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Supracondylar Elbow Fractures - Diagnosis, Radiographic Features and Management Guide

 - By Dr. Sarah Edwards 
@drsarahedwards
Supracondylar Elbow ... Radiographic Features and ... #XRay #Supracondylar ... Diagnosis #Management #Radiology ... #Orthopedics
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Supracondylar Elbow ... Type l, DC with ortho ... II-IV, pending orthopedic ... #Humerus #Radiology ... #XRay #Diagnosis
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
onto outstretched hand ... dislocation, scaphoid ... Splint: Sling • Ortho ... Type I, DC with ortho ... #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... onto outstretched hand ... Thumb spica • Ortho ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... Posterior long arm • Ortho ... Simple, DC with ortho ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... radius fracture, scaphoid ... Thumb spica • Ortho ... #Carpal #Radiology ... #XRay #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... Carpal fracture (scaphoid ... Sugar tong • Ortho ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... Exam: swollen elbow ... I or Ill) • Ortho ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... determine if stress test ... Intraabdominal - Orthopedic ... days before Pulmonary ... one post op Cardiology