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Capitellum fracture

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https://www.readbyqxmd.com/read/29666087/conservative-treatment-in-displaced-fractures-of-the-humeral-capitellum-a-reduction-technique-under-local-anaesthesia
#1
Takahisa Ogawa, Shinichi Shirasawa
We report the case of a 46-year-old woman who struck her right elbow on the ground after a fall on ice. Radiography showed a right humeral capitellar fracture, and CT further confirmed a Dubberley type 1A fracture. Closed reduction was performed under local anaesthesia, and an anatomical position was obtained. After the reduction, her right elbow was casted for 18 days. Three months after the injury, bone union was achieved without displacement, and the active range of motion of her right elbow recovered similar to the unaffected side...
April 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29621984/management-of-isolated-coronal-shear-fractures-of-the-humeral-capitellum-with-herbert-screw-fixation-through-anterolateral-approach
#2
Tengbo Yu, Hao Tao, Fenglei Xu, Yanling Hu, Chengdong Zhang, Guangjie Zhou
BACKGROUND: Due to the intraarticular and complex nature of the coronal shear fracture of the humeral capitellum and its rarity, it has been difficult to formulate a universally accepted method of surgical management. The purpose of this study is to retrospectively evaluate the clinical outcomes of 15 patients with isolated coronal shear fractures of the capitellum treated by Herbert screw fixation through anterolateral approach, and to address the safety and tips for this surgical procedure...
April 5, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29547117/retrospective-analysis-of-open-reduction-and-internal-fixation-of-coronal-plane-fractures-of-the-capitellum-and-trochlea-using-the-anterolateral-approach
#3
Yashwant Singh Tanwar, Yatinder Kharbanda, Atin Jaiswal, Vikas Birla, Ramsagar Pandit
INTRODUCTION: Coronal plane distal humeral injuries are relatively rare. Numerous classification systems have been proposed as the complexity of these fractures has been realized. We in the present series of ten patients describe the surgical technique of Open Reduction and Internal Fixation of Coronal plane fractures of the distal humerus with headless compression screws performed using the anterolateral approach. MATERIAL AND METHOD: It was a retrospective study, the data collected from March 2010 to 2015 was analysed and the final outcome was assessed using the DASH score...
2018: SICOT-J
https://www.readbyqxmd.com/read/29527238/fractures-of-the-capitellum-humeri-and-their-associated-injuries
#4
Valentin Rausch, Matthias Königshausen, Thomas A Schildhauer, Jan Gessmann, Dominik Seybold
Objective: Fractures of the capitellum are rare injuries but are often more complex and of a greater extent than assumed from conventional radiographs. Classification is usually based on their extension in relation to the trochlea the trochlea and on the number of fragments. Information on associated injuries is limited and only reported in small case series. The aim of this retrospective study was to report on our experience with capitellar fractures and their associated injuries. Methods: We retrospectively reviewed all patients treated for fractures of the capitellum humeri at our institute between 2005 and 2017...
2018: Obere Extremität
https://www.readbyqxmd.com/read/29456751/cannulated-screw-versus-kirschner-wire-fixation-for-milch-ii-lateral-condyle-fractures-in-a-paediatric-sawbone-model-a-biomechanical-comparison
#5
D Franks, J Shatrov, M Symes, D G Little, T L Cheng
Purpose: Lateral condyle fractures of the humerus are common in the paediatric population, accounting for up to 20% of elbow fractures. Traditional management involves internal fixation with Kirschner (K)-wires, however, this has been associated with complications and insufficiently rigid fixation. Recently, cannulated screws have been proposed as a more stable method of fixation. While cannulated screws have been thought to allow earlier range of movement and shorten time to union, data regarding the biomechanical performance and optimal screw placement is scarce...
February 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29189532/pediatric-supracondylar-humerus-fractures-aaos-appropriate-use-criteria-versus-actual-management-at-a-pediatric-level-1-trauma-center
#6
Joanne H Wang, William Z Morris, Blaine T Bafus, Raymond W Liu
OBJECTIVES: The purpose of this study was to characterize management of supracondylar humerus fractures (SCHFs) at a level 1 trauma center and identify factors contributing to divergence in management from American Academy of Orthopedic Surgeons (AAOS) the Appropriate Use Criteria (AUC) recommendations. METHODS: A query revealed 556 patients with diagnoses of SCHF between 2013 and 2015 at a pediatric level 1 trauma center. Patients were excluded if they were younger than 2 years of age, older than 12 years of age, were polytrauma patients, or if there was not sufficient clinical or radiographic documentation, resulting in 449 patients...
November 16, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29182142/an-atypical-case-of-elbow-fracture-bilateral-capitellum-humeri-fracture-in-a-teenage
#7
L Corominas, J Sanpera, E Rodriguez de la Rubi
Fractures of the capitellum are rare injures of the elbow rarely seen in adolescents. We report a case of a 14 year-old boy who sustained a bilateral Hahn-Steinthal type fracture of his capitelum humeri. To our knowledge, such bilateral injury has not been reported before in teenagers. This paper reviews the literature regarding the epidemiology, classification and management of this rare pediatric capitellar fracture.
