35 results match your criteria Medial Condylar Fracture of the Elbow

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Comparative study of lateral condyle fracture with or without posteromedial elbow dislocation in children.

Int Orthop 2018 03 1;42(3):619-624. Epub 2018 Feb 1.

The First Affiliated Hospital of Nanchang University, Nanchang, China.

Purpose: The purpose of this study was to compare the surgical findings and clinical outcomes of the lateral condylar fractures of the humerus with or without posteromedial elbow dislocation in children.

Methods: Between January 2013 and June 2016, a total of 21 Milch type II humeral condylar fractures were treated with open reduction and internal fixation. The average follow-up was 2. Read More

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http://dx.doi.org/10.1007/s00264-018-3795-0DOI Listing
March 2018
9 Reads

Intercondylar fracture of the distal humerus in a 7-year-old child: A case report and a review of the literature.

Medicine (Baltimore) 2017 Feb;96(6):e6085

Department of Orthopaedic Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Rationale: Intercondylar fracture of the distal humerus is an extremely rare injury in children, especially in those under 8 years of age. To our best knowledge, there have been 55 reported cases of this fracture type in children in the English literature, 12 of which involved children under 8 years of age.

Patient Concerns: We report a case of intercondylar fracture of the distal humerus in a7-year-old boy fell in a gymnasium, injuring his left elbow. Read More

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http://dx.doi.org/10.1097/MD.0000000000006085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313024PMC
February 2017
7 Reads

Imaging the Injured Pediatric Athlete: Upper Extremity.

Radiographics 2016 Oct;36(6):1672-1687

From the Department of Radiology, Children's Hospital of Philadelphia, 34th St and Civic Center Blvd, Philadelphia, PA 19104 (J.D., N.A.C.); Department of Radiology, Stanford University Medical Center, Palo Alto, Calif (D.J.); and Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa (N.A.C.).

Increased physical activity in childhood has resulted in a large number of sports-related injuries. Although there is overlap between the sports-related injuries seen in pediatric and adult patients, important differences exist in the injury patterns of pediatric patients. These differences are related to the continuous changes in the developing skeleton and its relationship with adjacent soft tissues. Read More

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http://dx.doi.org/10.1148/rg.2016160036DOI Listing
October 2016
21 Reads

Management of chronic neglected lateral condyle elbow non-union in adults: functional results of a cohort study and a proposed treatment algorithm.

Int Orthop 2017 01 5;41(1):157-164. Epub 2016 Sep 5.

Department of Orthopedic Trauma, Beijing Jishuitan Hospital, No. 31, Xinjiekou East Street, Xicheng District, Beijing, 100035, China.

Purpose: To evaluate surgical treatment of symptomatic non-union of lateral condylar elbow fractures in adults.

Methods: In this retrospective cohort study, 11 consecutive adult patients were surgically treated for symptomatic non-union of the lateral humeral condyle. Milch type I fracture non-unions (n = 3) were treated with medial closing wedge osteotomy and ulnar nerve transposition, while type II equivalents (n = 8) were treated with non-union fixation and bone grafting. Read More

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http://dx.doi.org/10.1007/s00264-016-3276-2DOI Listing
January 2017
20 Reads

Biomechanical properties of orthogonal plate configuration versus parallel plate configuration using the same locking plate system for intra-articular distal humeral fractures under radial or ulnar column axial load.

Injury 2016 Oct 24;47(10):2071-2076. Epub 2016 Aug 24.

Department of Orthopedic Surgery, Juntendo University, Tokyo, Japan.

Introduction: Previous reports have questioned whether an orthogonal or parallel configuration is superior for distal humeral articular fractures. In previous clinical and biomechanical studies, implant failure of the posterolateral plate has been reported with orthogonal configurations; however, the reason for screw loosening in the posterolateral plate is unclear. The purpose of this study was to evaluate biomechanical properties and to clarify the causes of posterolateral plate loosening using a humeral fracture model under axial compression on the radial or ulnar column separately. Read More

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http://dx.doi.org/10.1016/j.injury.2016.08.012DOI Listing
October 2016
16 Reads

Intraosseous stress distribution and bone interaction during load application across the canine elbow joint: A preliminary finite element analysis for determination of condylar fracture pathogenesis in immature and mature dogs.

