [1] The elbow joint is formed by three different bones: the ulna, radius, and humerus that permit the joint to move like a hinge and allow a person to straighten and bend their arm and these bones are connected by tendons, ligaments, and ...
Because dislocations make the knee unstable, 15% of patellas will re-dislocate. [27] Patellar dislocations often occur when the knee is in full extension and sustains a trauma from the lateral to medial side. [28] Elbow: Posterior dislocation, 90% of all elbow dislocations [29] Wrist: Lunate and Perilunate dislocation most common [30]
Antero-posterior (AP) and lateral view of the elbow joint should be obtained. Any other sites of pain, deformity, or tenderness should warrant an X-ray for that area too. X-ray of the forearm (AP and lateral) should also be obtained for because of the common association of supracondylar fractures with the fractures of the forearm.
Half of surgeons routinely recommend surgery, and half routinely recommend against surgery. The debate is whether to realign the displaced bones back into their natural position with surgery, and hold the fragments of bone with wires or screws, or whether to allow the fragments to heal in their current position by resting the elbow in a cast.
The posterior ligament is thin and membranous, and consists of transverse and oblique fibers. Above, it is attached to the humerus immediately behind the capitulum and close to the medial margin of the trochlea , to the margins of the olecranon fossa , and to the back of the lateral epicondyle some little distance from the trochlea.
Elbow dislocations constitute 10% to 25% of all injuries to the elbow. The elbow is one of the most commonly dislocated joints in the body, with an average annual incidence of acute dislocation of 6 per 100,000 persons. [30] Among injuries to the upper extremity, dislocation of the elbow is second only to a dislocated shoulder. A full ...
Osteosynthesis (open reduction and internal fixation) of the ulnar shaft is considered the standard of care in adults. It promotes stability of the radial head dislocation and allows very early mobilisation to prevent stiffness. [5] The elbow joint is particularly susceptible to loss of motion. [citation needed]