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29162366/resurfacing-arthroplasty-as-an-alternative-to-the-posttraumatic-sequelae-of-fractures-of-the-external-column-of-the-humerus-in-the-young-adult
#8
M Aroca-Peinado, D Cecilia-López, V Jiménez-Díaz
Symptomatic posttraumatic arthritis of the elbow in young patients is a disorder for which there is currently no satisfactory solution. In this case report we show the evolution of a comminuted fracture of the capitellum with trochlear extension (McKee typeIV) treated initially with open reduction and internal fixation that eventually required a resurfacing hemiarthroplasty of the capitellum and reconstruction of the lateral ligament complex. After this surgical procedure, the patient had evident improvement of pain and of elbow range of motion, keeping the possibility of performing other rescue techniques open if they were to be necessary in the future...
November 18, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29117014/what-s-new-in-pediatric-upper-extremity-sports-injuries
#9
Jennifer J Beck, Connor G Richmond, Marc A Tompkins, Ann Heyer, Kevin G Shea, Aristides I Cruz
BACKGROUND: Sports injuries are common in pediatric and adolescent patients and the evaluation and treatment of these injuries continues to evolve. The purpose of this review is to provide a comprehensive appraisal of the most recent literature, highlighting updates on sports-related upper extremity injuries in pediatric patients. METHODS: An electronic search of the PubMed, EMBASE, and Google Scholar databases was performed for keywords related to pediatric overhead athletes, osteochondritis dissecans (OCD) of the capitellum, medial epicondyle fractures, shoulder instability, and clavicle fractures...
February 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28902761/care-of-water-polo-players
#10
Jennifer D Stromberg
Water polo is a team sport that combines swimming with overhead throwing and wrestling. This places water polo players at risk for a unique group of illnesses and injuries. In addition to the medical problems and injuries seen in competitive swimmers, water polo players are at risk for a variety of traumatic injuries, including concussions, eye injuries, tympanic membrane perforation, fractures, dislocations, and lacerations. Repetitive overhead throwing also places these athletes at risk for related injuries, such as shoulder problems, including rotator cuff strain and impingement, and elbow problems, such as ulnar collateral ligament injuries, posteromedial impingement, and osteochondritis dissecans of the radial capitellum...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28567152/a-complicated-course-of-a-coronal-shear-fracture-type-iv-of-the-distal-part-of-humerus-resulting-in-resurfacing-radiocapitellar-joint-replacement
#11
Ingo Schmidt
BACKGROUND: Coronal shear fracture type IV of the distal part of humerus is a very rare injury with articular complexity potentially leading to posttraumatic osteoarthritis. One option for surgical treatment of advanced unicompartmental radiocapitellar osteoarthritis is resurfacing radiocapitellar joint replacement. METHOD: A 62-year- old female sustained a coronal shear fracture type IV of the distal part of left humerus that was primarily treated with open reduction and internal fixation using headless compression screws...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28554104/capitellar-fracture-with-bony-avulsion-of-the-lateral-collateral-ligament-in-a-child-case-report
#12
M Fuad, A Elmhiregh, A Motazedian, M Bakdach
INTRODUCTION: Isolated capitellar fracture is a rare injury accounting for 1% of all elbow fractures Bryan and Morrey (1985) and Poynton et al. (1998). In children, a fall on an outstretched hand, before the fusion of the epiphysis, usually leads to lateral condyle physeal fractures. Very few cases of capitellar fractures in the paediatric population have been reported. PRESENTATION OF CASE: Our patient, a 9-year-old girl presented with a capitellar fracture and lateral collateral ligament (LCL) avulsion of her left elbow...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28444676/-associated-injuries-in-radial-head-fractures
#13
Patrick Vavken, Julia Vavken, Stefan Demarmels, Daniel Rikli
Purpose Radial head fractures, particularly Mason I and II, are considered "harmless" injuries, and their severity is underestimated. In recent years, associated injuries to ligaments, cartilage, and adjacent bones have been studied in more detail. This meta-analysis collects the data on their incidence from the current literature. Methods A systematic review of the online databases PubMed, EMBASE, CINAHL and Cochrane Library was performed to identify clinical studies on associated injuries in radial head fracture...
April 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28373087/the-limited-anterior-approach-of-the-elbow-for-open-reduction-and-internal-fixation-of-capitellum-fractures-surgical-technique-and-clinical-experience-in-2-cases-with-more-than-2-years-follow-up
#14
J R Ballesteros-Betancourt, J A Fernández-Valencia, R García-Tarriño, A Domingo-Trepat, S Sastre-Solsona, A Combalia-Aleu, M Llusá-Pérez
OBJECTIVE: Fractures involving the capitellum can be treated surgically by excision of the fragment, or by reduction and internal fixation with screws, with or without heads. The lateral Kocher approach is the most common approach for open reduction. We believe that the limited anterior approach of the elbow, could be a valid technique for treating these fractures, as it does not involve the detachment of any muscle group or ligament, facilitating the recovery process. MATERIAL AND METHOD: A description is presented of the surgical technique, as well as of 2cases with a Bryan-Morrey type 1 fracture (Dubberley type 1A)...
