Baumann's angle, cubitus varus,Cubitus valgus.pptx

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1. POST TRAUMATIC ELBOW DEFORMITY. Carrying angle: The outward angle between long axis arm and fore arm. 5 to 15degrees. BEST WAY—COMPARE NORMAL SIDE

2. Baumann’s angle.

3. Cubitus varus /Gunstock deformity: Definition: Decreased in the carrying angle, due to deformity at the elbow joint. Etiology: Trauma--- Malunited supracondylar fracture. Others: epiphyseal dysplasia. Clinical findings: History of fracture around elbow. Deformity along elbow region. Ulnar nerve deficit/Tardy ulnar nerve palsy. Shoulder pain Elbow discomfort. Tilted posterior triangle ** Measure deformity with Goniometer.

4. Elbow triangle

5. Diagnosis: X ray— measure—Baumann’s angle. Ulno humeral line. Treatment: Corrective osteotomy— French Osteotomy.

6. Cubitus valgus Increase in the carrying angle, due to deformity at the elbow joint. Etiology: Lateral condyle fracture—Non union/avascular necrosis Radial head fracture Physeal dysplasia Clinical findings: Trauma history/fracture Deformity—progressively increasing. Pain ..dull pain Ulnar nerve palsy– Tardy ulnar nerve palsy.

7. Diagnosis: xray --- non union of lateral condyle. Treatment: Corrective osteotomy ORIF—IF with bone graft Anterior transposition of Ulnar nerve .