Non-Union of Minimally Displaced Fractures of the Lateral Condyle of the Humerus in Children

Flynn, Joseph C.; Richards, Jennifer H.

doi:10.2106/00004623-197153060-00004

Cited by 83 publications

(51 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The present frequency of further dislocation while immobilized in plaster-1 1 per cent of the fractures-agrees with previously reported results (2). No gross dislocation occurred, however.…”

Section: Discussionsupporting

confidence: 92%

Prediction of the stability of minimally displaced fractures of the lateral humeral condyle

Thonell¹,

Mortensson²,

Thomasson³

1988

Acta Radiol

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 92%

Prediction of the stability of minimally displaced fractures of the lateral humeral condyle

Thonell¹,

Mortensson²,

Thomasson³

1988

Acta Radiol

View full text Add to dashboard Cite

“…Surgical treatment is recommended for fractures displaced more than 2 mm, either by closed reduction and percutaneous pinning [23] or open reduction and internal fixation [2, 4, 10, 11, 20, 24]. For non-displaced and minimally-displaced fractures, closed treatment using a long arm cast or splint is usually effective [3].…”

Section: Introductionmentioning

confidence: 99%

Accuracy of radiographs in assessment of displacement in lateral humeral condyle fractures

Knutsen

Avoian

Borkowski

et al. 2014

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

PurposeDetermining the magnitude of displacement in pediatric lateral humeral condyle fractures can be difficult. The purpose of this study was to (1) assess the effect of forearm rotation on true fracture displacement using a cadaver model and to (2) determine the accuracy of radiographic measurements of the fracture gap.MethodsA non-displaced fracture was created in three human cadaveric arms. The specimens were mounted on a custom apparatus allowing forearm rotation with the humerus fixed. First, the effect of pure rotation on fracture displacement was simulated by rotating the forearm from supination to pronation about the central axis of the forearm, to isolate the effects of muscle pull. Then, the clinical condition of obtaining a lateral oblique radiograph was simulated by rotating the forearm about the medial aspect of the forearm. Fracture displacements were measured using a motion-capture system (true-displacement) and clinical radiographs (apparent-displacement).ResultsDuring pure rotation of the forearm, there were no significant differences in fracture displacement between supination and pronation, with changes in displacement of <1.0 mm. During rotation about the medial aspect of the forearm, there was a significant difference in true displacements between supination and pronation at the posterior edge (p < 0.05).ConclusionOverall, true fracture displacement measurements were larger than apparent radiographic displacement measurements, with differences from 1.6 to 6.0 mm, suggesting that the current clinical methods may not be sensitive enough to detect a displacement of 2.0 mm, especially when positioning the upper extremity for an internal oblique lateral radiograph.Electronic supplementary materialThe online version of this article (doi:10.1007/s11832-014-0553-8) contains supplementary material, which is available to authorized users.

show abstract

“…Moreover, nonunion may develop and not be recognized by an orthopedist during the treatment of a minimally displaced LCF of the humerus, and sometimes nonunion is not discovered until deformity and pain have developed [5][6][7][8] . If displacement occurs, an operative procedure involving some type of firm fixation is indicated when seen early 2,[6][7][8][9] . However, the management of these fractures when presented late is controversial 3,4,[9][10][11][12][13]17,18) .…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Late Presented Displaced Lateral Condylar Fracture of the Humerus in Children

Bae

Song

Kang

et al. 2008

J Korean Orthop Assoc

View full text Add to dashboard Cite

지연 발현된 전위된 소아 상완골 외과 골절의 수술적 치료 배기철ㆍ송광순ㆍ강철형ㆍ민병우ㆍ조철현ㆍ사공협 계명대학교 의과대학 동산의료원 정형외과학교실Purpose: To determine whether late open reduction and internal fixation (ORIF) of a lateral condylar fracture (LCF) after 3 weeks is possible, and to determine the latest time for ORIF without a bone graft. Materials and Methods: Eight children underwent late ORIF (＞3 weeks) of a displaced LCF (＞2.5 mm) of the humerus between 3 weeks and 5 weeks after injury. Results: Clinically, results were excellent in 6 cases and good in 2 cases. There was no serious complication, including nonunion and avascular necrosis (AVN), though 2 cases had a slight fishtail deformity and mild carrying angle loss due to overgrowth of the lateral condyle fragment. Conclusion: We believe that 3 weeks is too short to deny open reduction and anatomic reduction for fear of AVN of a late presented lateral condyle fracture of the humerus. The latest time for ORIF in late presented LCF in children is around 5 weeks, and surgical treatment may even be possible after greater delays.

show abstract

Non-Union of Minimally Displaced Fractures of the Lateral Condyle of the Humerus in Children

Cited by 83 publications

References 0 publications

Prediction of the stability of minimally displaced fractures of the lateral humeral condyle

Prediction of the stability of minimally displaced fractures of the lateral humeral condyle

Accuracy of radiographs in assessment of displacement in lateral humeral condyle fractures

Surgical Treatment of Late Presented Displaced Lateral Condylar Fracture of the Humerus in Children

Contact Info

Product

Resources

About