Fractures of the Lateral Humeral Condyle: Role of the Cartilage Hinge in Fracture Stability

Horn, B. David; Herman, Martin J.; Crisci, Kristin; Pizzutillo, Peter D.; Gd, MacEwen

doi:10.1097/01241398-200201000-00003

Cited by 48 publications

(34 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These injuries are associated with several complications including non-union with subsequent cubitis valgus, mal-union including varus deformity, avascular necrosis of the fragment and tardy ulnar neuropathy. 1,8,12 In this patient's radiograph the only indication of the lateral humeral condyle mass fracture was a small, wafer shaped bony metaphyseal fragment.…”

Section: Discussionmentioning

confidence: 94%

Distal humerus lateral condyle mass fracture and olecranon fracture in a 4-year-old female—review of literature

et al. 2005

View full text Add to dashboard Cite

A 4-year-old right hand dominant female presented to the Accident and Emergency department with a painful, swollen left elbow after falling from a climbing frame onto her outstretched left hand. The injury was isolated and closed and the patient was neurovascularly intact distally.Anteroposterior and lateral radiographs revealed an obvious multifragmented fracture of the left olecranon but close observation of the anteroposterior view revealed a subtle sliver of bone over the lateral condyle representing a fracture (see Figs. 1 and 2).These injuries were confirmed at surgery and an open reduction and internal fixation was performed through a lateral approach using two 1.6 Kirshner wires to stabilise the lateral condyle fracture and tension band wiring to stabilise the olecranon fracture (Figs. 3 and 4). An above elbow backslab was applied for 4 weeks following which elbow motion was commenced. At 8 weeks, all metalwork was removed. Range of movement at 8 weeks was 10-1008. At 10 weeks the range of movement was 5-1608. DiscussionFractures of the lateral humeral condyle make up 17% of all elbow fractures in children and mostly occur between 2 and 14 years. 6 Milch classified Injury Extra (2005) 36, 368-372 www.elsevier.com/locate/inext KEYWORDS Lateral condyle mass fracture; Olecranon fracture; Open reduction and internal fixation Summary A 4-year-old right hand dominant female presents to Accident and Emergency Department with what appears to be a multifragmented fracture of the left olecranon. Close inspection of the antero-posterior radiograph reveals an ipsilateral lateral mass fracture of the distal humerus. The injury is closed and there is no neurovascular defect. She subsequently underwent an open reduction and internal fixation of both fractures and had regained near normal movement by 8 weeks postinjury. An overview of lateral mass and olecranon fractures is given. To the best of our knowledge there are no reported cases in the literature of ipsilateral condylar and olecranon fractures in children. #

show abstract

Section: Discussionmentioning

confidence: 94%

Distal humerus lateral condyle mass fracture and olecranon fracture in a 4-year-old female—review of literature

et al. 2005

View full text Add to dashboard Cite

show abstract

“…[4][5][6][7][8] Although ultrasound, magnetic resonance imaging, or arthrography may be used to characterize these injuries further, they are user-dependant, time-consuming, and/or painful examinations that may require sedation in young children. 9,10 Multidetector computed tomography (MDCT) of the elbow, conversely, is a painless examination that takes seconds to perform. When properly performed, MDCT of the pediatric elbow results in a low radiation dose limited to the elbow.…”

Section: Discussionmentioning

confidence: 99%

Multidetector Computed Tomography of Pediatric Lateral Condylar Fractures

Chapman¹,

Grottkau²,

Albright³

et al. 2005

Journal of Computer Assisted Tomography

View full text Add to dashboard Cite

show abstract

“…Recently, a 20˚ tilt AP radiograph has been suggested to demonstrate fragment dislocation more precisely than a standard radiograph [16]. High-resolution ultrasonography [17] or MRI [18] can also demonstrate the cartilage hinge and the displacement; however, these facilities may not be available in the rural and suburban areas in most developing countries. The diagnosis of minimally displaced fractures is therefore often missed in the early stages, being made late or only after more displacement has occurred.…”

Section: Discussionmentioning

confidence: 99%

“…In order to control the intra-articular reduction, it may be necessary to cut some parts of the capsule and the synovial [18] [23]. However, Inoue et al [24] mentioned that bone grafting carried the risk of decreased elbow motion by blocking the distal humeral fossa or inadvertent distal migration of the fracture fragment resulting in violation of the radiocapitellar articulation.…”

Section: Operationmentioning

confidence: 99%

Kirschner Wire Fixation of Neglected Lateral Condylar Fracture of the Humerus in Children

Hưng¹

2017

OALib

View full text Add to dashboard Cite

Background: Delayed presentation of lateral condylar fractures of the humerus is relatively common in the developing regions of the world. Fractures of lateral condyle of humerus in pediatric age group, the most common being distal humerus epiphyseal injury, are commonly associated with delayed presentation to terminal health care providers. Materials and Methods: Twenty-one children having fracture of lateral condyle of humerus with duration of trauma more than 3 weeks were included in the prospective study. Among the 21 patients, 13 were male and 8 were female. Average time of presentation was after 3 weeks of injury. All patients had Milch type II injury. . To tell result, 38.1% is in Excellent; 33.3% is in Good; 14.3% is in Fair; and 14.3% is in Poor. Comparison of accepted result from time of injury to operation was 3 -6 weeks better than over 6 weeks with P Valuate 0.001387.There were AVN in 1 case, Nonunion in 2 cases. Conclusion: Osteosynthesis by Kirschner wire without bone grafting could provide solid bony union and improve elbow function. However, this technique could not prevent an angular deformity completely. Corrective osteotomy should be considered in patients with valgus or varus deformities.

show abstract

Fractures of the Lateral Humeral Condyle: Role of the Cartilage Hinge in Fracture Stability

Cited by 48 publications

References 12 publications

Distal humerus lateral condyle mass fracture and olecranon fracture in a 4-year-old female—review of literature

Distal humerus lateral condyle mass fracture and olecranon fracture in a 4-year-old female—review of literature

Multidetector Computed Tomography of Pediatric Lateral Condylar Fractures

Kirschner Wire Fixation of Neglected Lateral Condylar Fracture of the Humerus in Children

Contact Info

Product

Resources

About