Res Vet Sci 2016 Jun 31;106:143-8. Epub 2016 Mar 31.

Department of Clinical Sciences, Small Animal Surgery Service, Faculty of Veterinary Medicine, University of Liège, Belgium. Electronic address:

Distal humeral fractures are common fractures especially in immature small breed dogs. The pathogenesis is still unknown. For this study, a three- dimensional bone model of the canine elbow was created and finite element analysis performed in order to determine the relationship between fracture type and bone interactions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00345288163006
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http://dx.doi.org/10.1016/j.rvsc.2016.03.014DOI Listing
June 2016
4 Reads

The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents.

Orthop J Sports Med 2016 Mar 16;4(3):2325967116635515. Epub 2016 Mar 16.

Kaiser Permanente of Los Angeles, Los Angeles, California, USA.

Background: The frequency of osteochondritis dissecans (OCD), a disorder of the subchondral bone and articular cartilage, is not well described.

Purpose: To assess the frequency of pediatric OCD lesions that progress to surgery based on sex, joint involvement, and age.

Study Design: Descriptive epidemiology study. Read More

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http://dx.doi.org/10.1177/2325967116635515DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4797230PMC
March 2016
7 Reads

K Wire fixation of supra-condylar humerus fractures in children. Is ulnar nerve at risk?

J Pak Med Assoc 2015 Nov;65(11 Suppl 3):S202-4

Department of Surgery, Aga Khan University Hospital, Karachi.

Objective: To compare iatrogenic ulnar nerve injury in lateral entry pin fixation versus medial and lateral entry pin fixation in the treatment of supracondylar fractures of the humerus in children. Measurement of clinical parameters in terms of elbow range of motion and postop radiographic alignment was also targeted.

Methods: The retrospective cohort study was conducted at Aga Khan University Hospital, Karachi, and comprised data of paediatric patients who underwent closed reduction and percutaneous pin fixation for the treatment of displaced extension type supracondylar fractures of the humerus between July 2007 and June 2012. Read More

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November 2015
3 Reads

Condylar orientation plating in comminuted intraarticular fractures of adult distal humerus.

Indian J Orthop 2015 Sep-Oct;49(5):523-8

Department of Orthopaedics, Bhattacharyya Orthopaedics and Related Research Centre, Narayanpur, P.O.; R-Gopalpur, Kolkata, India.

Background: The condyles of the distal humerus have characteristic orientation in reference to the diaphysis. Anatomical reduction of the articular surface in intraarticular fractures of adult distal humerus does not always restore preinjury functional status. The purpose of this study was to determine the outcome of treating these fractures with technique of condylar orientation precontoured plating. Read More

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http://dx.doi.org/10.4103/0019-5413.164046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598543PMC
November 2015
3 Reads

Pediatric elbow fractures: a new angle on an old topic.

Pediatr Radiol 2016 Jan 28;46(1):61-6. Epub 2015 Jul 28.

Department of Pediatric Orthopedics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Background: The three most common elbow fractures classically reported in pediatric orthopedic literature are supracondylar (50-70%), lateral condylar (17-34%), and medial epicondylar fractures (10%), with fractures of the proximal radius (including but not limited to fractures of the radial neck) being relatively uncommon (5-10%). Our experience at a large children's hospital suggests a different distribution.

Objective: Our goals were (1) to ascertain the frequency of different elbow fracture types in a large pediatric population, and (2) to determine which fracture types were occult on initial radiographs but detected on follow-up. Read More

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http://dx.doi.org/10.1007/s00247-015-3439-0DOI Listing
January 2016
10 Reads

Distal humeral epiphyseal separation in young children: an often-missed fracture-radiographic signs and ultrasound confirmatory diagnosis.

AJR Am J Roentgenol 2015 Feb;204(2):W192-8

1 Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Riley Hospital for Children, 705 Riley Hospital Dr, Rm 1053, Indianapolis, IN 46202.

