Adult Distal Humeral Metaphyseal Fractures: Epidemiology and Results of Treatment

Robinson, C. M.; Hill, Richard M.; Jacobs, Neal; Dall, G; Court-Brown, Charles M.

doi:10.1097/00005131-200301000-00006

Cited by 379 publications

(252 citation statements)

References 41 publications

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“…The treatment of distal humerus fractures is labourintensive and complex, with an expected high incidence of complications [18]. Over one fourth (28 %) of our patients developed a complication after operative treatment, and one required further surgery (hardware removal).…”

Section: Discussionmentioning

confidence: 88%

Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate

Capo

Debkowska

Liporace

et al. 2013

International Orthopaedics (SICOT)

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Purpose The locking compression extra-articular distal humerus plate (EADHP) is an anatomically shaped, angular stable single-column fixation system for distal third humerus fractures. The purpose of this retrospective study was to evaluate clinical and radiographic outcomes after open reduction and internal fixation of distal humerus fractures with this device. Methods Twenty-one consecutive patients with distal humerus fractures were treated with the EADHP system between February 2006 and June 2012. Of these, 19 were clinically and radiographically evaluated after a mean follow-up of 10.4 months. Follow-up assessment included anteroposterior and lateral radiographs, assessment of range of motion (ROM), pain according to a visual analogue scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) score. Results All fractures demonstrated satisfactory reduction and healing at an average of 7.3 months. One patient showed postoperative sensory ulnar neuropathy that recovered completely, and nine patients had a preoperative radial nerve palsy, which recovered spontaneously following exploration and plating. Mean post-operative ROM was as follows: flexion 126°, extension −7°, pronation 82°and supination 83°. The VAS score was zero points in eight patients, while the mean DASH score was 25.8 points.Conclusions For extra-articular distal humerus fractures, including high-energy injuries often seen in gunshot wounds or motor vehicle injuries, the anatomically shaped angular stable single-column plate provides satisfactory clinical and radiographic results and serves as a valuable tool in the treatment of these injuries.

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Section: Discussionmentioning

confidence: 88%

Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate

Capo

Debkowska

Liporace

et al. 2013

International Orthopaedics (SICOT)

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“…Although there is still some controversy regarding the treatment of extra-articular distal humerus fractures, many surgeons recommend surgery with plates and screws, [1][2][3][4][5][6][7] while others give precedence to functional bracing, even in the case of a radial nerve lesion. 8,9 Robinson et al 1 reported a better healing response in operated patients with an extra-articular metaphyseal fracture of the distal humerus compared to patients treated non-operatively.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Robinson et al 1 reported a better healing response in operated patients with an extra-articular metaphyseal fracture of the distal humerus compared to patients treated non-operatively. Jawa et al 10 found a more significant loss of elbow and shoulder function in non-operated vs. operated patients, and concluded that operative treatment provides a quicker and more complete recovery, warning, however, that it also increases the risk of complications in the form of iatrogenic injuries of the radial nerve and wound infection.…”

Section: Introductionmentioning

confidence: 99%

Comparative study of three models of extra-articular distal humerus fracture osteosynthesis using the finite element method on an osteoporotic computational model

Sabalić¹,

Kodvanj

Pavić

2013

Injury

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“…Robinson et al (2003) reported an overall incidence rate of 5.7 per 100 000 p-y for adult distal humeral metaphyseal fractures in the elbow.…”

Section: Wristmentioning

confidence: 99%

Multidetector computed tomography in acute joint fractures

Haapamäki

Kiuru²,

Mustonen³

et al. 2005

Acta Radiol

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Conventional radiography plays an essential diagnostic role in the primary evaluation of acute joint trauma. In complex fractures, however, computed tomography (CT) is an imaging modality often used second to radiography. As a result of technical breakthroughs in the field, multidetector CT (MDCT) allows faster imaging and better temporal, spatial, and contrast resolution compared with conventional single-slice spiral CT. MDCT with multiplanar reformation is helpful in disclosing fracture patterns, particularly in complex joint fractures, where they reveal occult fractures and show the exact number of fracture components and their degree of displacement.

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Adult Distal Humeral Metaphyseal Fractures: Epidemiology and Results of Treatment

Cited by 379 publications

References 41 publications

Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate

Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate

Comparative study of three models of extra-articular distal humerus fracture osteosynthesis using the finite element method on an osteoporotic computational model

Multidetector computed tomography in acute joint fractures

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