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Improving Orthopedic Elbow Reduction Techniques through Clinical Simulation
- 1. 1
- 2. Hollie Adejumo Howard High School
- 3. Harbor Hospital Clinical Simulation Center
- 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. 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. 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
- 8. Elbow Stabilizers Primary Secondary MCL Radiohumeral Osseous Articulation Articulation Ulnohumeral Capusle Articulation Musculature
- 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. 2
- 11. Elbow Reduction 3 http://lifeinthefastlane.com/2010/01/elbow-dislocation/
- 12. Task Trainer Development Research Viewed elbow cadaver Visited anatomy lab Sawbones Started to design task trainer
- 13. Questions? http://www.appearancedayspa.com/faq.html
- 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
- 15. Sources 1. http://thebiglead.fantasysportsven.netdna-cdn.com/wp-c http://www.youtube.com/watch?v=jWe5lcXdN2I 3. http://www.youtube.com/watch?v=Mdms_wiPohg 4. http://www.youtube.com/watch?v=FElcYZ3YT8o&featur
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