43y/o male slipped and fell onto outstretched arm while intoxicated. Complained off 7/10 elbow pain and no ROM without severe pain. Lateral injury film. | |
Attempted A/P injury view | |
Oblique injury view.
Elbow was injected with 5cc of 1% lidocaine and reduced with longitudinal traction and anterior pressure applied to ulna. Elbow was stable to ROM from 20-130 degrees. Splinted with posterior mold in @85 degrees of flexion. |
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Post-reduction lateral view | |
Post-reduction A/P view. | |
Post-reduction A/P view.
Splint was removed at 8 days post-reduction and patient was placed in hinged elbow brace with ROM from 20-130 degrees of motion for 3 weeks, followed by full ROM in brace for 2 additional weeks. At last follow-up patient had near symmetric ROM of both elbows with no pain. |