Fracture of the Capitulum Humeri

Fowles, J. V.; Kassab, M T

doi:10.2106/00004623-197456040-00013

Cited by 96 publications

(38 citation statements)

References 1 publication

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“…Although there are many different treatment modalities described for capitellar fractures, including closed reduction and immobilization, [14] excision of fracture fragments, [15] prosthetic replacement, [27] ORIF is presently considered as the best treatment. [9,26,32] Fixation has been achieved using K-wires, cancellous screws [22,30] inserted from the posterior to anterior direction, and Herbert screws.…”

Section: Discussionmentioning

confidence: 99%

“…Many treatments and management methods have been advocated and include closed reduction and immobilization, [14] fracture fragment excision, [15] open reduction with or without internal fixation [16][17][18][19][20][21][22] using Kirschner wires (K-wires), cannulated screws or Herbert screws, [23][24][25][26] and prosthetic replacement. [27] Herbert screw provides some definite advantages over other methods of internal fixation.…”

Section: Introductionmentioning

confidence: 99%

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Management of capitellum fractures by open reduction and internal fixation using Herbert screws

Sultan¹

2017

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Capitellar fractures are rare elbow injuries and can cause severe limitation of function if not properly managed. Numerous treatments have evolved, from closed reduction and cast immobilization to open reduction and internal fixation (ORIF), so as to achieve a stable joint that allows early mobilization. We determined the functional outcomes of treating these fractures with ORIF using Herbert screws via an extensile lateral approach.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of capitellum fractures by open reduction and internal fixation using Herbert screws

Sultan¹

2017

Ulus Travma Acil Cerrahi Derg

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“…Some researchers have suggested that the excision of simple fracture fragments for which fixation is not possible [4,18,38]. Johanson and Rosman stated that they obtained good results from a case that they applied excision [38].…”

Section: Discussionmentioning

confidence: 99%

The effect of surgery on functional outcomes of the elbow in adults with isolated capitellar fractures

Akalın¹,

Ozturk²,

Özkan³

et al. 2016

Eur Res J

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Objectives. The aim of this study was to evaluate the factors affecting the functional outcomes together with the clinical and radiological findings obtained from the treatment of adult capitellar fractures through open reduction and internal fixation. Methods. Patients who applied our clinic between 2008 and 2013 with a mean age of 37.5 (range: 17-77) were treated surgically. A total of 11 patients, seven male, and four female, were included in the study. In the study, fracture types of the patients were determined according to McKee modification of the Bryan and Morrey classification. After the operation, patients were followed for an average 26 (15-63) months. In the radiological and clinical evaluations, carrying angle of the operated elbow was compared with the carrying angle values of the healthy elbow. Clinical assessment was made of the Mayo Elbow Performance Index (MEPI). Results. Patients were clinically assessed according to the MEPI scoring over 100 points. It was seen that five patients got 100 points (excellent) while 6 got 85 points (good). No significant difference was observed between fracture types regarding elbow flexion. Type III fractures were found to be significantly more limited than type I and type IV fractures regarding elbow extension degrees (p=0.040). Conclusions. This study yielded inferences that we considered important. Degenerative changes observed in type III fractures only show that this fracture type poses the risk of osteoarthritis development The fact that heterotopic ossification ossification causes movement restriction affect clinical findings adversely. We believe that degenerative arthritis would decrease, joint range could be maintained better, and functional results will be better by avoiding challenging passive exercise and suggesting active practice instead.Eur Res J 2016;2(1):23-29

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“…A significant group of surgeons advocates open reduction and internal fixation (1,3,5,(8)(9)(10). The aim being anatomical restoration.…”

Section: Plain X-ray Lateral View Check X-rays After Twelve Weeks X-raymentioning

confidence: 99%

Type I (Hannis - Steinthal) Capitellar Fracture: Case Report

Mutiso¹

2010

E Af Orth Jnl

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Capitellar fractures of the elbow present with pain and swelling of the elbow following a fall on an outstretched arm and are rare injuries comprising 0.5-1% of all elbow fractures (1). This is a case report of an adult female who sustained this injury following a fall on her outstretched arm. CT scans revealed a Type I capitellar fracture of the right elbow. Open reduction and internal fixation was done with a functionally good result. Because of the cartilaginous nature of the capitellum humeri these injuries are easily missed on radiography. One must have a high index of suspicion especially when elbow movement is noticeably restricted. These injuries are discussed and the literature reviewed. Although controversial, treatment is mainly operative. One should carefully review radiographs of patients who present with injuries of the elbow with pain, swelling and markedly restricted joint range of motion and whose mechanism of injury(fall on an outstretched arm) is consistent with capitellar fracture. CT scans often clinch the diagnosis. Type I fractures may be treated conservatively but Type II injuries require operative intervention.

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Fracture of the Capitulum Humeri

Cited by 96 publications

References 1 publication

Management of capitellum fractures by open reduction and internal fixation using Herbert screws

Management of capitellum fractures by open reduction and internal fixation using Herbert screws

The effect of surgery on functional outcomes of the elbow in adults with isolated capitellar fractures

Type I (Hannis - Steinthal) Capitellar Fracture: Case Report

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