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ELDERLY, LOW FUNCTION
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SCENARIO: YOUNG OR ELDERLY BUT HIGH FUNCTION
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The wise lay up knowledge, but the mouth of a fool brings ruin near. Proverbs 10:14
How will you classify this fracture?
What are the eponymous fracture types?
What radiological parameters do you assess?
What is the Rikli and Regazzoni Three-column theory?
What are the prognostic features of fracture stability?
How do you perform a Bier's block? How do you monitor and prevent lidocaine toxicity?
How do you approach incision with concurrent carpal tunnel syndrome?
How will you manage this fracture in elderly low function?
Cx: Patient returns at 8 weeks with difficulty performing daily tasks due to wrist deformity - how to manage?
Cx: Patient returns with inability to extend thumb. What has happened?
How do you clinically assess EPL tendon?
Investigation?
How do you check the presence of EIP tendon for reconstruction?
How do you perform an EIP to EPL transferr?
What are the principles of tendon transfer?
Cx: patient comes back with inability to flex thumb. What has happened?
Investigation?
How do you manage ruptured EPL/FPL tendon after distal radius fracture?
Why not use PL transfer?
How will you manage this fracture?
Surgical reduction tips? Any Special XR views?
Dorsal vs Volar Plating?
Do you need to fix all ulnar styloid fractures?
What do you know about Volar plating vs K-wire fixation?
What are specific complications and how can they be prevented?