Delayed presentation of fracture of lateral condyle of humerus in pediatric age group treated by ORIF and ulnar peg grafting: A case series

Kumar, Nishikant; Mehtani, Anil; Yadav, Chandrashekhar; Raj, Rishi; Meena, Sanjay; Barwar, Nilesh

doi:10.4103/2319-2585.155911

Cited by 3 publications

(3 citation statements)

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“…Lateral condyle humerus (LCH) fractures are common fractures around the elbow and have the potential to cause long term problems of deformities, restricted range of motion, instability and tardy ulnar nerve palsy [1,2]. In systemic review of LCH fractures by Tan et al [3], it was found that most LCH fractures had union, with 0.9% delayed union, 1.6% non-union and 1.5% malunion.…”

Section: Introductionmentioning

confidence: 99%

“…hinge) with > 2 mm displacement require surgical intervention [3]. This described treatment of neglected LCH ranges from conservative management and allowing the fracture to malunite/ cause a deformity, at one extreme [9,10], to immediate surgical exploration, recreation of the fracture, anatomical reduction and rigid internal fixation at the other extreme [1,11]. There have been a plethora of articles describing these various treatment modalities for the treatment of neglected lateral condyle fractures associated with or without deformities.…”

Section: Introductionmentioning

confidence: 99%

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Neglected Lateral condyle Humerus Fractures: Current Concepts and Practices

2021

IJPO

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Neglected lateral condyle fractures present varied and difficult challenges to the treating orthopaedic surgeon. They have the potential to cause long term problems like deformities, stiffness, instability and tardy ulnar nerve palsy. The treatment of lateral condyle non-unions depend on the presence or absence of deformity, the duration of non-union, skeletal maturity of the child and the presence or absence of ulnar nerve palsy. Accordingly the treatment ranges from conservative management in neglected fractures with no deformity and no ulnar nerve palsy at one end, Open/mini-open or closed in-situ fixation for established non-unions with instability and corrective osteotomy with fixation of non-union and ulnar nerve transposition at the other end. In this article, the authors have endeavoured to go through the various aspects of clinical presentations and treatment modalities for this difficult fracture. Keywords: Neglected lateral condyle fractures, Cubitus valgus, Tardy ulnar nerve palsy, Instability.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Neglected Lateral condyle Humerus Fractures: Current Concepts and Practices

2021

IJPO

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“…The fractured surfaces become sclerosed and filled with fibrous tissue, furthermore the muscular attachments become shortened and contracted thus making derotation and anatomical reduction may lead to avascular necrosis of the fragment. Complications such as non union, premature physeal closure, lateral condyler overgrowth, stiffness, cubitus valgus/varus, avascular necrosis and tardy ulnar nerve palsy may arise after surgical or conservative treatment 13,14 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Outcome on Early and Late Initiation Of Operative Treatment in Children With Lateral Condyle Fracture of Humerus

Rahman

Chowdhury

Choudhury

et al. 2020

J Chittagong Med Coll Teachers Ass

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Background: Lateral condyle fracture of humerus in children is the second most common fracture around elbow occurs less commonly than supracondylar fracture in the range of 15% to 20% that must be treated by operation. To find out the demographic variations, causes, functional movements and complications of late cases of lateral condyle fracture of humerus in children treated by open reduction and internal fixation and also comparison with early cases. Materials and methods: This prospective interventional study was carried out in the Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University and Chittagong Medical College Hospital for the duration of 03 years and 06 months. Total 24 patients of fracture lateral condyle of humerus in children age ranges from 02 to 14 years were selected but due to loss of follow up, 20 children were taken in account for the study. Total patients were divided into two groups- group I: early (Up to 4 weeks) and group II: late (5 to 12 weeks) according to time interval from injury to operative treatment. Results: In this study, Out of 20 patients, male (85%) were more than female (15%) left side involvement was 60% and right side was 40%. Among causes of injury, 55% was due to sports injury, 30% was fall from height and 15% from RTA. 35% initially treated by plaster cast, 60% by traditionally bone setter. 55% were misdiagnosed, complications were 10% in group I and 30% in group II. Outcome was satisfactory with 100% in group I and 70% in group II.+ Conclusion: Outcome was better in early cases by operative treatment but late cases up to 12 weeks should be treated by operation. JCMCTA 2019 ; 30 (2) : 10-15

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