@generalorthomd @robgraymd @CE_HandSurg @ansokmd @FixnBones @NuelleSportsMD @OrthoCurryMD @txsportsdoc @SSittonMD @Gnomelover1970 @shouldergeek @kevinfarmermd @OrthoThompson @MDMillerMDUVA No need for imaging in an acute injury where the hook test confirms complete rupture. This is 90% of the time. Mri mainly useful for the others e.g when there is a suspicion of a short head tear or hook test is equivocal - usually a tear with almost no retraction.

@Gnomelover1970 @traumaticum @drrogervanriet @rish_parmar Yep - just talking about this specific case - small coronoid minimally displaced not contributing to the instability significantly imo

@Helen7physio @bessconference Love that - v jealous

@JSanchezSotelo Fantastic elbow course and a real priveledge to work alongside some of the best elbow teachers in the world.

@kangsta77 @OR_UK @Gnomelover1970 @CameronLackey3 @CambridgeOrtho1 Showed this pic to my 9 year old daughter and she asked how I knew boris Johnson and the new prime mister guy😂😂😂

@sdouglas80 Incredible standard

@sdouglas80 Almost….I think they gave the ball away three times

@northwoods1980 Would be interesting to know how many baseplates with a tiny radiographic gap don’t fail

@sdouglas80 Great composure to hit top bins in injury time. This team is a breath of fresh air

@AshwanthRamesh Yes - it means the knot ends up on the lateral side

@hpsinghjk1 Surgery - unstable ulnohuneral joint

@traumaticum Get on and do it IMO. Evidence may suggest leaving till the morning is ok but no pulse and likely neuro deficit despite pink hand is likely to evolve further. Different if it presents at midnight but these almost always come in early evening.

@centerofhip This is one where I position prone - you’re directly looking at the reduction. No tension from the flexors and allows easy reduction then just fire the screw downwards. Really makes it easy. Imaging also a breeze

@sdouglas80 😮wow - didn’t know this was afoot

@Gnomelover1970 Here’s another Lee! I’ve treated two and seen a few more via other people - they all look the same but have variable marginal comminution +\- a coronoid fx where the trochlea engages over it. Interesting to consider the mechanism….

@dave_cloke @Gnomelover1970 Good idea 👍. One of the situations where a prone position works well. A couple of windows in front and behind flexors works but osteotomy would have given you a panoramic view. Blood supply to that fragment is v tenuous and comes from the medial epicondyle via one vessel.

@dave_cloke @Gnomelover1970 Also it tends to get locked on the coronoid so u have to lever it off