Deformity after Fracture of the Lateral Humeral Condyle in Children

Mechanical Distraction for the Treatment of Posttraumatic Stiffness of the Elbow in Children and Adolescents

“…Stiffness has been reported in 3% to 6% of children following a supracondylar fracture of the distal part of the humerus and in 33% to 100% of children following a fracture of the neck of the radius 2,3 . While soft-tissue release operations for the treatment of elbow contractures in children and adolescents have been described [4][5][6][7][8] , aside from case studies, we are unaware of any previous reports on mechanical distraction of the elbow joint in pediatric patients 9 . This technique for joint arthrolysis consists of two steps, the first being distraction of the periarticular tissues (i.e., the joint capsule and collateral ligaments) and the second being mobilization of the joint with distracted and separated joint surfaces.…”

Unusual humeral medial condyle fracture in an adolescent because of a previous post-traumatic fishtail deformity

“…Long-term follow-up is necessary to confirm maturation of the trochlea. However, unusual fractures of the medial condyle, as we experienced in this case, have been reported previously in the literature [11,15,16].…”

“…The fracture line was longitudinally extending to split the humerus. The patients reported by Namba et al [11] or Skak et al [16] also showed medial fracture lines that extended more longitudinally and splitting the medial and lateral column of the humerus. In addition, our patient had experienced pain after strenuous activity for a year, which subsided after some rest, but recurred with sports activities.…”

Posterolateral approach for humeral lateral condyle fractures in children

“…Initial fracture displacement of greater than 3 mm or more carried a risk of nonunion [8]. Therefore, operative fracture fixation by wires or screw has been recommended [1].…”