Internal rotation deformity and tardy ulnar nerve palsy after supracondylar humeral fracture

Three-dimensional analysis of cubitus varus deformity after supracondylar fractures of the humerus

“…However, some investigators believe that an osteotomy, which leaves a residual rotation deformity, does not completely improve the appearance of the elbow. 6,8,15,34,39 Furthermore, several previous studies have shown that residual rotation displacement is associated with tardy ulnar nerve palsy, 1,12,18 nonphysiologic muscle activity around the elbow, 34 and posterior instability of the shoulder. 9 Since French's report on a procedure for lateral closing wedge osteotomy with simultaneous derotation, 8 several surgeons have performed a 3-dimensional (3D) osteotomy to correct the internal rotation, as well as the varus and extension deformities.…”

“…1,12,18,24 Various surgical procedures have been advocated to correct the deformity, which classically includes varus, extension, and internal rotation. 8,15,20,30,34 A simple lateral closing wedge osteotomy, which corrects the varus component of the deformity, 4,28 and an anterolaterally based closing wedge osteotomy, 20,35 which corrects both varus and hyperextension, are widely performed for this condition.…”

Postoperative accuracy analysis of three-dimensional corrective osteotomy for cubitus varus deformity with a custom-made surgical guide based on computer simulation

“…33 Moderate to severe deformities lead to unsightly appearance, limited range of elbow flexion, joint instability, and tardy nerve palsy. 1,11,16,17,24,25 To solve these problems, several methods of corrective osteotomy have been performed. [3][4][5][6][7][8][9]14,15,32,37 However, conventional corrective osteotomy can leave a certain degree of deformity because it is not always easy to correct complex 3D bone deformities with preoperative planning based on plain radiographs and free-hand operation.…”

Case Report on Cubitus Varus Deformity as a Complication of United Medial Condyle of Humerus Fracture- A Rare Fracture in Children

“…Cubitus varus deformity in addition to cosmetic appearance, result in elbow discomfort, pain, tardy posterolateral rotational instability, increased risk of lateral condyle fractures and late ulnar nerve palsies which may be indications for correction of deformity with a supracondylar humeral osteotomy. [25], [26], [27], [28], [29], [30], [31], [32], [33] FINAL DIAGNOSIS Clinicoradiologically, it was a case of left-sided cubitus varus deformity with internal rotation of left forearm with posteromedial subluxation and restricted movement of left elbow in a 9-year-old boy due to united ill-developed medial condyle of humerus following its treatment by closed J. Evolution Med. Dent.…”