Capitellar Fractures in Children and Adolescents

Murthy, Praveen G.; Vuillermin, Carley; Naqvi, Manahil; Waters, Peter M.; Bae, Donald S.

doi:10.2106/jbjs.16.01393

Cited by 17 publications

(24 citation statements)

References 15 publications

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“…Treatment options have evolved from fragment excision and closed reduction/immobilization to ORIF in order to achieve stable anatomic reduction, restore articular congruity, and initiate early motion [21][22][23]. However, various debates have ensued on which surgical fixation technique is most appropriate, which is crucial to the final outcome [24][25][26]. Presently, Kirschner wires, cancellous screws, Herbert screws, and Acutrak Mini screws are commonly utilized for rigid fixation using the fracture compression technique [27,28].…”

Section: Discussionmentioning

confidence: 99%

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Song

Wang

et al. 2020

J Orthop Surg Res

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Purpose: The purpose of this study is to discuss the surgical strategy, technical feasibility, and clinical efficacy of coronal shear fractures of the distal humerus using the anti-sliding plate technique. Methods: Fifty-two patients (35 males and 17 females) were treated with the anti-sliding plate technique in our hospital from January 2012 to January 2017. The average age of the patients was 40.4 years. They were classified according to the Dubberley classification system and treated with the anti-sliding plate technique. The long-term functional scores represented by the Mayo Elbow Performance Index and complications were evaluated. Results: Fractures were classified as follows: 11 type-IA, 5 type-IB, 16 type-IIA, 4 type-IIB, 13 type-IIIA, and 3 type-IIIB according to the Dubberley classification system. All patients were treated with open reduction and internal fixation by the extensile lateral approach and completed a clinical and radiographic follow-up (average, 17.6 months). The average Mayo elbow performance score was 90.6 points, with 36 excellent, 11 good, and 5 fair results. The average range of movement of the elbow joint was 3°(0-15°) for extension and 136°(90-150°) for flexion. Conclusions: The anti-sliding plate technique follows basic AO principles and neutralizes the shearing force combined with lag screws and/or Kirschner wires after the anatomic reduction of the fracture. It allows for the stable internal fixation of the fracture, which is critical for early mobilization and a good functional outcome.

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Section: Discussionmentioning

confidence: 99%

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Song

Wang

et al. 2020

J Orthop Surg Res

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“…Capitellar fracture in children is rare. Its incidence rate accounts for approximately 0.5-1% of elbow fractures in children [1,2]. Because the capitellum is located deep in the joint capsule, capitellar fracture in children typically does not cause apparent deformity in the elbow but manifests as swelling, pain, and dysfunction of the elbow joint.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, the missed diagnosis and misdiagnosed rates of capitellar fractures in children are high [3]. Oblique radiography, computed tomography (CT), magnetic resonance imaging (MRI), and arthrography of the elbow joint are very important for the diagnosis of capitellar fracture in children [1,3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Open reduction and internal xation are the main approach to treat displaced capitellar fractures [1]. Capitellar fractures in children are intra-articular fractures.…”

Section: Introductionmentioning

confidence: 99%

“…To date, there is no uni ed opinion on the surgical approach and xation selection for the treatment of capitellar fractures [1,5,7,8]. The lateral and posterior approach are the most commonly used surgical approaches for elbow joint surgery [9].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Therapeutic Analysis of Herbert Screw Fixation for Capitellar Fractures via the Anterior Approach in Children

Li¹,

Jiang²,

Zhang³

et al. 2021

Preprint

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Objective: To analyse the efficacy of open reduction and Herbert screw fixation for coronal fractures of the capitellum via the anterior approach in children.Methods: We retrospectively analysed the clinical and imaging data of 15 children with capitellar fractures who were admitted to our hospital from May 2014 to May 2019. The fracture was reduced through the cubital crease incision via the anterior approach and was internally fixated with Herbert screws. A follow-up was conducted after the operation to examine the fracture healing and elbow function. The postoperative functional recovery of patients was evaluated with the Mayo Elbow Performance index (MEPI) and the Broberg-Morrey rating system.Results: Patients underwent surgery 3.7 days after injury on average. Intraoperative fracture reduction was satisfactory. No vascular injury or nerve injury occurred. Bony union occurred in an average of 6 weeks after the operation. All children completed 12- to 36-month follow-up. At the last follow-up, the Mayo Elbow Performance index was considered excellent in 12 patients and good in three patients. The Broberg-Morrey score was considered excellent in 12 patients, good in two patients, and fair in one patient. Conclusion: Open reduction and Herbert screw fixation via the anterior approach are an ideal surgical method for the treatment of coronal fractures of the capitellum in children.Levels of Evidence: Therapeutic, retrospective study-Level IV

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Elbow Joint

Spittler¹,

Seidl²

2020

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Capitellar Fractures in Children and Adolescents

Abstract: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Cited by 17 publications

References 15 publications

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Therapeutic Analysis of Herbert Screw Fixation for Capitellar Fractures via the Anterior Approach in Children

Elbow Joint

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