OBJECTIVE. Distal humeral epiphyseal separation is rare and often misdiagnosed. The purpose of this study was to summarize an experience with radiography and ultrasound of distal humeral epiphyseal separation. Read More

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http://dx.doi.org/10.2214/AJR.14.12788DOI Listing
February 2015
19 Reads

Fishtail deformity--a delayed complication of distal humeral fractures in children.

Pediatr Radiol 2015 Jun 20;45(6):814-9. Epub 2014 Dec 20.

Department of Radiology, Division of Pediatric Imaging, Massachusetts General Hospital, 55 Fruit St., Boston, MA, 02114, USA.

Background: Concavity in the central portion of the distal humerus is referred to as fishtail deformity. This entity is a rare complication of distal humeral fractures in children.

Objective: The purpose of this study is to describe imaging features of post-traumatic fishtail deformity and discuss the pathophysiology. Read More

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http://dx.doi.org/10.1007/s00247-014-3249-9DOI Listing
June 2015
5 Reads

Clinical assessment of a shaft screw for stabilization of the humeral condyle in dogs.

Vet Comp Orthop Traumatol 2014 26;27(3):179-85. Epub 2014 Feb 26.

Andy Moores, BVSc DSAS(Orth) Dip ECVS MRCVS, Anderson Moores Veterinary Specialists, Bunstead Barns, Poles Lane, Hursley, Winchester, Hampshire, United Kingdom, Phone: + 44 1962 767920, Fax: + 44 1962 775909, E-mail:

Objective: To report the use of a 4.5 mm shaft screw for the management of humeral condylar fractures (HCF) and incomplete ossification of the humeral condyle (IOHC) in dogs, and to assess risk factors for complications.

Methods: Dogs with HCF or IOHC that were managed with a 4. Read More

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http://dx.doi.org/10.3415/VCOT-13-05-0063DOI Listing
January 2015
3 Reads

Does radiographic arthrosis correlate with cartilage pathology in Labrador Retrievers affected by medial coronoid process disease?

Vet Surg 2014 Feb 6;43(2):155-65. Epub 2014 Jan 6.

Fitzpatrick Referrals, Eashing, United Kingdom.

Objective: To compare radiographic elbow arthrosis with arthroscopic cartilage pathology in Labrador retrievers with elbow osteoarthritis secondary to medial coronoid process (MCP) disease.

Study Design: Retrospective epidemiological study.

Animals: Labrador retrievers (n = 317; 592 elbow joints). Read More

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http://doi.wiley.com/10.1111/j.1532-950X.2014.12092.x
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http://dx.doi.org/10.1111/j.1532-950X.2014.12092.xDOI Listing
February 2014
18 Reads

Remodeling after lateral closing-wedge osteotomy in children with cubitus varus.

Orthopedics 2012 Jun;35(6):e823-8

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, Gyeonggi-do, Seoul, Korea.

The purpose of this study was to evaluate the effectiveness of supracondylar lateral closing-wedge osteotomy of the humerus in children and the postoperative remodeling of the lateral condylar prominence. Lateral closing-wedge osteotomy for cubitus varus deformity was performed in 52 children. In all cases, medial translation for decreasing lateral condylar prominence or transposition of the ulnar nerve was not performed. Read More

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http://dx.doi.org/10.3928/01477447-20120525-19DOI Listing
June 2012
5 Reads

Deformity secondary to bilateral incomplete ossification of the humeral condyle in a German Shorthaired Pointer dog. A case report with ten-year follow-up.

Vet Comp Orthop Traumatol 2010 9;23(6):468-71. Epub 2010 Sep 9.

Veterinary Specialists of Alaska, 3330 Fairbanks Street, Anchorage, Alaska 99503, USA.

A five-month-old male, German Shorthaired Pointer dog was presented for severe, bilateral, thoracic-limb-lameness, with elbow swelling, pain, and crepitus. Radiography and computed tomography confirmed bilateral incomplete ossification of the humeral condyles (IOHC), with a non-displaced incomplete fracture of the left medial epicondylar crest and condylar deformity, characterised by enlargement of the trochleas with extension of the disto-medial aspect of the bone below the normal elbow joint level, and a deformed proximo-medial aspect of the ulna and radius. Transcondylar lag screws were placed bilaterally in an attempt to prevent fracture. Read More

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http://dx.doi.org/10.3415/VCOT-10-01-0014DOI Listing
March 2011
2 Reads

Early results of the Acclaim total elbow replacement in patients with primary osteoarthritis.