May 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28164067/an-uncommon-combination-of-fractures-around-the-elbow-capitellum-fracture-associated-with-radial-head-fracture
#15
Osman Walid, Braiki Meriem, Alaya Zeineb, Naouar Nader, Ben Ayeche Mohamed
INTRODUCTION: The coexistence of fractures of capitulum humeri and radial head in the elbow joint is a rare entity. CASE REPORT: A 30-year-old woman was admitted to our hospital after having sustained a fall on her outstretched right arm. She complained of pain, swelling, and restriction of motion of the right elbow joint. Anteroposterior and lateral radiographs revealed displaced fractures in the capitellum and the radial head. The patient was operated. Fractures were exposed through a lateral (Kocher) incision...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27987508/-analysis-of-anterolateral-approach-and-lateral-approach-for-the-treatment-of-coronal-shear-fracture-of-the-distal-humeral
#16
Y Li, Y J Cha, T Li, M Q Gong, X Y Jiang
OBJECTIVE: To treat the coronal shear fracture of the distal humeral during open reduction and internal fixation by anterolateral approach and lateral approach, and to analyze the advantage and disadvantage of each approach. METHODS: From September 2006 to July 2014, 10 patients with coronal fracture of the distal humeral were analyzed, who were all treated with Open Reduction and Internal Fixation (ORIF), 5 with anterolateral approach (group A) and 5 with lateral approach (group B)...
December 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27844160/choice-of-surgical-approach-for-capitellar-fractures-based-on-pathoanatomy-of-fractures-outcomes-of-surgical-management
#17
M R Ravishankar, Malhar N Kumar, Rishikesh Raut
The understanding of the anatomic configuration of the fractures of the capitellum has enhanced in the last few years, and the classification of these fractures continues to evolve. It is essential to tailor the surgical approaches to these fractures based on the state-of-the-art classifications. Thirty-three patients with fractures of the capitellum were included in this retrospective study. The mean age of the patients was 37.9 years, and the mean follow-up period was 24.6 months. Seventeen patients had Bryan-Morrey type I fracture, three had type II fracture, two had type III fracture and eleven had type IV fracture...
February 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27825706/avulsion-fracture-of-the-supinator-crest-as-an-indication-for-a-sustained-posterolateral-sub-luxation-of-the-elbow-a-case-report-anatomical-evaluation-and-review-of-the-literature
#18
REVIEW
D Broekhuis, J H J M Bessems, J W Colaris
The treatment of elbow injuries can be challenging because of the complexity of both anatomy and pathology. We present a rare traumatic avulsion fracture of the supinator crest of the ulna in a 37-year-old patient. Conservative treatment in a long arm cast for four weeks led to satisfactory results. Reproduction of the fracture on a cadaveric elbow clarified that the avulsed fragment holds the insertion of the lateral ulnar collateral ligament (LUCL). The mechanism of trauma that causes this fracture is a posterolateral (sub) luxation of the elbow, which usually causes the LUCL to rupture, but in rare cases the insertion of this ligament can be avulsed...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27824796/the-use-of-a-transolecranon-pin-in-the-treatment-of-pediatric-flexion-type-supracondylar-humerus-fractures
#19
Brandon M Green, Joseph D Stone, Robert W Bruce, Nicholas D Fletcher
BACKGROUND: Flexion-type supracondylar humerus fractures are much more uncommon than their extension-type counterparts. Instability in elbow flexion renders traditional closed techniques inadequate and often results in the need for open reduction. We present a simple technique for closed reduction using a transolecranon pin for temporary stability. METHODS: A retrospective review of 9 patients treated with a transolecranon pin technique for a flexion-type supracondylar humerus fracture was performed...
September 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27774833/outcome-after-pin-fixation-of-supracondylar-humerus-fractures-in-children-postoperative-radiographic-examinations-are-unnecessary
#20
Noora Tuomilehto, Reetta Kivisaari, Antti Sommarhem, Aarno Y Nietosvaara
Background and purpose - The quality of pin fixation of displaced supracondylar humerus fractures in children has not been assessed, and the clinical value of radiographic examinations after pin fixation is unclear. We evaluated pin configuration, quality of osteosynthesis, and outcome in 264 supracondylar fractures. The clinical significance of postoperative radiographs was analyzed. Patients and methods - 252 Gartland-III and 12 flexion-type supracondylar humerus fractures were pin-fixed in the periods 2002-2006 and 2012-2014...
February 2017: Acta Orthopaedica
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