Improving Orthopedic Elbow Reduction Techniques through Clinical Simulation

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  • 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
  • Improving Orthopedic Elbow Reduction Techniques through Clinical Simulation

    1. 1. Hollie Adejumo
    2. 2. Above, a basketball player dislocates his elbow. Please click on the providedlink to play the video. 1
    3. 3. Harbor Hospital Clinical Simulation Center 
    4. 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/
    5. 5. Clinical Simulation Task Trainers Simulators  http://www.temple.edu/ics/programs/medicine/fy2.html https://today.ucf.edu/new-simulators-give-ucf-nursing-students-life-like-practice/http://www.hisupplier.com/product-293478-UPPER-ARM-INTRAMUSCULAR-INJECTION-SIMULATOR-medical-teaching-models-education-model/
    6. 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
    7. 7. Elbow http://www.joint-pain-expert.net/elbow-anatomy.html
    8. 8. Elbow Stabilizers Primary  SecondaryMCL RadiohumeralOsseous Articulation ArticulationUlnohumeral Capusle Articulation Musculature
    9. 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
    10. 10. 2
    11. 11. Elbow Reduction  3This video demonstrates the reduction techniques http://lifeinthefastlane.com/2010/01/elbow-dislocation/for a posterior elbow dislocation.
    12. 12. Task Trainer Development  Research Viewed elbow cadaver Visited anatomy lab Sawbones Started to design task trainer
    13. 13. Questions?  http://www.appearancedayspa.com/faq.html
    14. 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 Michael Gallagher
    15. 15. Sources 1. http://thebiglead.fantasysportsven.netdna-cdn.com/wp-c http://www.youtube.com/watch?v=jWe5lcXdN2I3. http://www.youtube.com/watch?v=Mdms_wiPohg4. http://www.youtube.com/watch?v=FElcYZ3YT8o&featur

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