J Bone Joint Surg Br 2010 May;92(5):668-71

Centre for Hand and Upper, Limb Surgery, Wrightington Hospital, Hall Lane, Appley Bridge, Lancashire WN6 9EP, UK.

This is a retrospective review of the results of the Acclaim total elbow replacement in 11 older patients aged > or = 65 years with primary osteoarthritis of the elbow, with a mean follow-up of 57.6 months (30 to 86.4). Read More

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http://dx.doi.org/10.1302/0301-620X.92B5.22979DOI Listing
May 2010
2 Reads

[Supracondylar and condylar fracture of the humerus].

Clin Calcium 2008 Sep;18(9):1332-8

Tokyo Metropolitan Rehabilitation Hospital, Department of Orthopaedics and Rheumatology.

Fractures of the distal humerus around the elbow joint are most often in supracondylar or condylar lesion. This article described the diagnosis, classification, treatment, progress, side-effect, after-treatment and rehabilitation of fractures of supracondylar, lateral condyle and medial epicondyle of the humerus in child, and also described these of supracondylar, epicondylar fractures of the humerus in adult. Physical therapy should include active and active-assisted exercises for joint mobilization as soon as soft tissue healing permits. Read More

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http://dx.doi.org/CliCa080913321338DOI Listing
September 2008
2 Reads

Computed tomographic features of incomplete ossification of the canine humeral condyle.

Vet Surg 2008 Apr;37(3):226-31

Institute of Comparative Medicine, Faculty of Veterinary Medicine, Glasgow, Scotland, UK.

Objectives: To describe computed tomographic (CT) features of canine elbows with incomplete ossification of the humeral condyle (IOHC) and investigate co-existing incongruence in the elbow joint.

Study Design: Case control study.

Animals: Dogs with IOHC (n=20; 38 elbows) and 25 normal elbows. Read More

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http://dx.doi.org/10.1111/j.1532-950X.2008.00370.xDOI Listing
April 2008
5 Reads

Supracondylar dome osteotomy for cubitus valgus deformity associated with a lateral condylar nonunion in children. Surgical technique.

J Bone Joint Surg Am 2006 Sep;88 Suppl 1 Pt 2:191-201

Department of Orthopaedic Surgery, Kaohsiung Medical University, 100, Shih-Chuan 1st Road, Kaohsiung City 807, Taiwan, Republic of China.

Background: Open reduction, autogenous bone-grafting, and internal fixation for the treatment of established nonunion of the lateral condyle associated with a cubitus valgus deformity has a high rate of complications. As a consequence, we developed a new technique that includes in situ compression fixation of the lateral condylar nonunion and a dome-shaped supracondylar osteotomy of the distal aspect of the humerus through a single posterior incision.

Methods: Eight consecutive patients were treated with the new surgical technique between 1994 and 2000. Read More

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http://dx.doi.org/10.2106/JBJS.F.00328DOI Listing
September 2006
8 Reads

Treatment of epiphyseo-metaphyseal fractures in children with an original implant. The threaded pin with an adjustable lock (Fixano).

Oper Orthop Traumatol 2005 Feb;17(1):51-65

Abteilung für Kinderorthopädie, Krankenhaus Hautepierre, Louis-Pasteur-Universität, Strassburg, Frankreich.

Objective: Improvement of stability of internal fixation of epiphyseo-metaphyseal fractures in children with an implant characterized by its small diameter, easy utilization and its versatility. It avoids the drawbacks of screw fixation particularly in respect to the growth plate.

Indications: Potentially all epiphyseo-metaphyseal fractures in children. Read More

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http://dx.doi.org/10.1007/s00064-005-1121-7DOI Listing
February 2005
7 Reads

Supracondylar dome osteotomy for cubitus valgus deformity associated with a lateral condylar nonunion in children.

