Musculoskeletal Key

Radius and Ulna Forearm Fractures Samantha Spencer, MD IM Rodding Indications (Figure 12-1) Unacceptable closed reduction as per age (will not remodel) Unstable fractures after closed reduction Open fractures with…

Supracondylar Humerus Fractures: Operative Treatment Peter M. Waters, MD, MSSc Indications Displaced fracture (Figure 5-1) Open fracture Neurovascular compromise Floating elbow Options for Fracture Reduction and Fixation Closed reduction percutaneous…

Monteggia Fracture: Dislocations Donald S. Bae, MD The goal is to preserve elbow and forearm function and prevent chronic Monteggia dislocation by: Acute accurate identification of lesion (NO missed acute…

T-Intercondylar Distal Humerus Fracture Carley Vuillermin, MBBS, MPH, FRACS Indications Displaced intra-articular T-type intercondylar distal humerus fracture (Figure 8-1) Besides plain radiographs, CT scan is often necessary for surgical planning…

Radial Head and Neck Fractures: Operative Treatment Donald S. Bae, MD Indications Malangulated or displaced proximal radial neck fracture that will result in malunion and subsequent impingement of radiocapitellar or…

Olecranon Fractures Michael B. Millis, MD James R. Kasser, MD Open Reduction Internal Fixation Indications Displaced fracture resulting in an incongruent joint (Figure 10-1) Sterile Instruments/Equipment Depends on planned tension…

Lateral Condylar Humerus Fractures Andrea S. Bauer, MD Closed Reduction Percutaneous Pinning and/or Screw Fixation Surgical Indications Displaced lateral condylar fracture with >2 mm joint displacement (Figure 6-1) Equipment Smooth…

Medial Epicondyle Fracture Distal Humerus Fracture Daniel J. Hedequist, MD Open Reduction Internal Fixation Indications Incarcerated medial epicondylar fragment in the joint (Figure 7-1) Unstable elbow dislocation with a displaced…

Diaphyseal Humerus Fractures Operative Treatment Brian Snyder, MD, PhD A vast majority of pediatric and adolescent humeral shaft fractures can be treated closed, including fractures Holstein-Lewis pattern and radial nerve…

Proximal Humerus Fractures Matthew D. Milewski, MD CLOSED REDUCTION, PERCUTANEOUS PINNING Indications Irreducible fracture with interposed biceps Marked displacement in near skeletally mature that will not remodel and will result…