Assessment of the Elbow Dr. Gavin Nimon Head of Upper Limb - - PowerPoint PPT Presentation

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Assessment of the Elbow Dr. Gavin Nimon Head of Upper Limb - - PowerPoint PPT Presentation

Feb 28, 2023 125 likes •254 views

www.glenelgorthopaedics.com.au Assessment of the Elbow Dr. Gavin Nimon Head of Upper Limb Surgery- QEH Senior Lecturer- University of Adelaide MBBS FRACS (Orth) FRCS (Ed) www.glenelgorthopaedics.com.au Profile Gavin Anthony Nimon

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Assessment of the Elbow

  • Dr. Gavin Nimon

Head of Upper Limb Surgery- QEH

Senior Lecturer- University of Adelaide

MBBS FRACS (Orth) FRCS (Ed)

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www.glenelgorthopaedics.com.au Gavin Anthony Nimon University of Adelaide-intern 1990 bst 91-93 Edinburgh/ Newcastle –Orthopaedic Registrar 1994 Advanced Trainee –Orthopaedics 1995-1998 Senior Registrar Year 1999 QEH Senior Registrar/ Consultant PMR Edinburgh Consultant DGRI 2000-2005 Senior Lecturer University of Adelaide- QEH Head of Upper Limb Specialty- The Queen Elizabeth Hospital

Profile

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My Approach to Assessing and treating Orthopaedic Issues

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Olecranon Bursitis

  • Inflamation of lining of lubricating sac

underskin

  • Can be infected or gouty
  • Often from direct Trauma, or pressure

( student’s elbow)

  • Can settle by avoiding pressure and

irritation

  • May need aspiration / +/- steroid if not

infected

  • If infected may need drainage
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Radial Head Fractures

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www.glenelgorthopaedics.com.au Olecranon Fracture ( Triceps avulsion in simple cases)

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Elbow Dislocation

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Fracture/ Dislocation Elbow- Terrible Triad

Very Unstable

  • Mixture of bony and ligamentous damage
  • Need to stabilise both to restore anatomy
  • Can be quite challenging
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Tennis/ Golfer’s Elbow ( Epicondylitis)

  • Very Common
  • Usually self limitting
  • Modify other factors, smoking/ weight/

expectations

  • Avoid tight grip, twisting, knocking
  • Physio/ Hand Therapy
  • Consider injection
  • U/S demonstrates a tear often ( not an issue )
  • Surgery last resort
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Cubital Tunnel Syndrome

  • Exclude Cervical C8
  • Bigger Incision Required
  • protect in sling for 2-4 weeks
  • Good Results
  • Can be Day Surgery
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Distal Biceps Rupture

  • Previously Rare ( but must have existed ?? )
  • Complete rupture - literature says better with repair
  • But older male with achy arm and u/s partial tear
  • ? Latter just aging
  • Same principles as cuff tear
  • Tricky procedure, best done by specialist Upper Limb

Surgeon

  • Difficult after 1st 6 weeks after injury