Both-bone forearm fracture
Ask during the case
- During the radius exposure: "Which interval are we in, which nerve supplies the muscle on each side, and where is the PIN right now?"
- Before the radius plate goes on: "Where is this radius's maximum bow, and what happens to pronation and supination if we plate it straight?"
- At the final fluoroscopy: "Show me the radiocapitellar line and the DRUJ on the AP and the lateral. Which injury did each one just rule out?"
Point at: the radial head against the capitellum on the final fluoroscopy, on the AP and then the lateral, while they draw the radiocapitellar line in the air.
End of day: "Draw me the mid-forearm slice with the three approaches, then an AP and a lateral of the forearm with the radiocapitellar line, the DRUJ and the radial bow." Two minutes, no notes.
Where this kit and your technique differ, yours wins.