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18 Cards in this Set
- Front
- Back
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To reduce a dislocated elbow, in what position should the forearm be held?
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Supination
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To maintain postreduction stability, in what position should the forearm be
placed? |
Pronated
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For how long should the reduced elbow be immobilized?
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Several days
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What is the most common complication of a simple elbow dislocation?
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Loss of terminal extension
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To test for PLRI, in what position should the elbow be held?
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Hold the elbow supinated
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What two loads should be applied?
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Axial
Valgus |
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In an unstable elbow, what happens with extension? With flexion?
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Extension dislocates
Flexion reduces |
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What muscle provides a secondary restraint against PLRI?
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Anconeus
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What percent of simple dislocations develop heterotopic ossification (I-IO)?
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3%
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What percent of fracture dislocations develop I-IO?
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20%
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Maximal recovery of motion is expected by what time?
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6 months
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What is the functional elbow flexion- extension range of motion (ROM)?
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30 to 130 degrees
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Indications for elbow contracture release include an elbow ROM of less than__
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40 to 105 degrees
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What structure is at risk with contracture release?
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Ulnar nerve
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What is the recommended timing of elbow HO resection?
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Within 6 months of fracture
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What is the radiographic marker indicating when it is acceptable to radiographs excise the HO?
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HO appears mature on plain
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Are additional tests necessary?
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No
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What are the three indications for applying a hinged fixator to an unstable elbow?
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Persistently unstable despite ligamentous repair
Delayed treatment of stiff/dislocated elbow Protect bony open reduction with internal nxation (ORIF) of coronoid, radial head, capitellum |
