scholarly journals Clinical value of MRI in evaluating and diagnosing of humeral lateral condyle fracture in children

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yang Qi ◽  
Lin Guo ◽  
Man Sun ◽  
Zhi Wang
Keyword(s):  
Sensitivity And Specificity ◽  
Unstable Fracture ◽  
Lateral Condyle ◽  
Clinical Value ◽  
Secondary Fracture ◽  
Fracture Group ◽  
Fracture Displacement ◽  
Lateral Condyle Fracture ◽  
Condyle Fracture ◽  
Osteochondral Fractures

Abstract Background Humeral lateral condyle fractures (HLCFs) are common paediatric fractures. Radiographs are hard to accurately evaluate and diagnose the damage of articular epiphyseal cartilage in HLCFs. Methods 60 children who should be suspected to be HLCFs in clinical practice from Dec 2015 to Nov 2017 were continuously included as the first part patients. Subsequently, 35 HLCFs patients with complete follow-up information who had no obvious displacement on radiograph were the second part patients. The sensitivity and specificity of radiograph and MRI in diagnosing of HLCFs and their stability were calculated respectively. Calculated the sensitivity and specificity of each scan sequence of MRI in diagnosing of HLCFs osteochondral fractures. The degree of fracture displacement was measured respectively. Compared the ratio of surgical treatment, secondary fracture displacement and complications between the stable fracture group and the unstable fracture group on MRI in part 2 patients. Results Sensitivity of diagnosing HLCFs by MRI was significantly higher than radiograph (100.00% vs. 89.09%, P = 0.03). Sensitivity of diagnosing integrity of trochlear cartilage chain by MRI was 96.30%, which was significantly higher than that by radiograph (62.96%, P < 0.01). The sensitivity of cartilage sensitive sequence (3D-FS-FSPGR/3D-FSPGR) was different with FS-PDWI and FS-T2WI (P = 0.01 and P = 0.02, respectively). The degree of HLCFs displacement by MRI was higher than radiograph (P < 0.05). In the unstable fracture group, 5 cases (45.45%) had a fracture displacement of more than 2 mm on MRI, which was significantly higher than that in stable fracture group (0.00%, P < 0.01). Conclusions MRI is superior to the radiograph of elbow joint in evaluating and diagnosing children HLCFs and their stability. The coronal 3D-FS-FSPGR/3D-FSPGR sequence is a significant sequence for diagnosing osteochondral fractures in HLCFs. MRI can provide important clinical value for treatment decisions of HLCFs without significant displacement.

The Result After Surgical Treatment on Lateral Condyle Fracture of Humenu in Children

1999 ◽  
Vol 12 (4) ◽  
pp. 1034
Author(s):  
Dong Soo Kim ◽  
Kook Jin Chung ◽  
Jong Guk Ahn ◽  
Byung Hyun Jung ◽  
Yeol Bo Sung ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lateral Condyle ◽  
Lateral Condyle Fracture ◽  
Condyle Fracture

Clinical Study for Lateral Condyle Fracture of Humerus in Children

1994 ◽  
Vol 29 (2) ◽  
pp. 415 ◽  
Author(s):  
Hyung Ku Yon ◽  
Kwang Pyo Jeon ◽  
Kuk Whan Oh ◽  
Dae Eun Jung ◽  
Kyung Hoon Kang ◽  
...  
Keyword(s):  
Clinical Study ◽  
Lateral Condyle ◽  
Lateral Condyle Fracture ◽  
Condyle Fracture

Lateral Condyle Fracture

2017 ◽  
pp. 419-422
Author(s):  
Melvin C. Makhni ◽  
Eric C. Makhni ◽  
Eric F. Swart ◽  
Charles S. Day
Keyword(s):  
Lateral Condyle ◽  
Lateral Condyle Fracture ◽  
Condyle Fracture

scholarly journals Rate of displacement for Jakob Type 1 lateral condyle fractures treated with a cast

