AANA19 Wrist & Elbow Access Pass-Cases: Concurrent Scientific Session II: Clinical Cases

Cases: Concurrent Scientific Session II: Clinical Cases - Wrist and Elbow-Dr. Luke S. Oh, M.D.

Video Transcription

Video Summary

The session covered challenging wrist and elbow cases. The wrist case involved a 36-year-old active female with worsening dorsal wrist pain and lunate damage. Experts debated treatments ranging from arthroscopy and debridement to a novel dorsal rectangular radius osteotomy with allograft bone placement, which relieved pain at 15 months and preserved wrist function. The elbow cases focused on young athletes with ligament injuries. An 11-year-old wrestler had a proximal UCL tear with bone fragments. Surgeons favored surgical repair without reconstruction or internal braces to avoid growth disturbances, followed by casting and cautious return to sport after six months. Another case detailed a 16-year-old with complex elbow dislocation and brachialis tendon injury mimicking biceps pathology. Surgical repair restored function. The panel emphasized individualized treatment, conservative approaches when possible, and careful assessment of growth and activity demands in young athletes. The discussion highlighted advances in surgical techniques, rehabilitation, and anatomy understanding for optimal outcomes.

Asset Caption

Concurrent Scientific Session II: Clinical Cases - Wrist and Elbow 5.3.2019

Keywords

wrist pain

lunate damage

dorsal rectangular radius osteotomy

proximal UCL tear

elbow dislocation repair