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examination Although elbow deformity is usually the most striking aspect (especially in very displaced fractures), examination of the entire extremity is essential to exclude associated distal radius (most frequent), forearm or proximal humerus fractures
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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lateral epicondyle using Kocher’s interval between the anconeus and the extensor carpi ulnaris (ECU) ( Fig. 10 ). The supinator crest on the ulna is palpated and followed proximally. A small tubercle can often be palpated on the most proximal part of the
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30% in proximal pole fractures of the scaphoid. 2 The most prominent symptom of scaphoid nonunion is pain during wrist motion but if left untreated, it can cause osteoarthritis, decrease in grip strength and limitation in wrist range of motion
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Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
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Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland
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. 1 , 70 Of all DRFs, nearly 50% occur in patients aged over 65 years. 1 After the age of 70 years, other fractures, such as proximal humerus and proximal femur fractures, become more common and the incidence rate of DRF decreases. 1 , 2 , 70
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-union cases (10 femurs, 5 tibia, 1 humerus and 1 ulna), with 76% success. 49 Le Nail et al, in a retrospective study of 43 open tibial fracture cases with initial surgical treatment and non-union, or delayed union treated with BMC, also observed a
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, NJ, USA) reviewed for implant fracture (112 distal femur, 53 proximal tibia, 40 proximal femur, 13 total femur, three distal femur + proximal tibia) – system failure in 27 patients (12%), most commonly in the distal femur ( n = 21) – mean time to
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Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands
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although this could potentially lead to proximal radioulnar impingement (rubbing of the proximal radial stump against the proximal ulna) under loaded rotational activities. Fig. 2 This patient had been treated with a radiocapitellar arthroplasty for
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St George’s, University of London, London, UK
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(NOF) fracture Femur (proximal) ✓ PLA ✓ – Proximal femoral epiphyseal growth arrest – Operation time – X-ray exposures – Radiographic assessment: neck shaft angle, femoral anteversion Not stated 10 Baskov et al, 2017
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distal humerus fractures does occur between 8% and 25% of the time. Thus, compared to other humerus fracture locations – less than 4% for proximal and less than 2% for diaphyseal fractures, 5 – 6 nonunion after surgical management is more frequent in
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School of Medicine, University of Belgrade, Serbia
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displaces proximally and radially. This is the point at which the nerve enters the anterior compartment piercing the intermuscular septum, and where it is least mobile. The nerve can be injured by the fracture itself, during manipulation of the fragments
