surgical management

1.  Two Part Fractures

A.  Surgical neck of humerus

Indications

- >1 cm displaced or > 45^o angulation

NHx

Convincing association with development of osteoarthritis

- arthritic changes beginning at radial styloid

- progress to scaphocapitate & capitolunate 

Background

The coronoid is the most important portion of ulno-humeral articulation

Reasons

1.  Provides anterior buttress

2.  Anterior capsule and brachialis attach to coronoid

2.  Anterior band of the MCL attaches to it

- distally and medially on sublime tubercle

Definition

Replant

- reattachment of body part that has been completely severed

Revascularisation of incomplete Amputation

Definition

Developmental hamartoma in which areas of the skeleton fail to mature normally

- remain indefinitely as immature, poorly mineralized trabeculae

Pathology

Hamartoma of bone and fibrous tissue

McCune - Albright's Syndrome

Rare triad of

1.  Fibrous Dysplasia