Capitellum fracture in adults
Keywords:
distal humerus fracture, fracture of the capitellum, elbow, osteosynthesis, surgical approach.Abstract
Introduction: The fracture of the distal end of the humerus affects the articular surface and it can cause biomechanical disability of the joint if it is not treated properly.
Objective: To report the case of a patient with capitellum fracture, treated by osteosynthesis.
Case report: This is the case of a 49-year-old female patient who fell on her outstretched hand. She complained of severe pain in her left elbow and she was diagnosed with a displaced capitellum fracture. The pateinmet was treated with osteosynthesis.
Conclusions: The treatment by osteosynthesis of the capitellum fracture is the best option for the rapid rehabilitation of the patient.
Downloads
References
Carroll MJ, Athwal GS, King GJW, Faber KJ. Capiteller and troclhear fractures. Hand Clin. 2015;31(4):615-30. DOI: https://doi.org/10.1016/j.hcl.2015.07.001
Böhler J. Conservative treatment of fractures of the capitulum of humerus. Arch Orthop Unfallchir 1956;48(3):323-5. DOI: https://doi.org/10.1007/bf00415968
Lamas C, Grau A, Almenara M, Trigo L. Coronal shear fractures of the capitellum and trochlea: interobserver variability in classifying the fracture and the need for a computed tomography scan for the correct surgical planning. JSES Int. 2021;5(2):314-9. DOI: https://doi.org/10.1016/j.jseint.2020.10.015
Tanrıverdi B, Kural C, Altun S. Capitellum fractures: Treatment with headless screws and outcomes. Jt Dis Relat Surg 2020;31(2):291-7. DOI: https://doi.org/10.5606/ehc.2020.72821
Wolfson TS, Lowe D, Egol KA. Capitellum fracture open reduction and internal fixation with headless screws. J Orthop Trauma. 2019;33(supl 1):S5-6. DOI: https://doi.org/10.1097/bot.0000000000001529
Singh Y, Kharbanda Y, Atin A, BirlaV, Pandit R. Retrospective analysis of open reduction and internal fixation of coronal plane fractures of the capitellum and trochlea using the anterolateral approach. SICOT-J. 2018;4:8. DOI: https://doi.org/10.1051/sicotj/2017063
Hulet DA, D’Auria JL, Earp BE, Zhang D, Benavent K, Blazar PE. Long-term outcomes and return to work after isolated coronal shear fractures of the capitellum. JHS GO. 2023;5(3):310-4. DOI: https://doi.org/10.1016/j.jhsg.2023.01.019
McKee M, Veillette C, Hall JA, Petit Sh, Guy P, Leung I, et al. A multicenter, prospectiva, randomized, controlled trial of open reduction internal fixation versus total elbow arthroplasty for displaced intra-articular distal humeral fractures in elderly patients. J Shoul Elb Surg. 2009;18(1):3-12. DOI: https://doi.org/10.1016/j.jse.2008.06.005
Ilyas AM, Jupiter JB. Open reduction and internal fixation of capitellum and capitellar-trochlear shear fractures. Operative techniques in orthopaedic trauma surgery. Philadelphia, PA: LIPPINCOTT WILLIAMS&WILKINS; 2001.
Ring D, Jupiter JB, Gulotta L. Joint fractures the distal part of the humerus. J Bone Joint Surg Am. 2003;85(2):232-8. DOI: https://doi.org/10.2106/00004623-200302000-00008
Kow RY, Jaya J, Low CL, Mohd KN. Pediatric capitellar fracture. AJMB. 2020;4(1):19-22. DOI: https://doi.org/10.37231/ajmb.2020.4.1.325
Sehgal A, Shahi P, Bansal K, Zafar A, Pathak S. Neglected comminuted fracture of the capitellum. Cureus 2020;12(4):e7765. DOI: https://doi.org/10.7759/cureus.7765
Lamas C, Grau A, Almenara M, Trigo L. Coronal shear fractures of the capitellum and trochlea: interobserver variability in classifying the fracture and the need for a computed tomography scan for the correct surgical planning. JSES Int. 2021;5(2):314-9. DOI: https://doi.org/10.1016/j.jseint.2020.10.015
Tarallo L, Novi M, Porcellini G, Giorgini A, Micheloni G, Catani F. Surgical tips and tricks for coronal shear fractures of the elbow. Arch Orthop Trauma Surg. 2021;141:261-70. DOI: https://doi.org/10.1007/s00402-020-03500-9
Chen D, Huang X, Liu J, Li S. The outcome comparison of headless screws and mini-plate for treating type B3 distal humerus fractures. Acta Orthop Belg. 2019 [acceso 29/06/23];85(1):72-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31023202/
Hackl M, Lanzerath F, Ries C, Harbrecht A, Leschinger T, Wegmann K, et al. Trans‑fracture approach for ORIF of coronal shear fractures of the distal humerus. Arch Orthop Trauma Surg. 2023;143(5):2519-27. DOI: https://doi.org/10.1007/s00402-022-04501-6
