Coronal Shear Fractures of the Distal Humerus
Open Access
- 6 January 2022
- journal article
- review article
- Published by MDPI AG in Journal of Functional Morphology and Kinesiology
- Vol. 7 (1) , 7
Abstract
Coronal shear fractures of the distal humerus are rare, frequently comminuted, and are without consensus for treatment. The aim of this paper is to review the current concepts on the diagnosis, classification, treatment options, surgical approaches, and complications of capitellar and trochlear fractures. Computed Tomography (CT) scans, along with the Dubberley classification, are extremely helpful in the decision-making process. Most of the fractures necessitate open reduction and internal fixation, although elbow arthroplasty is an option for comminuted fractures in the elderly low-demand patient. Stiffness is the most common complication after fixation, although reoperation is infrequent.Keywords
This publication has 109 references indexed in Scilit:
- The Kudo humeral component as primary hemiarthroplasty in distal humeral fracturesJournal of Shoulder and Elbow Surgery, 2012
- Nonunion of Operatively Treated Capitellum and Trochlear FracturesThe Journal of Hand Surgery, 2011
- Arthroscopic-Assisted Reduction and Percutaneous Fixation for Coronal Shear Fractures of the Distal Humerus: Report of Two CasesThe Journal of Hand Surgery, 2010
- Transarticular shear fractures of the distal humerusJournal of Shoulder and Elbow Surgery, 2010
- Large coronal shear fractures of the capitellum and trochlea treated with headless compression screwsJournal of Shoulder and Elbow Surgery, 2010
- Fractures of capitellum: a review of 14 cases treated by open reduction and internal fixation with Herbert screwsInternational Orthopaedics, 2009
- Open Reduction and Internal Fixation of an Apparent Capitellar Fracture Using an Extended Lateral ExposureThe Journal of Hand Surgery, 2009
- A multicenter, prospective, randomized, controlled trial of open reduction—internal fixation versus total elbow arthroplasty for displaced intra-articular distal humeral fractures in elderly patientsJournal of Shoulder and Elbow Surgery, 2009
- Arthroscopic reduction and percutaneous cannulated screw fixation of a capitellar fracture of the humerus: A case reportJournal of Shoulder and Elbow Surgery, 2008
- Herbert screw fixation of capitellar fracturesJournal of Shoulder and Elbow Surgery, 2005