2018 ◽  
Vol 12 (2) ◽  
pp. 117-122 ◽  
Author(s):  
C. Zale ◽  
Z. A. Winthrop ◽  
W. Hennrikus
Keyword(s):  
Conversion Rate ◽  
Treatment Plan ◽  
Fracture Site ◽  
Lateral Condyle ◽  
Oblique View ◽  
Level Of Evidence ◽  
Lateral Condyle Fracture ◽  
Condyle Fracture ◽  
Internal Oblique

Purpose The aim of this retrospective study is to report the rate of displacement of Jakob Type 1 lateral condyle fractures that were initially treated in a cast. Methods We performed a retrospective review of all patients that were treated for a non-displaced (Jakob Type 1 < 2 mm) lateral condyle fracture of the humerus at our institution between 2002 and 2015. Results A total of 59 patients were initially treated with casting. Five fractures displaced and were converted to a closed pinning treatment plan with a conversion rate of 8.5%. There was a mean of 13.2 days (4 to 21) between treatment by initial casting and closed pinning. Conclusion This study demonstrates an 8.5% displacement and conversion rate from cast treatment to closed pinning for initially non-displaced Jakob Type 1 lateral condyle fractures of the humerus. The internal oblique radiograph is most accurate to determine displacement. We recommend obtaining an internal oblique view at initial evaluation and at follow-up in the cast for lateral condyle fractures. To minimize movement at the fracture site, we recommend treating Jakob Type 1 lateral condyle fractures with a long arm cast with the elbow at 90° and the forearm in the supine position with a sling-loop design. Level of Evidence IV – retrospective therapeutic study

scholarly journals Image Fusion of X-ray and Magnetic Resonance Imaging-Based Evaluation of the Stability of Pediatric Lateral Humeral Condyle Fracture

2021 ◽  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Lateral Condyle ◽  
Resonance Imaging ◽  
Condylar Fracture ◽  
X Ray ◽  
Fracture Displacement ◽  
The Stability ◽  
Condyle Fracture ◽  
Humeral Condyle

Background: Lateral humeral condyle fracture is the second most common intra-articular fracture in pediatric elbow. Objectives: The present study aimed to analyze the differences between X-ray and magnetic resonance imaging (MRI) in the evaluation of the stability of pediatric lateral humeral condyle fracture and the degree of fracture displacement. Methods: A total of 78 patients with acute elbow trauma were selected and hospitalized in our orthopedic department from July 2018-July 2019. All patients were examined with X-ray and MRI. The sensitivity and specificity of X-ray and MRI in the diagnosis of lateral humeral condyle fracture and the integrity of the trochlear cartilage chain fracture were calculated. The X-ray and MRI were examined respectively to check the value of lateral and posterior fracture space of lateral humeral condyle fracture. Results: Callus repair was observed according to the observation of fracture line during operation or the follow-up imaging examination of conservative treatment. It was confirmed that out of 78 patients with elbow joint trauma, 72 cases were diagnosed with the fracture of lateral condyle of humerus, and the other 6 patients were cured without fracture signs. The sensitivity of MRI in the diagnosis of pediatric lateral condylar fracture was 100%, which was significantly higher than that of X-ray (88.89%) (P<0.05). The results of X-ray and MRI in the diagnosis of pediatric lateral condylar fracture were generally consistent (kappa value = 0.465;< 0.01). Among the 72 confirmed cases, 35 subjects had a fracture of trochlear cartilage chain. The sensitivity of MRI in the diagnosis of pediatric fracture of lateral condyle of humerus was 97.14%, which was significantly higher than that of X-ray (62.86%) (P<0.05). The difference was statistically significant (P<0.05). The sensitivity of 3d-fs-fspgr or 3d-fspgr was significantly higher than that of fs-t2wi and fs-pdwi (P< 0.05). Conclusion: As evidenced by the obtained results, MRI was superior to X-ray in the diagnosis of pediatric humeral epicondylar fracture stability and evaluation of fracture displacement. Furthermore, 3d-fs-fspgr or 3d-fspgr was the best MR sequence to show the pediatric humeral epicondylar fracture. These findings can provide theoretical basis for the establishment of clinical treatment plan.

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