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Post a Thoughtful Comment on this case within 48 hours for a chance to win PEAK+CME for 6 months ($150 value)*
A 38-year-old female was involved in an MVC and injured her right arm. She states that her right arm struck the dashboard during the collision. She immediately felt pain and was unable to use her arm afterward. She has been transferred to your hospital for further evaluation. She denies any pain in any other extremity. She denies any head trauma or loss of consciousness.
No significant past medical history. Urine pregnancy test is negative.
A focused physical exam reveals swelling and deformity present over the right elbow and wrist. Skin is intact with no active bleeding. There is pain with the attempted range of motion of the elbow and the wrist. Tenderness to palpation is present over the elbow, forearm, and wrist. Motor and sensation are present in all peripheral nerve distributions. Pulses are present and palpable.
If you choose Operative management and attained the construct shown below, when would you allow full active motion of the elbow?
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