Isolated fractures of the capitellum humeri are rare and can be difficult to diagnose. Associated bone and soft tissue injuries are common. Mostly, a concomitant lateral collateral ligament injury or a radial head fracture is reported. Open reduction and internal fixation are accepted as the favored treatment to facilitate anatomic reduction. Missed diagnosis or inadequate treatment of capitellar fractures can led to the development of advanced degenerative changes, limitation of motion and pain. We present the case of an eighteen-year-old male with a Bryan and Morrey type I capitellar fracture in association with a fracture of the lateral humeral condyle. Fractures were treated with open reduction and internal fixation, using a headless compression screw and cannulated screws. To our knowledge this is the first case report to describe the treatment of a capitellar fracture with an associated fracture of the lateral humeral condyle.
Isolated deltoid paralysis is a rare pathology that can occur after axillary nerve injury due to shoulder trauma or infection. This condition leads to loss of deltoid function that can cause glenohumeral instability and inferior subluxation, resulting in rotator cuff muscle fatigue and pain. To establish dynamic glenohumeral stability, a novel technique was invented. Humeral suspension is achieved using a double button implant with non-resorbable high strength cords between the acromion and humeral head. This novel technique was used in two patients with isolated deltoid paralysis due to axillary nerve injury. The results indicate that the humeral suspension technique is a method that supports centralizing the humeral head and simultaneously dynamically stabilizes the glenohumeral joint. This approach yielded high patient satisfaction and reduced pain. Glenohumeral alignment was improved and remained intact 5 years postoperative. The humeral suspension technique is a promising surgical method for subluxated glenohumeral joint instability due to isolated deltoid paralysis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.