Operative management of a shear fracture of the bilateral capitellum: A case report and review of the literature

Are, A.; Tornatore, Ignazio; Theodorakis, Emmanouil

doi:10.1016/j.cjtee.2015.11.017

Cited by 3 publications

(5 citation statements)

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“…Also, no incidence of post-traumatic osteoarthritis of the elbow joint and avascular necrosis of the capitellum was reported in our case series, which is similar to several studies [6,[18][19]. In our view, if the soft tissues attached to the capitellum is preserved, proper reduction and stable fixation with less damage to the articular cartilage is done, the incidence of these complications is minimal.…”

Section: Discussionsupporting

confidence: 90%

“…This injury pattern was associated with injuries of the lateral collateral ligament (LCL) and medial collateral ligament (MCL). So ligamentous stability must be assessed in these cases [2][3] [2,6]. In our study, no associated LCL or MCL injuries were found as checked in the operating room after anesthesia was given to the patient.…”

Section: Discussionmentioning

confidence: 64%

“…In the present scenario, open reduction and internal fixation, which provides a stable congruent joint, is the most preferred treatment strategy. However, because of the complexity of these intra-articular fractures, surgical exposure and fracture fixation are difficult [2][3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…In a coronal shear capitellar fractures, the lateral approach is commonly used for exposure of the elbow [2][3][4][5][6][7][8][9]. But with the lateral approach, the exposure of the medial articular extension and trochlea is inadequate.…”

Section: Introductionmentioning

confidence: 99%

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Functional Outcome of a Coronal Shear Fracture of the Capitellum Managed by Herbert Screw Fixation Using the Anterolateral Surgical Approach

Garg

Sain

et al. 2020

Cureus

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Fractures of the capitellum, particularly coronal shear fractures, are difficult to manage. The challenges are adequate surgical exposure, proper anatomic reduction, and stable fixation of these fractures. Our study included 10 patients with a coronal shear fracture of the capitellum without any involvement of the posterior condyle. All patients underwent open reduction and Herbert screw fixation using the anterolateral approach, with good functional outcome. In our opinion, this is a good option for the treatment of coronal shear fractures of the capitellum.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Functional Outcome of a Coronal Shear Fracture of the Capitellum Managed by Herbert Screw Fixation Using the Anterolateral Surgical Approach

Garg

Sain

et al. 2020

Cureus

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“…The average MEPI score was more than 90 for both groups, which corresponds to an excellent outcome. These results are consistent with several related studies, which showed that poor results were only obtained in capitellar fractures with posterior comminution [2, 8–10]. Based on our experience, the anterolateral approach can expose the capitellum and trochlea widely by directly approaching the anterior aspect of the elbow.…”

Section: Discussionsupporting

confidence: 92%

Comparison of lateral approach versus anterolateral approach with Herbert screw fixation for isolated coronal shear fractures of humeral capitellum

Hao

et al. 2019

J Orthop Surg Res

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Background For coronal shear fractures of humeral capitellum, the lateral approach is the most commonly used surgical approach. However, exposure range of the anterior aspect of the distal humerus is inadequate. The anterolateral approach has also been adopted to overcome this disadvantage. However, this approach seems anatomically complex due to the risk of iatrogenic injury to the radial nerve. So far, the optimal approach for the treatment of capitellar shear fractures remains inconclusive. The purpose of this study is to prospectively review and compare the early clinical and radiographic outcomes of treated with open reduction and Herbert screw internal fixation through the lateral approach or the anterolateral approach. Methods Twenty-six patients with isolated capitellar shear fractures were enrolled from January 2013 to December 2017, and randomly assigned to lateral approach group or anterolateral approach group. All the fractures were treated with open reduction and Herbert screw internal fixation through lateral approach or anterolateral approach. Operation time, wound healing complication, elbow joint function, and radiographic evidence were evaluated and compared between two groups. Results The operation via the anterolateral approach took significantly shorter time than via lateral approach ( p < 0.05). There were no wound healing problems and infection for both groups. One patient from anterolateral approach group sustained incomplete posterior interosseous nerve palsy, which recovered completely in 4 weeks without residual compromise. All fractures healed well in their normal anatomic position as seen on radiographs. At the final follow-up, no significant difference was found between two groups with respect to the ROM in supination-pronation, ROM in pronation-supination, loss of flexion-extension motion, or loss of pronation-supination motion ( p > 0.05). There is no significant difference with respect to MEPI score of elbow joint between two groups ( p > 0.05). Conclusion Based on our findings, both lateral approach and anterolateral approach with Herbert screw internal fixation are suitable for coronal shear fractures of capitellum with satisfactory early outcomes. Compared with the lateral approach, the anterolateral approach made the surgical procedure easier and time saving in current series. When the medial aspect of the trochlea is involved for capitellar coronal fractures, the anterolateral lateral approach should be preferred.

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Management of isolated coronal shear fractures of the humeral capitellum with Herbert screw fixation through anterolateral approach

Hao

et al. 2018

BMC Musculoskelet Disord

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BackgroundDue to the intraarticular and complex nature of the coronal shear fracture of the humeral capitellum and its rarity, it has been difficult to formulate a universally accepted method of surgical management. The purpose of this study is to retrospectively evaluate the clinical outcomes of 15 patients with isolated coronal shear fractures of the capitellum treated by Herbert screw fixation through anterolateral approach, and to address the safety and tips for this surgical procedure.MethodsThis retrospective study included 15 isolated coronal shear fractures of the capitellum without posterior involvement, which were classified according to the Dubberley classification as 11 type 1A fractures and 4 type 3A fractures. All fractures were treated with Herbert screws fixation via the anterolateral approach. Clinical and radiographic evaluation was performed regularly, with a mean follow-up of 29 months.ResultsThe mean operative time was 81 min. There were no wound healing problems or infection. One incomplete posterior interosseous nerve injury occurred, which recovered soon without residual compromise. All fractures healed well. At the final follow-up, the average range of motion was 134°in flexion-extension and 172°in supination-pronation. There was no significant difference between the affected and the unaffected elbows with regard to motion in flexion-extension or flexion-extension. The average Mayo Elbow Performance Index Score was 93 with 11 excellent and 4 good. No evidence of avascular necrosis, posttraumatic osteoarthritis, or heterotrophic ossification was found.ConclusionOpen reduction and internal fixation using Herbert screws through a anterolateral approach is a reliable and effective treatment for coronal shear fractures of capitellum, and able to achieve stable fixation and restoration of a functional range of motion.

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Operative management of a shear fracture of the bilateral capitellum: A case report and review of the literature

Cited by 3 publications

References 10 publications

Functional Outcome of a Coronal Shear Fracture of the Capitellum Managed by Herbert Screw Fixation Using the Anterolateral Surgical Approach

Functional Outcome of a Coronal Shear Fracture of the Capitellum Managed by Herbert Screw Fixation Using the Anterolateral Surgical Approach

Comparison of lateral approach versus anterolateral approach with Herbert screw fixation for isolated coronal shear fractures of humeral capitellum

Management of isolated coronal shear fractures of the humeral capitellum with Herbert screw fixation through anterolateral approach

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