Management of nonunion of humeral medial condyle fracture: A case series and review of the literature

Abstract

Pediatric humeral medial condyle fracture (HMCF) is a rare condition and is difficult to detect, especially in young children. The management of late presentation of HMCF is challenging and lacks consensus. Herein, we reported four cases of HMCF nonunion received open reduction and internal fixation (ORIF) or supracondyle osteotomy from our institution. In addition, 12 cases of ORIF and 4 cases of osteotomy reported in the previous studies were also reviewed. The HMCF nonunion can heal after ORIF, but the indication and the optimal techniques need to be clarified. Supracondylar osteotomy alone is an effective and safe treatment option to improve the functional and cosmetic outcomes of HMCF nonunion.

Nonunion of humeral medial condyle fracture caused by excessive functional exercise: a case report and review of the literature

“…In this case, 3D-CT was also not found [ 15 ]. HMCF are through the epiphysis, when ignored, have a high probability of nonunion, cubitus varus/valgus, and joint stiffness [ 1 , 11 ]. HMCF are less likely to be missed or misdiagnosed when both the trochlear and medial epicondyle secondary ossification centers are clearly defined.…”

“…When HMCFs are initially diagnosed, OR and internal fixation usually achieves the desired effect [9]. However, for neglected HMCF, most orthopedic surgeons choose OR and internal fixation or osteotomy according to the adolescent's physical signs and personal habits [10][11][12]. Papavasilion et al and Varma et al treated nonunion HMCF by corrective supracondylar osteotomy [13,14].…”