Coronal shear fractures of distal humerus: Diagnostic and treatment protocols

Singh, Ajay Pal; Singh, Amit Pratap

doi:10.5312/wjo.v6.i11.867

Cited by 23 publications

(28 citation statements)

References 31 publications

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“…This type of fracture is also likely to be misdiagnosed. However, the complexity of these fractures in recent times has been better appreciated by digital imaging and computed tomographic scans [3]. Treatment strategies for these injuries have evolved over time from conservative management to open surgery.…”

Section: Introductionmentioning

confidence: 99%

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Song

Wang

et al. 2020

J Orthop Surg Res

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Purpose: The purpose of this study is to discuss the surgical strategy, technical feasibility, and clinical efficacy of coronal shear fractures of the distal humerus using the anti-sliding plate technique. Methods: Fifty-two patients (35 males and 17 females) were treated with the anti-sliding plate technique in our hospital from January 2012 to January 2017. The average age of the patients was 40.4 years. They were classified according to the Dubberley classification system and treated with the anti-sliding plate technique. The long-term functional scores represented by the Mayo Elbow Performance Index and complications were evaluated. Results: Fractures were classified as follows: 11 type-IA, 5 type-IB, 16 type-IIA, 4 type-IIB, 13 type-IIIA, and 3 type-IIIB according to the Dubberley classification system. All patients were treated with open reduction and internal fixation by the extensile lateral approach and completed a clinical and radiographic follow-up (average, 17.6 months). The average Mayo elbow performance score was 90.6 points, with 36 excellent, 11 good, and 5 fair results. The average range of movement of the elbow joint was 3°(0-15°) for extension and 136°(90-150°) for flexion. Conclusions: The anti-sliding plate technique follows basic AO principles and neutralizes the shearing force combined with lag screws and/or Kirschner wires after the anatomic reduction of the fracture. It allows for the stable internal fixation of the fracture, which is critical for early mobilization and a good functional outcome.

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Section: Introductionmentioning

confidence: 99%

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Song

Wang

et al. 2020

J Orthop Surg Res

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“…To preserve blood supply and avoid disruption of the posterior soft tissue, many surgeons preferred an anterior-toposterior direction approach to employ the interfragmentary screw and fix the fracture. [2][3][4]9 In these cases, however, considering the already disrupted posterior soft tissue, we fixed the screws in the posterior-to-anterior fashion.…”

Section: Discussionmentioning

confidence: 99%

Coronal shear fracture of distal humerus associated with olecranon fracture: A case report and pathomechanism

Sun

Thanomsingh

Jeon

2019

J Orthop Surg (Hong Kong)

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Distal humeral coronal shear fractures are rare and account for around 1% of all fractures at the elbow level and 6% of the distal humeral fractures. Many studies have reported on the associated injuries involving the lateral collateral ligament injuries and radial head fractures in up to 40% and 30% of humeral fractures, but this combination of coronal shear fracture of the trochlea and capitellum associated with olecranon fracture is unusual. Here, we report two cases of distal humerus coronal shear fracture with olecranon fracture treated surgically and establish and discuss the pathomechanisms, diagnosis, and therapeutic issues relating to this fracture.

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“…Therefore, these fragments should be fixed with independent implants. The most commonly used fixation techniques are the use of headless compression screws if the fragment is large enough or the thin threaded K wires if the fragment is very small [5].…”

Section: Discussionmentioning

confidence: 99%

Fixation of Small Osteochondral Fragments in a Comminuted Distal Humerus Fracture with Magnesium Bioabsorbable Screws: A Case Report

Aktan¹,

Ertan²,

Turan³

et al. 2018

Cureus

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The treatment of comminuted distal humeral fractures with free osteochondral fragments is challenging. Osteochondral fragments should be retained whenever possible and secured with implants buried beneath the articular surface to obtain a uniform articular surface. Headless compression screws and K wires are commonly used for this purpose. However, certain complications have been reported with these fixation implants in case of the non-union and osteolysis of the fragments such as migration and cartilage damage. Fixation of osteochondral fractures in distal humeral fractures using bioabsorbable implants has been rarely reported in the current literature. Herein, a patient who sustained a comminuted distal humeral fracture with multi-fragmentary osteochondral fragments is presented, and treatment with magnesium bioabsorbable compression screws is discussed.

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Coronal shear fractures of distal humerus: Diagnostic and treatment protocols

Cited by 23 publications

References 31 publications

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Coronal shear fracture of distal humerus associated with olecranon fracture: A case report and pathomechanism

Fixation of Small Osteochondral Fragments in a Comminuted Distal Humerus Fracture with Magnesium Bioabsorbable Screws: A Case Report

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