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Monteggia vs. Fracture of ulna + dislocation of superior radioulnar joint: a) Bennell b) Galeazzi c) Colles d) Monteggia e) Salter-Harris fracture - Orthopedic surgery
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ู
ูุฎุต ุณุฑูุน ููุฃู
ุชุญุงู ูุฐู
Location of fracture + mechanism of injury determines which nerve is injured
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ุชุฌู
ูุนุฉ ู
ูู
ุฉ :
1. URGICAL shoulder โ AXILLARY arrested
2. SHAFT snapped โ RADIAL drops wrist
3. SUPRA + KID + HAND โ MEDIAN in trouble
4. MEDIAL epicondyle โ ULNAR cries
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Medial epicondyle fracture โ Ulnar nerve
When?
1. Fall on flexed elbow
2. Direct blow to medial elbow
3. Often with elbow dislocation
Why?
Ulnar nerve runs behind medial epicondyle.
Clinical clue:
1. Claw hand
2. Sensory loss medial 1ยฝ fingers
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ุงูุง ูุจู ุญุฏ ูุบูุท ุนุดุงู ูุญุท ุงูููุฏูู ู
ุชุนุช ุญุณู ุญุณูู ูุฃุญู
ุฏ ุญูู
ู ๐๐๐๐๐
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A child sustains a supracondylar fracture of the humerus. Which nerve is most likely to be injured?
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