FRCS Paediatric Ortho — improved notes
FRCS Paediatric Ortho — visual inline notes
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018. Radial head dislocation

visual-inline rebuild1 extracted figuresspeaker notes XML26 study lines3 Q&A

Individual slide images have been cropped from the rendered slide and inserted beside the matching note section. The full slide remains below only for layout/audit.

Clean FRCS notes with inline figures

Radial head dislocation

Type / groupDefinition / note
Xray elbow showing posterior dislocation of radial head
•Radial head convex, long radial neck with hypoplasia of capitellum. Valgus deformity
•No # seen in proximal ulna
•No bony exostosis along forearm
•No synostosis
•Radiologically congenital dislocation of radial head
Radiograph / imaging
Fig 1. Radiograph / imagingtop left
•Also check/perform check XR of whole forearm for bowing and exostosis + contralateral side (60% bilateral)
•Would like to correlate with clinical clues
•Trauma (missed monteggia)
•Bilateral
•Paralytic disease (CP, polio)
•Congenital abnormalities
•Achondroplasia
•Arthrogryposis
•Larsen syndrome
•Nail patella syndrome
•HME
•RU synostosis
•Ulnar club hand
•Symptoms
•Cubital valgus

Any forearm bowing?

•Prominence over radial head
•Decreased range depending on direction of dislocation + limited supination
•Rx: Excise when mature if symptomatic

Direct Q&A

Q1 What diagnostic or radiographic findings support Radial head dislocation?

Radial head dislocation

Type / groupDefinition / note
Xray elbow showing posterior dislocation of radial head
•Radial head convex, long radial neck with hypoplasia of capitellum. Valgus deformity
•No # seen in proximal ulna
•No bony exostosis along forearm
•No synostosis
•Radiologically congenital dislocation of radial head
•Also check/perform check XR of whole forearm for bowing and exostosis + contralateral side (60% bilateral)
•Would like to correlate with clinical clues
•Trauma (missed monteggia)
Q2 Any forearm bowing?

Prominence over radial head

•Decreased range depending on direction of dislocation + limited supination
•Rx: Excise when mature if symptomatic
Q3 How is Radial head dislocation managed?

Decreased range depending on direction of dislocation + limited supination

•Rx: Excise when mature if symptomatic

Raw speaker-note hierarchy audit

#lvlmarLindentlogicaloriginal note line
10NoneNone0Radial head dislocation
20NoneNone0X-ray elbow showing posterior dislocation of radial head
30NoneNone0Radial head convex, long radial neck with hypoplasia of capitellum. Valgus deformity
40NoneNone0No # seen in proximal ulna
50NoneNone0No bony exostosis along forearm
60NoneNone0No synostosis
70NoneNone0Radiologically congenital dislocation of radial head
80NoneNone0Also need to check XR of whole forearm for bowing and exostosis + contralateral side (60% bilateral)
90NoneNone0Would like to correlate with clinical clues
100228600-2286001Trauma (missed monteggia)
110228600-2286001Bilateral
120228600-2286001Paralytic disease (CP, polio)
130228600-2286001Congenital abnormalities
141628650-1714502Achondroplasia
151628650-1714502Arthrogryposis
161628650-1714502Larsen syndrome
171628650-1714502Nail patella syndrome
181628650-1714502HME
191628650-1714502RU synostosis
201628650-1714502Ulnar club hand
210000Symptoms
220228600-2286001Cubital valgus
230228600-2286001Any forearm bowing?
240228600-2286001Prominence over radial head
250228600-2286001Decreased range depending on direction of dislocation + limited supination
260000Rx: Excise when mature if symptomatic

Improved semantic hierarchy used for the study notes

#semantic levelsection?rewritten line
10Radial head dislocation
21X-ray elbow showing posterior dislocation of radial head
31Radial head convex, long radial neck with hypoplasia of capitellum. Valgus deformity
41No # seen in proximal ulna
51No bony exostosis along forearm
61No synostosis
71Radiologically congenital dislocation of radial head
81Also check/perform check XR of whole forearm for bowing and exostosis + contralateral side (60% bilateral)
91Would like to correlate with clinical clues
101Trauma (missed monteggia)
111Bilateral
121Paralytic disease (CP, polio)
131Congenital abnormalities
142Achondroplasia
152Arthrogryposis
162Larsen syndrome
172Nail patella syndrome
182HME
192RU synostosis
202Ulnar club hand
211Symptoms
221Cubital valgus
230yesAny forearm bowing?
241Prominence over radial head
251Decreased range depending on direction of dislocation + limited supination
261Rx: Excise when mature if symptomatic
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