J Bone Joint Surg Am 2005 Jul;87(7):1456-63

Department of Orthopaedic Surgery, Kaohsiung Medical College, 100 Shih-Chuan 1st Road, Kaohsiung City 807, Taiwan, Republic of China.

Background: Open reduction, autogenous bone-grafting, and internal fixation for the treatment of established nonunion of the lateral condyle associated with a cubitus valgus deformity has a high rate of complications. As a consequence, we developed a new technique that includes in situ compression fixation of the lateral condylar nonunion and a dome-shaped supracondylar osteotomy of the distal aspect of the humerus through a single posterior incision.

Methods: Eight consecutive patients were treated with the new surgical technique between 1994 and 2000. Read More

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http://jbjs.org/cgi/doi/10.2106/JBJS.C.01545
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http://dx.doi.org/10.2106/JBJS.C.01545DOI Listing
July 2005
5 Reads

What must we respect in articular fractures in childhood?

Injury 2005 Feb;36 Suppl 1:A35-43

Department of Pediatric Surgery, St. Hedwig's Hospital, Clinical Centre Barmherzige Brüder, Regensburg, Germany.

Articular fractures in children are rare and occur mainly in the elbow and ankle joint. Condylar fractures of the humerus, olecranon fractures, medial malleolar, and transitional fractures of the distal tibia are the commonest, though there is an increasing incidence of avulsion fractures of the intercondylar tibial eminence. Conservative treatment is recommended in articular displacements of less than 2 mm, but dislocation of more than 2 mm is a commonly accepted indication for surgery. Read More

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http://dx.doi.org/10.1016/j.injury.2004.12.011DOI Listing
February 2005
3 Reads

ORIF of delayed unions and nonunions of distal humeral fractures. Surgical technique.

J Bone Joint Surg Am 2004 Mar;86-A Suppl 1:18-29

Hospital for Special Surgery, New York, NY 10021, USA.

Background: The purpose of the present retrospective study was to evaluate the results of open reduction and internal fixation of delayed unions and nonunions of fractures of the distal part of the humerus.

Methods: Between 1976 and 2001, fifty-two patients with a delayed union (thirteen patients) or nonunion (thirty-nine patients) of the distal part of the humerus were treated with open reduction and internal fixation along with selective elbow joint arthrolysis and bone-grafting. The average time to presentation was eighteen months (range, two to 192 months) after the injury. Read More

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March 2004
3 Reads

Open reduction and internal fixation of delayed unions and nonunions of fractures of the distal part of the humerus.

J Bone Joint Surg Am 2003 Jan;85-A(1):33-40

Hospital for Special Surgery, New York, NY 10021, USA.

Background: The purpose of the present retrospective study was to evaluate the results of open reduction and internal fixation of delayed unions and nonunions of fractures of the distal part of the humerus.

Methods: Between 1976 and 2001, fifty-two patients with a delayed union (thirteen patients) or nonunion (thirty-nine patients) of the distal part of the humerus were treated with open reduction and internal fixation along with selective elbow joint arthrolysis and bone-grafting. The average time to presentation was eighteen months (range, two to 192 months) after the injury. Read More

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January 2003
39 Reads

Medial condyle fractures of the humerus in children.

J Pediatr Orthop 2002 Jan-Feb;22(1):2-7

Orthopedic Hospital, Los Angeles, California, USA.

A retrospective study of 21 medial condylar fractures revealed that the complication rate for these rare fractures was 33%. Most of the minimally displaced fractures healed uneventfully with immobilization; however, one patient developed avascular necrosis of the trochlea, and one patient developed a nonunion. Operative treatment was performed if there was >2 mm of displacement at the fracture site. Read More

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February 2002
15 Reads

Percutaneous pin fixation of intercondylar fractures in young children.

J Pediatr Orthop B 2001 Jul;10(3):211-3

Royal Belfast Hospital for Sick Children, UK.

T-condylar fractures of the distal humerus are very rare in children. When they do occur they tend to affect those approaching skeletal maturity. Most agree that the undisplaced fracture can be managed conservatively. Read More

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July 2001
2 Reads

Deformity after fracture of the lateral humeral condyle in children.

J Pediatr Orthop B 2001 Apr;10(2):142-52

Bispebjerg Hospital, Copenhagen, Denmark.

