scholarly journals A Rare Case of a Transphyseal Distal Humerus Fracture in a Pediatric Patient

2021 ◽  
Vol 5 (1) ◽  
pp. 1-4
Author(s):  
Rolanda A Willacy
Keyword(s):  
Pediatric Patient ◽  
Rare Case ◽  
Brachial Plexus Injury ◽  
Elbow Dislocation ◽  
Distal Humerus ◽  
Birth Trauma ◽  
Humerus Fracture ◽  
Distal Humerus Fracture ◽  
Successful Management ◽  
Non Accidental Trauma

Birth injuries are uncommon and occur in less than 1% of the population. Transphyseal fractures of the distal humerus typically occur in children younger than three years old and may result from birth trauma in cases where excessive traction or obstetrical maneuvers are required. Early and accurate diagnosis is necessary for successful management. Differential diagnosis includes non-accidental trauma, brachial plexus injury, elbow dislocation, septic arthritis and osteomyelitis. This case report describes a rare case of a transphyseal distal humerus fracture in a pediatric patient.

scholarly journals Total Elbow Arthroplasty Gives Good Functional Outcome in Distal Humerus Fracture with Pre-existing Chronic Elbow Dislocation

2018 ◽  
Vol 24 (1) ◽  
pp. 60-65
Author(s):  
Chan Hing Shing ◽  
Ho Sheung Tung
Keyword(s):  
Internal Fixation ◽  
Elbow Dislocation ◽  
Distal Humerus ◽  
Total Elbow Arthroplasty ◽  
Humerus Fracture ◽  
Distal Humerus Fracture ◽  
Elbow Arthroplasty ◽  
Flexion Extension ◽  
Long Stem ◽  
Chronic Elbow Dislocation

Distal humerus fracture with concomitant chronic elbow dislocation is difficult to manage by open reduction and internal fixation, while total elbow arthroplasty (TEA) is an effective treatment for acute fracture or failed internal fixation of distal humerus fracture in elderly patients with osteoporosis. We present a case of an 86-year-old woman who suffered from acute distal humerus fracture in the presence of chronic elbow deformity from elbow dislocation since childhood at the age of 10 years. This was treated with TEA using Coonrad/Morrey prosthesis with long stem and long flange humerus components and cerclage wiring of humeral condyle. Postoperatively, elbow mobilization was started early within a hinged elbow brace. There was no operative complication. At the last follow-up 22 months after surgery, there was no pain and good elbow motion (20–130° flexion–extension arc, full supination and pronation to neutral) was obtained. The Mayo Elbow Performance Score was 100. There was incorporation of the bone graft at the anterior flange with no radiographic loosening of the prosthesis. This case shows that TEA can yield a gratifying clinical result and efficiently resolves two problems with one solution.

scholarly journals Transcondylar Distal Humerus Fracture with Capitulum Fracture in a Pediatric Patient

2019 ◽  
pp. 106-109
Author(s):  
Rishit Jayesh Soni ◽  
Jay Vasant Turakhiya ◽  
Parth Naresh Rathi ◽  
Krunal Yogesh Shah ◽  
Paresh Golwala
Keyword(s):  
Pediatric Patient ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Distal Humerus Fracture

scholarly journals Treatment of Elderly Distal Humerus Fracture Using LCP-Distal Humerus Plate

2010 ◽  
Vol 59 (3) ◽  
pp. 523-527 ◽  
Author(s):  
Haruhiko Chuma ◽  
Kazutoshi Nomura ◽  
Noburo Hashimoto ◽  
Tetsuya Fukumoto ◽  
Satoshi Maeda ◽  
...  
Keyword(s):  
Distal Humerus ◽  
Humerus Fracture ◽  
Distal Humerus Fracture

scholarly journals STUDY OF THE FUNCTIONAL OUTCOME OF SURGICAL MANAGEMENT OF INTRA-ARTICULAR DISTAL HUMERUS FRACTURE (AO/OTA TYPE C) IN ADULTS

2020 ◽  
pp. 1-3
Author(s):  
Ravindra Prasad ◽  
L B Manjhi
Keyword(s):  
Internal Fixation ◽  
Range Of Motion ◽  
Functional Outcome ◽  
Surgical Management ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Joint Surface ◽  
Distal Humerus Fracture ◽  
Complex Anatomy ◽  
Type C

