AI Article Synopsis
- - A 4-year-old boy experienced malunion after surgery for a rare elbow fracture, leading to limited elbow flexion of 50°.
- - An MRI revealed a step-off in the cartilage as the cause of his flexion limitation.
- - After 5 years of conservative treatment, the boy's elbow flexion improved to 135°, and the cartilage step-off resolved, demonstrating potential for recovery in pediatric elbow fractures.
Article Abstract
Case: A 4-year-old boy developed malunion after open reduction and internal fixation (ORIF) of a rare lateral condylar humeral fracture running from the lateral humerus, through the trochlear cartilage, to the medial trochlea. Five months after ORIF, the active elbow flexion was limited to 50°. Magnetic resonance imaging (MRI) showed a step-off of the anterior trochlear cartilage, causing the limited flexion. After conservative observation for 5 years, the flexion improved to 135° and MRI showed that the step-off had disappeared.
Conclusion: This case indicates that it is possible for pediatric patients to recover their range of motion following malunion of an elbow fracture.
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| http://dx.doi.org/10.2106/JBJS.CC.24.00098 | DOI Listing |
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