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    UL - Supracondylar Fracture

    ‣
    Why fracture happen at this location?
    ‣
    Which direction is common and the nerves affected in Supracondylar fracture?
    ‣
    Most common direction of supracondylar injury?
    ‣
    Most common nerve injury? Why apparent paradox?
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    What is pucker sign? Significance?
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    How do you reduce the pucker sign in the OT?
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    XR - What lines are you looking at?
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    Classification of this injury?
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    How will you reduce the supracon?
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    How will you pin this supra con?
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    What if you perforate the olecranon fossa?
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    How do you insert medial pin if needed?
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    When is a relative indication for medial wire?
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    Complications you warn parents about?
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    What do you do if POST op ulnar nerve palsy?
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    What is the BOAST guidelines for Supracon? Key points?
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    What is your starting point for the lateral pin?
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    Evidence of size of pin in supracon Fracture?
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    Paeds Supracondylar Fracture - Evidence for 2 lateral vs Cross pin in ?
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    If well perfused but AIN palsy - is it indication for urgent surgery?

    SCENARIO 1 = PULSELESS WHITE HAND

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    How will you manage this?

    SCENARIO 2 = PINK PULSELESS HAND

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    How will you manage this?

    SCENARIO 3 = POST OP PINK PULSELESS HAND

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    Will you just monitor in PACU?
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    How do you monitor?
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    How long will you monitor for? Why that duration?

    SCENARIO 4 = IMMEDIATE POST OP WHITE HAND

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    How will you manage this?
    ‣
    How do you explore the artery?

    SCENARIO 5 = CHILD WITH CUBITUS VARUS

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    How will you examine this child?
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    Causes of cubitus Varus?
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    If i tell you there is a lost of one ROM, what is it? Why?
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    What is the classic deformity here?
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    What is the Yamamoto test?
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    6 year old Parent ask if it will get worse or better
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    Now they have a cubitus Varus deformity, what injury are they prone to now?
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    What is a future complication from this deformity?
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    How does cubitus varus cause PLRI?
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    How does cubitus varus cause tardy ulnar nerve palsy?
    ‣
    What is the management?
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