Fractures of the Medial Condyle of the Humerus in Childhood

Case Report on Cubitus Varus Deformity as a Complication of United Medial Condyle of Humerus Fracture- A Rare Fracture in Children

“…Several investigators have reported subsequent avascular changes in the medial crista of the trochlea. [5], [15], [19] Both cubitus varus and valgus deformities have been reported in patients whose fractures united uneventfully. The valgus deformity appears to be caused by secondary stimulation or overgrowth of the medial condylar fragment.…”

“…Most series [4], [5] show medial condylar fractures occurring somewhat later than lateral condylar fractures. A review of 38 patients in nine series, [6], [7], [8], [9] in which the specific ages were given showed that 37 patients were in the age range of 8 to 14 years.…”

“…. [4], [5], [10], [22], [23] However, union may be slow in them. In fractures treated promptly, results have been satisfactory.…”

“…[10] For displaced fractures, open reduction with internal fixation is the most often used treatment method. [5], [10], [14], [15], [19] [24]. The fracture fragment can be approached by a posteromedial incision that allows good exposure of both the fracture site and the ulnar nerve.…”

Results of Treatment for Medial Condyle Fracture of the Distal Humerus in Children

“…내과 골절은 성장판 손상이 생길 수 있는 Salter-Harris 4 형에 해당한다 1,8,16) . 손상 기전은 굴곡된 주관절 상태에서 떨어지면서 땅을 짚거나 신전된 주관절에 외반력이 작용되 면서 힘이 주두와 관상 돌기를 통해 내과에 전달되어 골절 이 발생하는 것으로 알려져 있으며 2,6,11,14) , 때때로 전완부 굴근에 의한 견열골절로 발생할 수 있다 4) .…”