Paediatric T-condylar fractures of the humerus: Clinical experience and outcomes in 19 cases

Dučić, Siniša; Bumbaširević, Marko; Brdar, Radivoj; Stojanovic, Borko; Djordjević, Miroslav L.

doi:10.1016/j.injury.2014.07.002

Cited by 11 publications

(18 citation statements)

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“…Remia et al reported outcomes in 9 patients with this approach, with excellent or good results without complications in six and three patients, respectively [25]. Similar outcomes can be found in a paper from Ducic et al, who reported satisfactory results in 11 of 12 treated patients [18]. Conversely, Cook et al reported results in 14 of 31 patients with T-condylar fracture who were treated with Bryan-Morrey approach.…”

Section: Managementmentioning

confidence: 56%

“…Some authors reported presence in older boys (i.e. > 10 years), with minimal occurrence in younger population [16][17][18]. One of the main reasons could be the complexity of the chondroosseous development of the elbow, since there are six secondary centres for ossification with variable periods of final closure.…”

Section: Incidence and Mechanism Of Injurymentioning

confidence: 99%

“…In children, this fracture can be mistaken for an extension supracondylar humerus fracture, but the difference is visible in the line of fracture which continues into the intracondylar part of the distal humerus. High-quality images are of essential importance for exact diagnosis of this rare type of fracture and serve as a base for adequate treatment and follow-up [18] (Fig. 1).…”

Section: Incidence and Mechanism Of Injurymentioning

confidence: 99%

“…Additionally, Ducic et al reported treatment by closed reduction in seven of 19 cases with good results in the majority of cases. However, these satisfactory results were achieved only in cases with nondisplaced or minimally displaced fractures [18]. Remaining studies are based on isolated cases and not conducive to drawing valid conclusions.…”

Section: Managementmentioning

confidence: 99%

“…In cases where this is not possible, open reduction is recommended using different approaches, which allow for several fixation options that can be used to stabilise the fracture fragments. The main principle is to use a minimally invasive approach for reconstructing the articular surface of the distal humerus, achieving a stable fixation and preventing tissue damage of the elbow joint and its stiffness [18].…”

Section: Managementmentioning

confidence: 99%

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T-condylar humerus fracture in children: treatment options and outcomes

Dučić

Stojanovic

Lazović

et al. 2020

International Orthopaedics (SICOT)

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Intracondylar T-type fractures of distal humerus represent a rare condition in paediatric population with unknown incidence since the literature is limited to case reports or case series. The main purpose of this article is to provide a comprehensive review of the current literature about the incidence and diagnostic modalities, as well as to evaluate all treatment options with results and complications. Review of the literature identified nine institutional reports in the period between 1984 and 2015, involving a total of 135 children and adolescents. Treatment options were open reduction with internal fixation and closed reduction in 118 and 17 cases, respectively. Open reduction was performed by different surgical approaches: triceps-sliding, triceps-splitting and olecranon osteotomy. Reported follow-up ranged from ten to 49 months. Outcomes were estimated by various tests, which are mainly based on range of motion. Patients younger than ten years generally had a better range of motion then older patients. Transient neuropathy and elbow stiffness were the most common complications, reported in 16.3% and 9.6% of cases, respectively. Despite the small number of reported clinical series, it is widely accepted that this fracture should be treated by open reduction with internal fixation to reduce and stabilise the displaced intra-articular fragments and to achieve anatomical congruity of the joint and integrity of medial and lateral columns.

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Section: Managementmentioning

confidence: 56%

Section: Incidence and Mechanism Of Injurymentioning

confidence: 99%

Section: Incidence and Mechanism Of Injurymentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

See 3 more Smart Citations