For the finale.
A cheeky “Adams Berger” for the DRUJ.

EIBY - Elbow Instability Brace Yourself.

ncbi.nlm.nih.gov/pmc/articles/P…

Then you fall asleep…
Per chance to dream..

Even better figure out how to include the central band and the distal oblique band of interosseous membrane in the same long piece of magic elastic.

42
“The universal interconnectedness”

The moment you work out you can do it with one continuous piece of magic coloured elastic.

Nail or plate as first procedure Humerus has last laugh, some won’t unite.

It’s not a Tibia, exchange nail not good, now you gotta plate.
Now thinking….
Is nail to plate easier than plate to plate?

I suggest don’t go plate to nail.

Elbow trauma cadaver training course.
11 June

It’s not Wembley

🧵 (1/6) Two years ago, when I only started digging into the current state of aging research, I was much more optimistic about our progress. I read articles like Laura Deming's Longevity FAQ, which lists '95 things that make mice live longer', and thought: 'Well, at least we have

Rare as hens teeth to pick up a mistake on AO.

Nannypod President AOUK, surely that’s worthy of a prize…

In our case series of radioulnar translocation in adults.
Once reduced none required annular ligament repair.
But you need to ask yourself if I need to how am I getting to anterior attachment of annular ligament.

This injury sits in the spectrum of “radioulnar translocation” - hyperpronation.
Great example in this case report, 5 year old.

At first glance AP might be ok.
Important to know capitellum in pink, radial neck in blue.

ncbi.nlm.nih.gov/pmc/articles/P…

I think in some of these hyperpronation injuries. The “bendy” ulna gets blamed for plastic deformation as the cause of the “Montegia”.
When it’s not the Ulna.
There is significant variation in the PUDA and the DUDA.

jhandsurg.org/article/S0363-….

Here in an adult, so incredibly unlikely to have plastic deformation of ulna.
Better pictures in this article, see how medial ulno humeral joint opening in keeping with hyperpronation and injury to posterior band of MCL (pMCL - blue)

ncbi.nlm.nih.gov/pmc/articles/P…

It’s a hyperpronation injury. That’s why radial head anterior and medial on top of coronoid.
Brachialis sometimes then traps it.

ncbi.nlm.nih.gov/pmc/articles/P…

Back to elbows.
There is no fracture in the ulna.
There is no plastic deformation of the ulna.
It is acute not congenital.

All EoE Core trainees (CSTs and LEDs) are invited to a free cadaveric MRCS anatomy course. Places limited. Scan QR to register.
Anish PS Sunil Kumar Mark Bowditch Mark Latimer Arman Memarzadeh Lee Van Rensburg Stephen McDonnell Vikas Khanduja Carrothers Orthopaedics Niel Kang Pranai Buddhdev

Looks like physeal arrest and as growth continues deformity will get worse, I would offer distraction osteogenesis of the radius.
Stryker - Monotube triax
Or
Orthofix - Paediatric LRS