scholarly journals Complications of Lateral Humeral Condyle Fractures in Children

2021 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Treatment Options ◽  
Delayed Union ◽  
Lateral Condyle ◽  
Fractures In Children ◽  
Lateral Condyle Fracture ◽  
Fishtail Deformity ◽  
Spur Formation ◽  
Condyle Fracture ◽  
Internal Oblique ◽  
Humeral Condyle

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

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

Bony Spur Formation Following Lateral Condyle Fracture of the Humerus in Children

2004 ◽  
Vol 39 (4) ◽  
pp. 415
Author(s):  
Jun Bae Kim ◽  
Tae Joon Cho ◽  
In Ho Choi ◽  
Chin Youb Chung ◽  
Won Joon Yoo
Keyword(s):  
Lateral Condyle ◽  
Lateral Condyle Fracture ◽  
Spur Formation ◽  
Condyle Fracture ◽  
Bony Spur

scholarly journals Comparison of radiological and clinical outcome among Kirschner wires versus 3.5 mm diameter cannulated cancellous screw internal fixation in treatment for the displaced lateral humeral condyle fractures in children

2021 ◽  
Vol 7 (2) ◽  
pp. 219
Author(s):  
Lokpal Singh Bhati ◽  
Ashish Kumar Gupta ◽  
Jitendra Singh Rathor ◽  
Devendra Singh Rathore ◽  
Deepak Kundu
Keyword(s):  
Screw Fixation ◽  
Lateral Condyle ◽  
Cancellous Screw ◽  
Kirschner Wires ◽  
Fractures In Children ◽  
High Incidence ◽  
K Wires ◽  
Condyle Fracture ◽  
Humeral Condyle ◽  
Written Informed Consent

<p><strong>Background:</strong> Lateral humeral condyle fracture, the second most common injury around the elbow, accounts for 10-20% of all fractures of the elbow in children with a high incidence between two and 14 years.</p><p><strong>Methods:</strong> This hospital based prospective randomized comparative study design was include patients of both sexes in age group of 2 to 14 years attending SMS hospital, Jaipur during April 2018 to June 2019 or till the sample size achieved, with due permission from the institutional ethic committee and review board and after taking written informed consent from the patient.</p><p><strong>Results:</strong> 40 patients out of 50 were grouped as excellent (70.1%) while 13 were found good (22.8%) and only four patients were found poor (7.01%) as per Hardacre criteria of assessment of lateral condyle treatment in k wire group while excellent, good and poor results were found 68.4, 24.5 and 7.01% respectively in CC screw groups</p><p><strong>Conclusions:</strong> The displaced fractures (displacement over 2 mm) can be treated successfully by open reduction and K-wires or screw fixation with excellent results.</p><p> </p>

scholarly journals Comparison of Kirschner wires and Cannulated screw internal fixation for displaced lateral humeral condyle fracture in children

2019 ◽  
Vol 10 (6) ◽  
pp. 75-79
Author(s):  
Pabin Thapa ◽  
Krishna Sapkota ◽  
Krishna Wahegaonkar ◽  
Niraj Ranjeet ◽  
Pratyenta Raj Onta ◽  
...  
Keyword(s):  
Internal Fixation ◽  
P Value ◽  
Lateral Condyle ◽  
Kirschner Wires ◽  
Lateral Condyle Fracture ◽  
The Mean ◽  
K Wires ◽  
Condyle Fracture ◽  
Humeral Condyle ◽  
Screw Group

Background: Lateral condyle fracture of the distal humerus is the second most common injury around the elbow. Aims and Objective: The purpose of the study was to compare Kirschner wires (K-wire) and Cannulated cancellous (CC) screw for internal fixation of displaced lateral humeral condyle fracture in children. Materials and Methods: Forty-six patients with a displaced lateral condyle fracture of humerus were included in the study. Patients were treated with open reduction and internal fixation either with two 1.8mm K-wires or one 4mm CC screw. Fractures were classified according to Milch classification and clinical outcomes were evaluated according to criteria of Hardacre et al. Results: There were 23 patients in each group with the mean age of 6.57 years (range 2 to 12 years). Milch type II was common (n= 34) than Milch type I (n=12). Fracture union was observed at mean 4.13 weeks in the CC screw and 4.61 weeks in K-wire group.(p value = 0.026). On an average the CC screws were removed at 13.57 weeks and K-wires were at 4.57 weeks. The mean follow-up was 13.83 months in CC screw and 12.52 months K-wire group. Three patients (6.5%) had superficial pin site infection and 2 patient (4.3%) had lateral condyle prominence in the K-wire group and only one lateral condyle prominence (2.2%) was observed in the CC screw group. According to the Hardacre et.al criteria CC screw group were excellent in 20 (87%) and good in 3 (13%) patients whereas 13 (56.5%) excellent and 10 (43.5%) good results were found in the K-wire group. (p value = 0.022). Conclusion: Open reduction and internal fixation with either K-wires or cannulated cancellous screw for displaced lateral condyle fracture of humerus are both effective treatment methods but screw fixation provides absolute stability at the fracture site enhancing the fracture healing, reduces the probability of lateral prominence and allows early range of motion and activity in the affected elbow.

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

1991 ◽  
Vol 26 (2) ◽  
pp. 403 ◽  
Author(s):  
Sang Won Park ◽  
Seung Yup Han ◽  
Young Soo Byun
Keyword(s):  
Clinical Study ◽  
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

Malunited lateral condyle fracture of humerus with elbow dislocation: a diagnostic dilemma

2018 ◽  
Vol 28 (7) ◽  
pp. 1441-1445
Author(s):  
Parmanand Gupta ◽  
Munish Sood ◽  
Sandeep Gupta ◽  
Ravi Gupta
Keyword(s):  
Elbow Dislocation ◽  
Lateral Condyle ◽  
Diagnostic Dilemma ◽  
Lateral Condyle Fracture ◽  
Condyle Fracture
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