Isolated Fracture of the Humeral Capitellum

Management of capitellum fractures by open reduction and internal fixation using Herbert screws

“…Despite its rarity, the prevalence of capitellar fractures is four times higher in women than in men, [10,31] and it has been suggested that this is due to the greater carrying angle in females along with weaker bones (osteoporosis). [11] These injuries mostly occur in young persons, and the female preponderance seen in the present series coincides well with the reported literature.…”

“…[11] These injuries mostly occur in young persons, and the female preponderance seen in the present series coincides well with the reported literature. [31] Patients with capitellar fractures mostly present with painful swelling of the elbow immediately after an injury. These fractures are often missed on the first examination, [28] as these cannot be clearly seen on anteroposterior radiographs because the fracture lines are not well recognizable against the profile of the distal humerus because of the overlap.…”

Fractures of the capitellum humeri in adolescents

“…Options include closed reduction [1,4], excision of the fragment [3,4,6] and open reduction with internal fixation [4,6]. Johansson and Rosman [6] described good results after excision of the capitellar fragment in an adolescent girl.…”

Evaulation of Surgical Treatment of Fracture Capitullum (Review Report).

“…Conclusion:-Type 4 Isolated capitellar fractures 23 are less due to rarity of the injury. The importance of noting double arc sign in lateral view X-rays of the elbow and CT scan evaluation preoperatively is emphasized.…”