scholarly journals Functional and Radiological Outcome in Delayed Presenting Closed Displaced Lateral Condyle Fracture of Humerus in Children

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Véronique Andrey ◽  
Stéphane Tercier ◽  
Frédéric Vauclair ◽  
Aline Bregou-Bourgeois ◽  
Nicolas Lutz ◽  
...  

The aim of this study was to compare clinical and radiological outcome of lateral condyle fracture of the elbow in children treated with bioabsorbable or metallic material. From January 2008 to December 2009, 16 children with similar fractures and ages were grouped according to the fixation material used. Children were seen at 3, 6, and 12 months and more than 4 years (mean 51.8 months) postoperatively. The clinical results were compared using theMayo Elbow Performance Score(MEPS). Radiographic studies of the fractured and opposite elbow were assessed at last follow-up control. Twelve children had a sufficient followup and could be included in the study. Seven could be included in the traditional group and 5 in the bioabsorbable group. At 12 months, the MEPS was 100 for every child in both groups. Asymptomatic bony radiolucent visible tracks and heterotopic ossifications were noted in both groups. There were no significant differences in terms of clinical and radiological outcome between the two groups. The use of bioabsorbable pins or screws is a reasonable alternative to the traditional use of metallic materials for the treatment of lateral condyle fracture of the elbow 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 ◽  
...  

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

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

2018 ◽  
Vol 12 (2) ◽  
pp. 117-122 ◽  
Author(s):  
C. Zale ◽  
Z. A. Winthrop ◽  
W. Hennrikus

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


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