Paediatric lateral humeral condylar fracture outcomes at twelve years follow-up as compared with age and sex matched paired controls

Sinikumpu, Juha‐Jaakko; Pokka, Tytti; Victorzon, Sarita; Lindholm, Eija-Leena; Serlo, Willy

doi:10.1007/s00264-017-3451-0

Cited by 14 publications

(11 citation statements)

References 48 publications

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“…Multiple studies have shown that open reduction and complications such as pseudoarthrosis or infection are correlated [5,6,8,9,28]. Closed reduction and percutaneous fixation of Jakob-2 LHC yield good results as reported in our series, in which four of the five patients who had complications (Table 5) had been treated with an open reduction.…”

Section: Discussionsupporting

confidence: 74%

Radiologic, clinical, and functional evaluation of children with lateral humeral condyle fractures using the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire

Abusaq¹,

Martins²,

Mansour³

et al. 2022

Journal of Pediatric Orthopaedics B

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This study investigated the clinical and radiologic outcomes of lateral humeral condyle (LHC) fractures in children and evaluated the functional outcome of these injuries according to the type of treatment using the Quick DASH questionnaire. Data on consecutive children admitted to the Emergency Department for LHC fracture (01/11-12/18) were collected from their charts. Anteriorposterior and lateral radiographs of the injured elbow were used to classify each fracture according to Jakob's classification, and to detect any other concomitant bone lesions. Data on pain, stiffness, impact on daily activities, skin lesions, surgical-site infection, and range of motion were retrieved. The Quick DASH questionnaire was used to evaluate functional outcome. Forty-eight children with a mean age at trauma of 6.06 ± 2.22 years (32 males; mean follow-up: 75 ± 25 months) were reviewed. The overall Quick DASH score was 4 (0-15.9); it was 2.69 ± 0.31 in Jakob-1 (n = 12; 25%), 3 ± 1.06 in Jakob-2 (n = 19; 39.6%), and 3.06 ± 1.56 in Jakob-3 fractures (n = 17; 35.4%). Functional outcomes were similar irrespective of the severity of displacement, type of treatment, length of postoperative immobilization, and presence of associated fracture (P > 0.05). Quick DASH scores in children less than 8 years (2.77 ± 0.44) and in those more than 8 years (3.47 ± 2.13) were similar (P > 0.05). Five out of 48 patients developed one complication (10.5%). Good functional and radiologic outcomes can be expected in children with LHC fractures irrespective of the amount of initial displacement, type of treatment, length of postoperative immobilization, and age at surgery. Families should be warned about potential complications although these are most often minor. Level of evidence: III.

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Section: Discussionsupporting

confidence: 74%

Radiologic, clinical, and functional evaluation of children with lateral humeral condyle fractures using the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire

Abusaq¹,

Martins²,

Mansour³

et al. 2022

Journal of Pediatric Orthopaedics B

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“…Loss of terminal range of motion is more prevalent with LCHF fractures than with other elbow fractures. Minor (5°) loss of flexion-extension motion has been reported in up to 40% patients after LCHF and 15.6% patients had >15° loss of flexion-extension movement in one series [20] . Tan et al [13] reported that extension and flexion limitations affected 9.7% and 11.5% of LCHF respectively.…”

Section: Loss Of Motionmentioning

confidence: 86%

“…Besides duration of immobilization, other reported risk factors associated with loss of motion include intra-articular fracture and scar tissue, inappropriate treatment, K-wires as opposed to screw fixation and delayed presentation [13]. Though most motion deficits decrease at follow-up, Sinikumpu et al [20] reported >10° loss of elbow motion in 9 of 32 patients and >10° loss of forearm rotation in 6 of 32 patients at a mean follow-up of 12 years. Anatomic reduction of the fracture and screw fixation could allow for early mobilization of elbow thereby minimizing loss of motion in patients with LCHF.…”

Section: Loss Of Motionmentioning

confidence: 99%

Complications of Lateral Humeral Condyle Fractures in Children

2021

IJPO

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Lateral humeral condyle fractures in children are easily missed and often associated with complications. These complications include malunion, delayed union or nonunion, lateral spur formation, fishtail deformity and growth disturbances. There is also controversy related to best treatment options including closed vs open reduction and K-wire vs screw fixation. Though some complications like malunion are avoidable, others like lateral spur formation are inevitable. Knowledge about these complications would help in counseling patients and their families. The purpose of this article was to review common complications related to these fractures and suggest tips to avoid some of them. Keywords: Paediatric, Lateral condyle fracture, Internal oblique X-ray, Arthrogram, Anatomical reduction, Complications, Tips to overcome

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“…Таким образом, если при переломах ГМПК с третьей степенью смещения ни у кого не возникает сомнений в необходимости проведения оперативного лечения, то по тактике лечения переломов с первой и второй степенью смещения продолжается дискуссия о возможности ограничиться консервативными мероприятиями [3,14,[21][22][23][24]. Результаты анализа собственных исходов лечения детей с переломами ГМПК привели нас к необходимости более точной диагностики и расширению показаний к применению мини-инвазивных методов лечения (закрытой репозиции с фиксацией спицами под рентгенологическим контролем) при переломах I-б и II степени.…”

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Management of Lateral Humeral Condylar Fracture in Children

Dorokhin

Bagomedov²,

Багомедов³

2019

jour

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Analysis of literature related to treatment of children with humeral condyle fracture (HCF) showed that in 15–51% of cases the outcomes were unsatisfactory. Material and methods. Treatment experience of 486 children with acute HCF fractures aged 1 to 16 years is presented. The diagnostic uses additional oblique projections and computed tomography to detect the degree of dislocation and fragment mobility alongside with standard ultrasound examinations. Patients were distributed as follows considering the degree of HCF bone fragment dislocation: 170 (35%) patients with 1 degree of dislocation and 117 (24%) patients with 2 degree of dislocation, whereas 199 (41%) patients had 3 degree dislocation. Results. The patients were operated using the developed tactical scheme based on the suggested classification. It took into account both the degree of dislocation and fragment mobility in 1 degree fractures. Remote results were examined in 321 (66%) patients within 1–15 years after the trauma: the results were excellent in 278 (87%) cases, good in 29 (%) cases and satisfactory in 13 (4%) cases. Conclusions. Treatment of children with humeral condyle fractures was based on the differentiated approach to selection of treatment method depending on dislocation degree and mobility of a distal bone fragment.

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Paediatric lateral humeral condylar fracture outcomes at twelve years follow-up as compared with age and sex matched paired controls

Cited by 14 publications

References 48 publications

Radiologic, clinical, and functional evaluation of children with lateral humeral condyle fractures using the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire

Radiologic, clinical, and functional evaluation of children with lateral humeral condyle fractures using the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire

Complications of Lateral Humeral Condyle Fractures in Children

Management of Lateral Humeral Condylar Fracture in Children

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