Introduction: Distal humerus fracture in adults particularly complete articular (AO/OTA Type C) remain some of the most difficult injuries to manage. Complex anatomy of distal humerus combined with multifragmented fracture, sparse soft tissue cover with adjacent neurovascular structures poses great difficulty for treatment. Goal of treatment is to obtain a painless, stable and mobile elbow joint through a systematic approach. Aim: to study the functional outcome of surgical management of complete articular distal humerus fracture in adults. Method: a prospective study comprising of 20 patients treated surgically with open reduction and internal fixation using Orthogonal plating (dorsolateral and medial 3.5mm LCP) through trans olecranon approach. Result: Mean age of patients was 36.6 years (range 19 to 58 years) with male dominance, most fractures were of type 13C1 (AO/OTA). RTA accounts for most common mode of injury, majority of them being left sided. Mean operative time was 130 minutes. Complications included one case of superficial infection, 3 cases of ulnar neuropathy and non-union in 2 cases. Mean range of motion of elbow was 89 degree. Functional outcome assessed using Mayo Elbow Performance Score (MEPS) shown Excellent result in 12 cases, good to fair results in 6 and poor result in 2 cases. Conclusion: Anatomical restoration of joint surface and rigid internal fixation with bicolumnar orthogonal plating allowing early range of motion is the key for obtaining good functional results in complete articular distal humerus fractures. However, outcomes do deteriorate with increasing fracture complexity.

An integer programming model for distal humerus fracture fixation planning

2008 ◽  
Vol 13 (3) ◽  
pp. 139-147 ◽  
Author(s):  
Joseph D. Maratt ◽  
Ya-Sin A. Peaks ◽  
Lisa Case Doro ◽  
Madhav A. Karunakar ◽  
Richard E. Hughes
Keyword(s):  
Integer Programming ◽  
Fracture Fixation ◽  
Programming Model ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Distal Humerus Fracture ◽  
Integer Programming Model

Distal Humerus Fracture ORIF

2015 ◽  
pp. 101-101
Author(s):  
Scott F. M. Duncan ◽  
Christopher W. Flowers
Keyword(s):  
Distal Humerus ◽  
Humerus Fracture ◽  
Distal Humerus Fracture

scholarly journals Association of Patient-reported Outcomes With Clinical Outcomes After Distal Humerus Fracture Treatment

2020 ◽  
Vol 4 (2) ◽  
pp. e19.00122
Author(s):  
Abhiram R. Bhashyam ◽  
Yassine Ochen ◽  
Quirine M.J. van der Vliet ◽  
Luke P.H. Leenen ◽  
Falco Hietbrink ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Patient Reported Outcomes ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Fracture Treatment ◽  
Distal Humerus Fracture ◽  
Patient Reported

scholarly journals Management of Distal Humerus Fractures With Jess Fixator

2015 ◽  
Vol 3 (4) ◽  
pp. 16-20
Author(s):  
Prakriti Raj Kandel ◽  
Kishor Man Shrestha ◽  
Laxmi Pathak
Keyword(s):  
Distal Humerus ◽  
Humerus Fracture ◽  
Medical Sciences ◽  
Distal Humerus Fracture ◽  
Fixation Technique ◽  
Fixation Techniques ◽  
Humerus Fractures ◽  
The Mean ◽  
Distal Humerus Fractures

INTRODUCTION: Fractures of distal humerus are rare comprising approximately 2% of all fractures and a third of all humerus fractures. Even with the development of newer fixation techniques, the treatment of distal humerus fractures remains a great challenge to any orthopaedic surgeon. Thus this present study was conducted to evaluate the results of Joshi's External Stabilization System (JESS) in the management of distal humerus fracture with or without intercondylar extension. MATERIALS AND METHODS: This retrospective study was conducted by collecting records of thirty two adult patients who sustained distal humerus fracture and were managed with JESS fixation under anaesthesia over a period of two years in Universal College of Medical Sciences Teaching Hospital (UCMSTH) after obtaining permission from Institutional ethical committee. RESULTS: According to AO (Arbeitsgemeinschaft für Osteosynthesefragen) classification, 2 patients had C1 fracture and 30 patients had C2 fractures. The mean duration of JESS application was 16 weeks. The mean follow up was 8 months. The functional outcome was evaluated by using Cassebaum's functional rating system. Among C1 fractures, 50% showed fair and 50% showed good result whereas among C2 fractures, 40% showed good, 46.66% showed fair and 13.33% showed poor results.  CONCLUSIONS: JESS fixation technique represents a viable option in the management of open as well as close intercondylar fractures of the distal humerus.

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