We studied 28 displaced (Jacob types II and III) fractures of the lateral humeral condyle in 28 children. There were only two Milch type I fractures. Twenty-one fractures were treated by open reduction and internal fixation with K-wires, Palmer nails, or sutures. Read More

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April 2001
2 Reads

Fractures of the medial humeral condyle in adults.

Singapore Med J 2000 Jul;41(7):347-51

Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background/aim Of Study: Fractures of the medial condyle of humerus are uncommon in adults. The aims of this study were (i) to highlight the rarity of this injury, (ii) to focus on the problems in management of cases which present late, and (iii) to compare the results of surgical excision of medial condyle with those of internal fixation.

Methods: Seven adult medial humeral condyle fractures were seen over a 10-year period. Read More

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July 2000
2 Reads

Incomplete ossification of the humeral condyle in Vietnamese pot-bellied pigs.

Vet Radiol Ultrasound 2000 Mar-Apr;41(2):147-53

Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis 95616, USA.

The purpose of this study was to evaluate the occurrence of humeral condylar fractures in Vietnamese pot-bellied pigs and to postulate a possible predisposing cause for these fractures. Thirteen Vietnamese pot-bellied pigs (Group A) were evaluated over an eight year period (1990-1998), each with a history of either a unilateral or bilateral forelimb lameness. The cause of lameness was localized to the elbow region. Read More

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July 2000
2 Reads

Improving detection of pediatric elbow fractures by understanding their mechanics.

Radiographics 1996 Nov;16(6):1443-60; quiz 1463-4

Department of Radiology, University of Texas Medical Branch, Galveston 77555-0709, USA.

Fractures around the elbow are among the most common fractures in children, but they can also be some of the most elusive to detect. Although elbow fractures result from a variety of stresses applied to the three bones constituting the elbow joint, hyperextension-rotation injuries with valgus or varus stress are the most common cause of elbow fractures. Less common are direct impact injuries to the posterior aspect of the elbow. Read More

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http://dx.doi.org/10.1148/radiographics.16.6.8946546DOI Listing
November 1996
2 Reads

Common elbow fractures in children.

Am Fam Physician 1996 May;53(6):2031-41

Childrens Hospital Los Angeles, California, USA.

Approximately 75 percent of all fractures sustained by children occur in the upper extremities and frequently occur during a fall onto an outstretched hand. The majority of these injuries involve the wrist and forearm, but the elbow alone accounts for approximately 10 percent of all fractures in children. Elbow fractures in children are challenging because of the abundance of unossified cartilage and the high potential for limb-threatening damage to neurovascular structures. Read More

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May 1996
2 Reads

Problem elbow fractures in children.

Authors:
P D Sponseller

Hand Clin 1994 Aug;10(3):495-505

Division of Pediatric Orthopaedics, Johns Hopkins University, Baltimore, Maryland.

In this article guidelines are given for the treatment of pediatric elbow fractures, including supracondylar, medial epicondylar, lateral condylar, proximal radial, and olecranon fractures. Treatment techniques are described in detail and suggestions are provided to minimize complications. Read More

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August 1994
2 Reads

Distal humeral replacement after failed continuous passive motion in a T-condylar fracture.

J Orthop Trauma 1993 ;7(1):87-9

New York Orthopaedic Hospital, Columbia Presbyterian Medical Center, New York.

Comminuted osteoporotic intercondylar fractures of the distal humerus are a treatment dilemma. We report the case of an elderly patient with a type C3 T-condylar fracture initially treated with continuous passive motion. This treatment resulted in a loss of medial stability. Read More

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March 1993
2 Reads

Elbow fractures in children. An epidemiological analysis of 589 cases.

Acta Orthop Scand 1986 Aug;57(4):309-12

The radiographs of 589 elbow fractures in children under the age of 16 years were reviewed. The most common fractures were: supracondylar fracture of the humerus -55 per cent, fracture of the radial neck -14 per cent, and fracture of the lateral humeral condyle -12 per cent. One fifth of all fractures of the olecranon were associated with another elbow fracture; most often a fracture of the medial epicondyle. Read More

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August 1986
3 Reads
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