Deformity after Fracture of the Lateral Humeral Condyle in Children

Skak, Sören Valdemar; Olsen, Sören Due; Smaabrekke, Arvid

doi:10.1097/01202412-200110020-00012

Cited by 21 publications

(30 citation statements)

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“…The fractures have a high risk for complications including nonunion, malunion, ulnar nerve paresis, hypertrophic scar, avascular necrosis of ossific nucleus and angular deformity [6][7][8][9]. Various treatment methods are recommended according to the degree of displacement.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Kirschner wires and AO cannulated screw internal fixation for displaced lateral humeral condyle fracture in children

2011

International Orthopaedics (SICOT)

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Section: Introductionmentioning

confidence: 99%

Comparison of Kirschner wires and AO cannulated screw internal fixation for displaced lateral humeral condyle fracture in children

2011

International Orthopaedics (SICOT)

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“…The width of the lateral and medial condyles of the humerus was measured as shown in Figure 2. 19 The width of the lateral condyle divided by the width of the medial condyle was defined as the lateral condyle ratio . The lateral condyle ratio was compared between the affected and unaffected sides.…”

Section: Methodsmentioning

confidence: 99%

Closed-Wedge Osteotomy of the Distal Humerus for Treating Osteochondritis Dissecans of the Capitellum in Young Patients

Ueki¹,

Moriya²,

Yoshizu³

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background:Even in patients with an open capitellar physis, nonsurgical treatment for advanced-stage osteochondritis dissecans (OCD) of the capitellum often yields poor outcomes. However, surgical methods for such patients are controversial. At our institution, we have consistently performed closed-wedge osteotomy of the distal humerus to treat advanced-stage OCD of the capitellum, regardless of the OCD grade or condition of the capitellar physis.Purpose:To clarify the clinical and radiological results and determine the influence of the capitellar physis on closed-wedge osteotomy for advanced-stage OCD of the capitellum in young patients.Study Design:Case series; Level of evidence, 4.Methods:A total of 32 patients with OCD of the humeral capitellum were treated surgically with closed-wedge osteotomy. Of these, 17 patients with more than 2-year follow-up were available for an evaluation. The mean patient age was 11.8 years (range, 11-12 years), and the mean follow-up period was 70.1 months (range, 25-184 months). The clinical assessment included range of motion, elbow pain, and the Japanese Orthopaedic Association (JOA) and Timmerman-Andrews scores. The radiological assessment at the final examination included cross-bridging of the physis, size and fishtail deformity of the distal part of the humerus, size of the radial head, healing of the OCD lesion, and osteoarthritis.Results:The mean range of motion and JOA and Timmerman-Andrews scores improved significantly after surgery; 13 patients were completely pain free. In 11 patients with an open capitellar physis, metaphyseal-epiphyseal, cross-bridging was observed in 1 patient. A fishtail deformity of the distal part of the humerus was not observed. Healing of the OCD lesion was defined as excellent in 9 patients, good in 3, fair in 3, and poor in 2. In 3 of the 5 patients in whom healing was described as fair or poor, there was a lesion of the lateral widespread type with osteoarthritis before surgery. Moderate osteoarthritic changes were evident in 2 patients.Conclusion:Closed-wedge osteotomy for the treatment of advanced-stage OCD of the capitellum in young patients can provide satisfactory clinical and radiological results. However, fair and poor outcomes were found in lateral widespread–type cases with osteoarthritis before surgery. We believe that patients in whom osteoarthritic changes have not yet appeared are eligible for closed-wedge osteotomy.

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“…Results of paediatric fracture dislocations of the elbow are generally perceived as reasonable with internal fixation of concomitant bony avulsions, but case reports of elbow stiffness after simple elbow trauma have drawn the focus on the difficulty to treat sequelae after paediatric elbow fracture dislocation. [15][16][17][18][19][20] Stability of the ulnohumeral joint after elbow trauma is dependent on both bony and soft tissue constraints. [21,22,23] In young children it is rare and associated with high-energy trauma.…”

Section: Discussion Of Managementmentioning

confidence: 99%

“…[17,19,20] As even simple dislocation of the paediatric elbow or single-column injuries of either the lateral or medial epicondyle are reported to lead to both deformity and loss of function. [15,16,18,25] Floating forearm is a rare surgical emergency. Early diagnosis with anatomic reduction provides satisfactory functional results.…”

Section: Discussion Of Managementmentioning

confidence: 99%

Bilateral Open Type Iiib Injuries- “Floating Forearm” With Contralateral Distal Radius Physeal Separation- A Rare Case Report

Chetia¹,

Das²

2018

jemds

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Deformity after Fracture of the Lateral Humeral Condyle in Children

Cited by 21 publications

References 0 publications

Comparison of Kirschner wires and AO cannulated screw internal fixation for displaced lateral humeral condyle fracture in children

Comparison of Kirschner wires and AO cannulated screw internal fixation for displaced lateral humeral condyle fracture in children

Closed-Wedge Osteotomy of the Distal Humerus for Treating Osteochondritis Dissecans of the Capitellum in Young Patients

Bilateral Open Type Iiib Injuries- “Floating Forearm” With Contralateral Distal Radius Physeal Separation- A Rare Case Report

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