Fractures of the humeral trochlea: case presentations and review

Gonçalves, Lucas Braga Jacques; Ring, David

doi:10.1016/j.jse.2016.02.014

Cited by 11 publications

(11 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, various debates have ensued on which surgical fixation technique is most appropriate, which is crucial to the final outcome [24][25][26]. Presently, Kirschner wires, cancellous screws, Herbert screws, and Acutrak Mini screws are commonly utilized for rigid fixation using the fracture compression technique [27,28]. Ashwood et al contended that the maintenance of rigid fixation after fracture reduction, and the stability of the elbow joint are very important [29].…”

Section: Discussionmentioning

confidence: 99%

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

Song

Wang

et al. 2020

J Orthop Surg Res

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

Song

Wang

et al. 2020

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…The trochlea has no muscular or ligamentous attachments and its position is deep within the trochlear notch cavity, within the olecranon process of the ulna, make it protected against direct and indirect trauma, so the humeral trochlear fracture is rare in isolation [3] , [5] , [6] , [7] , [10] . The ulno-humeral joint is subjected to very light compressive and shear forces compared to those experienced by the radio-humeral joint which explains the high frequency of capitellar fractures compared to trochlear fractures [3] , [5] , [6] , [7] , [11] . Trochlear fractures are usually accompanied by other elbow injuries such as dislocation and/or fracture of the capitellum, radial head, or olecranon [3] , [7] .…”

Section: Discussionmentioning

confidence: 99%

“…An isolated humeral trochlear fracture rarely occurs as compared to its capitellar counterpart [3] , [4] since there is no muscular or ligamentous attachments, and due to its location within the olecranon fossa, which makes it inaccessible to direct trauma [3] , [5] . In addition, the humeral trochlea is not subjected to the shear force endured by the radio-capitellar joint because it resides within the ulno-humeral joint [5] , [6] . Therefore, whenever a trochlear fracture is present it is usually accompanied by other injuries such as elbow dislocation, capitellum fracture, radial head fracture, olecranon fracture, and/or ligamentous injury of the elbow [3] , [5] , [6] , [7] .…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the humeral trochlea is not subjected to the shear force endured by the radio-capitellar joint because it resides within the ulno-humeral joint [5] , [6] . Therefore, whenever a trochlear fracture is present it is usually accompanied by other injuries such as elbow dislocation, capitellum fracture, radial head fracture, olecranon fracture, and/or ligamentous injury of the elbow [3] , [5] , [6] , [7] . Currently, the mechanism of injury behind an isolated trochlear fracture is still under speculation [5] , [7] , [8] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical management of isolated humeral trochlear fracture: A rare case report

Sumarwoto

Hadinoto

Abdulhamid

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…Isolated fractures of the capitellum account for 1% of all elbow fractures and between 3% and 6% of distal humeral fractures [ 1 , 2 , 3 , 4 ]. Isolated fractures of the trochlea are even less common [ 5 ]. More than 80% of shear fractures occur in the female population and this has been attributed to increased cubitus valgus, recurvatum, and osteoporosis [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Coronal Shear Fractures of the Distal Humerus

Bellato

Via

Bachman

et al. 2022

JFMK

View full text Add to dashboard Cite

Coronal shear fractures of the distal humerus are rare, frequently comminuted, and are without consensus for treatment. The aim of this paper is to review the current concepts on the diagnosis, classification, treatment options, surgical approaches, and complications of capitellar and trochlear fractures. Computed Tomography (CT) scans, along with the Dubberley classification, are extremely helpful in the decision-making process. Most of the fractures necessitate open reduction and internal fixation, although elbow arthroplasty is an option for comminuted fractures in the elderly low-demand patient. Stiffness is the most common complication after fixation, although reoperation is infrequent.

show abstract

Fractures of the humeral trochlea: case presentations and review

Cited by 11 publications

References 19 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

Surgical management of isolated humeral trochlear fracture: A rare case report

Coronal Shear Fractures of the Distal Humerus

Contact Info

Product

Resources

About