We conducted a descriptive, retrospective, single-center, analytical cohort study of all patients treated at La Fe Hospital, Valencia, Spain, who presented with a diaphyseal humeral fracture with radial nerve involvement between 2010 and 2020. The study was approved by the La Fe Hospital's Ethics Committee (2020/218359).
Background and aim: External humeral condyle fracture associated with a posteromedial elbow dislocation is a very rare entity, of which there are very few cases published. Our objective is to present a complex case treated in our Hospital, the diagnosis, the treatment we chose, and the follow-up at 9 weeks after the intervention. Clinical case: 5-year-old boy with a posteromedial elbow dislocation associated with an external humeral condyle fracture, which was diagnosed by CT and treated surgically using an anterior approach over the elbow, open reduction, and osteosynthesis with K-wires. Results: clinical and radiological results 9 weeks after the intervention were excellent, presenting a Radiographic consolidation of the fracture and an excellent range of joint mobility. Conclusion: early diagnosis and surgical treatment through open reduction and osteosynthesis of the external condyle is the gold standard on treatment for these injuries, since a bad reduction leads to poor long-term results.
In this brief book we try to explain, simply and directly all the concepts that you must manage during your first day in the Traumatology Emergency Department. The aim is to help you to survive during your first 24 hours in this department, are you ready?
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