Fracture-separation of the distal humeral epiphysis.

DeLee, Jesse C.; Wilkins, Kaye E.; Rogers, Lloyd; Rockwood, Charles A.

doi:10.2106/00004623-198062010-00007

Cited by 122 publications

(70 citation statements)

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“…Barret et al presented a case in which the elbow extension was restricted by 20°at 24 months after closed reduction and external splintage (4). DeLee et al declared that the incidence of elbow varus in 5-10°was 25% (2). All of these deformities occurred after closed reduction whereas there were no reports of complications after open reduction and internal needle fixation.…”

Section: Discussionmentioning

confidence: 99%

Epiphyseal Separation of Distal Humerus in Newborn: A Case Report

Yan¹,

Zheng²,

Song³

et al. 2014

WIMJ Open

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Section: Discussionmentioning

confidence: 99%

Epiphyseal Separation of Distal Humerus in Newborn: A Case Report

Yan¹,

Zheng²,

Song³

et al. 2014

WIMJ Open

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“…The incidence of this type of fracture remains uncertain due to confusion with supracondylar fractures and elbow dislocations (Delee et al, 1980). Three separate mechanisms of injury are known to cause this type of fracture.…”

Section: Transcondylar Fracturesmentioning

confidence: 99%

“…Three separate mechanisms of injury are known to cause this type of fracture. Fractureseparation at the distal humeral physis can occur in newborns after traumatic delivery (Green, 1994), in infants due to child abuse (Delee et al, 1980), and in children usually between the ages of 3 and 7 after falling from a height (Holda et al, 1980). With this injury, the forces generated often cause medial displacement; however lateral, anterior or posterior displacement can also occur depending on the mechanism of injury (Ogden 1990).…”

Section: Transcondylar Fracturesmentioning

confidence: 99%

“…Unlike extension and flexion supracondylar fractures, the transcondylar fracture is more stable because it occurs through the thicker humeral epiphyseal cartilage located below the very thin supracondylar region. Tilting of the distal fragment causing an angular deformity is less likely, however Delee et al (1980) and Holda et al (1980) report several cases. Loss of full elbow extension and flexion are a possible outcome, but usually not enough to be considered functionally significant (Delee et al, 1980;Holda et al, 1980).…”

Section: Transcondylar Fracturesmentioning

confidence: 99%

“…Upper extremity injuries occur most frequently in the forearm (Reed, 1977;Cheng & Shen, 1993;Jones, 1994), followed by injuries of the elbow (Reed, 1977;Cheng & Shen, 1993;Green, 1994). Elbow fractures are considered extremely common, and have been extensively reported on (Siris, 1939;Brewster & Karp, 1940;Sandegard, 1944;Smith, 1960;Conn & Wade, 1961;Wade & Batdorf, 1961;Gruber & Hudson, 1964;Hagen, 1964;Henrikson, 1966;Smith, 1967;Bakalim & Wilppula, 1972;Crawley & Reckling, 1972;Rogers et al, 1978;Vahvanen & Aalto, 1978;Weiland et al, 1978;Delee et al, 1980;Holda et al, 1980;Labelle et al, 1982;Ippolito et al, 1986;Ogden, 1990;Mehne & Jupiter, 1992;Green, 1994). Approximately 33% of all elbow fractures involve distal humerus (Mehne & Jupiter, 1992).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Radiographic clues to fractures of distal humerus in archaeological remains

Glencross

Stuart-Macadam

2001

Intl J of Osteoarchaeology

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Today, distal humeral fractures occur most frequently in children and adolescents, and are usually the result of a fall onto extended arms, or less often on flexed elbows. Trauma to the distal humerus at the physis and epiphyses often produces non-displaced or mildly displaced fractures that are difficult to recognize radiographically. To help identify these types of injuries, clinicians have developed two measurement techniques that are applied to the X-rays of the injured bones. In a preliminary attempt to assess the usefulness of these measurement techniques for recognizing trauma in archaeological skeletal remains, 25 humeri from two Ontario ossuary samples were submitted to radiography. Clinical data on distal humeral fractures, their incidence, and mechanisms of injury were also used to interpret the lifestyles and cultural activities of the aboriginal individuals under study. While only one healed fracture was suspected after gross observation, a total of four fractures were ultimately identified using the two measurements, the humerotangential-angle (HTA) and the anterior humeral line (AHL). Our results provide indirect, but telling, evidence of accidental childhood injuries to distal humerus in an archaeological population.

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