Nonunion of Slightly Displaced Fractures of the Lateral Humeral Condyle in Children

Flynn, Joseph C.

doi:10.1097/01241398-198911000-00012

Cited by 129 publications

(78 citation statements)

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“…We agree with Flynn [3], Foster et al [4], and Mintzer et al [13] that minimally displaced fractures can be treated with casting and close observation. There were eight patients in this series (40%) with undisplaced LCM fractures treated conservatively.…”

Section: Discussionsupporting

confidence: 64%

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Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Sharma

Sibiński

Sherlock

2007

International Orthopaedics (SICOT)

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Section: Discussionsupporting

confidence: 64%

“…Final clinical results were evaluated according to Flynn's criteria [3]. Loss of motion of more than 15°or loss of the carrying angle of more than 15°of valgus or more than 5°of varus was considered unsatisfactory.…”

Section: Introductionmentioning

confidence: 99%

Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Sharma

Sibiński

Sherlock

2007

International Orthopaedics (SICOT)

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“…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

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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.

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“…Most of the poor results reported in the literature 8,9 were due to defective initial management. The present study confirmed the good clinical and radiological results obtained with non surgical treatment.…”

Section: Discussionmentioning

confidence: 82%

Results of a Conservative Management of Minimally Displaced Lateral Condyle of Humerus Fracture in Children

Shrestha

Bastola

Dhungel

et al. 2015

J. Nepalgunj Med. College

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Background: Fracture of lateral condyle humerus in pediatric population is second most common elbow injury. There is controversy regarding treatment of minimally displaced (less than 2mm) fracture. If this group can be taken care with non operative treatment it will be an easier and lot cheaper option especially for rural parts of west Nepal. Aim: To see the viability of treatment of minimally displaced lateral condyle humerus fracture with non operative treatment and look for short and immediate results. Methodology: This was a prospective observational, hospital based study carried out in Nepalgunj Medical College teaching Hospital from Jan. 2013 -Jan. 2014. In children between 2.5 -13 years, with minimally displaced fracture of lateral condyle humerus were radiologically followed up for 12 weeks. All patients underwent long arm cast and serial radiographs in follow ups. At 12 weeks; range of motion, tenderness and carrying angle were looked for. Results: There were 12 patients in the study with average age of 6.95 years, range (SD 2.92). There were no displacements in follow ups. At 6 weeks all had full range of motion and at 12 weeks all had full range of motion without tenderness. Three kids had approximately 5 degrees of carrying angle change on other side to varus. Conclusion: Non operative treatment with 4 weeks of long arm cast in supination is a good alternative option for minimally displaced lateral condyle fracture humerus. A good follow up of the treated patients is an integral part of management along with radiological evidence. Parents need to be warned about bump in the lateral side during healing.

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Nonunion of Slightly Displaced Fractures of the Lateral Humeral Condyle in Children

Cited by 129 publications

References 0 publications

Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

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

Results of a Conservative Management of Minimally Displaced Lateral Condyle of Humerus Fracture in Children

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