Presentation
-Cubitus varus of the elbow


Examination:
-Elbow examination
-varus deformity
-limited ROM - both flexion and extension
-usually normal pronation and supination
-intact triangular bony prominence at the elbow.

Rule out complications:
Median n or Radial n palsy.

Common Qs.
1.How to differentiate between supracondylar # with elbow dislocation
-intact triangular in supracondylar #.

2.Cause of disruption of triangular
-displaced medial or lateral humeral condyles
-unreduced elbow dislocation.

3.Common nerve injured
-Median n.

4.Types of #
-Extension and flexion type. Extension type more common

5.Treatment:
-Corrective osteotomy

6.When?
-when pt. regained full extension.

7.What is the dilemma of treating fresh # conservatively.
-too much flexion- vascular compromise
-minimal flexion- # displacement.

8.Solution
-PC K-wiring.

Labels: Short cases in orthopaedics