4. What is Clinical
Simulation?
Using technology to practice medicine
Educational tool to help healthcare providers review
techniques
http://blog.hospitalclinic.org/en/2009/05/nou-laboratori-de-simulacio-clinica-de-la-facultat-de-medicina/
6. Project Thesis
Design an orthopedic simulator for the use of
orthopedic residents and other healthcare
professionals
http://www.southpointehospital.org/spgme/Programs/OrthopedicSurgery/OrthopedicResidencyCu
rriculum/tabid/1438/Default.aspx
9. Posterior Elbow Dislocation
Disengagement of the coronoid process from the
trochlea
Posterior movement of ulna and radius
http://lifeinthefastlane.com/2010/01/elbow-dislocation/
http://www.medkaau.com/vb/showthread.php?t=7957&page=2
14. Sources
Special Thanks to:
Johns Hopkins Medical Institute Orthopedic Staff
Dr. John Tis
Dr. Meredith Lazar-Antman
Dr. Paul Sponseller
Johns Hopkins Center for Functional Anatomy and Evolution
Dr. Chris Ruff
Heather Garvin
Sawbones and Pacific Research Staff
Thom Porro
Amy Johnson
Medstar Harbor Hospital & SiTEL Simulation Center staff
Dr. James Wood
Emily Shaw
Michael Shukis
Union Memorial STAT Lab
Brent G. Parks
Michael Tsai
Howard High School staff
Bruce Riegel
Editor's Notes
Elbow= hinge joint Allows for flexion, extension 3 bones- H,R,U Ulna has olecrenon (hook shape)- articulates on trochlea Radius is smaller than ulna, does not directly articulate w/ humerus, radial head is round- allows radius to ride on the capitellum Humeroulnar joint- allows for extension, flexion Radioulnar joint- pivot joint, allows supination, pronation Humeroradial joint- supination, pronation
Ulnahumeral- olecranon impinging on the olecranon fossa prevents ulna from dislocating posteriorly Another stabilizer is the
Elbow is one of the most stable joints in the body, but a dislocation is not uncommon Most associated w/ sports injuries Olecranon is unlocked from the trochlea, articular surfaces become out of position
Before reduction, the doctor performs a neurovascular assessment to make sure that the elbow is not impinging on any vessel/nerve Anesthetic can be used to help relax the muscles
