66 results match your criteria: "Medial Condylar Fracture of the Elbow"
Natural Recovery of Very Limited Elbow Flexion After Rare Lateral Humeral Condylar Fracture in a 4-Year-Old Boy: A Case Report.
JBJS Case Connect
October 2024
Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
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.
Management of Pediatric Elbow Fractures and Dislocations.
Children (Basel)
July 2024
Department of Pediatric Surgery, University Hospital of Split, Spinčićeva ulica 1, 21000 Split, Croatia.
Article Synopsis
- - Pediatric elbow fractures and dislocations present significant diagnostic and treatment challenges due to the complexity of a child's developing anatomy.
- - Timely diagnosis and intervention are crucial to prevent long-term complications, and advancements in radiology and surgical techniques are improving outcomes.
- - This review is designed to equip clinicians with up-to-date knowledge to enhance their confidence and effectiveness in treating these conditions.
Article Synopsis
- * 3D printing technology has advanced in orthopedic surgery, aiding in preoperative planning and providing effective constructs for complex trauma cases.
- * A 47-year-old woman with a malunited complex distal humerus fracture was successfully treated with a custom 3D-printed elbow prosthesis, demonstrating the potential of this technology for complex fractures.
A 3D Printed Anatomically Pre-Contoured Plate for the Treatment of Y-T Humeral Condylar Fractures: A Feline Cadaveric Study.
Animals (Basel)
February 2024
Division of Veterinary Epidemiology and Economics, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159 C Street, 02-776 Warsaw, Poland.
Article Synopsis
- Anatomically pre-contoured plates can streamline surgery for complex fractures by reducing the need for intraoperative adjustments and serving as templates; this study explores 3D printing's role in treating bicondylar humeral fractures in cats.
- The experiment involved 15 pairs of feline front limbs, where customized plates were used to stabilize and reduce specific fracture types after creating controlled fractures.
- Results showed consistent humeral measurements between limbs and highlighted that most postoperative articular surface defects were small or moderate, indicating the potential effectiveness of 3D printing for precise surgical outcomes.
Humeral Condylar Fractures in French Bulldogs-Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs.
Vet Comp Orthop Traumatol
May 2024
Manchester Veterinary Specialists, Unit A2, Worsley, Manchester, United Kingdom.
Article Synopsis
- The study analyzed the causes and types of humeral condylar fractures in French Bulldogs based on records from eight UK referral centers from 2017 to 2021.
- Lateral fractures were the most common, often resulting from falls or stairs, with skeletal immaturity noted as a significant risk factor.
- Complications occurred in 22% of dogs post-surgery, but the method of fixation used did not significantly affect the rate of these complications.
Long term outcomes of the Humeral Intracondylar Repair System for management of canine humeral intracondylar fissures and humeral condylar fractures.
Front Vet Sci
January 2024
ChesterGates Veterinary Specialists CVS Group plc, Chester, United Kingdom.
Article Synopsis
- The study aimed to evaluate the long-term clinical outcomes and complications of the Humeral Intracondylar Repair System (HIRS) used for treating humeral intracondylar fissures (HIF) and humeral condylar fractures (HCF) in dogs.
- Data was gathered from clinical records and owner questionnaires, including the Liverpool Osteoarthritis in Dogs (LOAD) instrument, focusing on complications and reported outcomes.
- Results showed successful long-term recovery for most dogs, with 36 out of 37 achieving full limb function, and a median LOAD score indicating low levels of osteoarthritis symptoms, reinforcing the efficacy of HIRS for these conditions in dogs.
Presumed concurrent medial coronoid process fracture is a frequent radiographic finding in dogs and cats with humeral condylar fractures.
J Am Vet Med Assoc
January 2024
1Department of Companion Animal Clinical Sciences, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium.
Article Synopsis
- The study aimed to assess how often medial coronoid process (MCP) fractures occur alongside humeral condylar fractures in dogs and cats, analyzing 57 fracture cases from medical records over several years.
- Out of the 57 cases, 26 showed signs of a suspected MCP fracture, with more severe condylar fractures indicating a higher likelihood of MCP involvement, and body weight correlated with the size of the MCP fragments.
- The findings highlight a significant occurrence of MCP fractures in pets with condylar fractures, particularly in more complex cases, but the clinical implications and potential benefits of removing these fractured pieces are still uncertain.
Kirschner wire reconstruction of medial and lateral column periosteal hinge in the treatment of multidirectionally unstable supracondylar fracture of the humerus in children.
Eur J Med Res
December 2023
Department of Pediatric Orthopedics, Anhui Provincial Children's Hospital (Children's Hospital of Anhui Medical University), No. 39 Wangjiang East Road, Hefei, 230051, Anhui, People's Republic of China.
Article Synopsis
- The study compares two surgical techniques for treating unstable supracondylar fractures of the humerus in children: a periosteal hinge method with Kirschner wire versus standard Kirschner wire fixation.
- A total of 48 children were analyzed, with one group receiving the new technique and the other the standard method, looking at factors like surgery duration and recovery outcomes.
- Results showed that the new method had significantly shorter operation times, fewer fluoroscopy requirements, and a lower rate of complications compared to the control group.
Humeral intracondylar fissures and intracondylar sclerosis are common CT findings in the limb contralateral to a humeral condylar fracture in French bulldogs and spaniel breeds.
Vet Radiol Ultrasound
July 2023
Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, UK.
Article Synopsis
- French bulldogs (FBD) are more likely to develop humeral condylar fractures (HCF) compared to spaniel breeds, with FBD often presenting at a young age (median 3.7 months).
- HCF typically manifests as fractures of the lateral condyle in both breed groups, and CT scans show significant levels of sclerosis at the fracture site in both FBDs (62%) and spaniels (95%).
- In the contralateral elbows, FBDs exhibit a lower prevalence of additional elbow pathologies like medial coronoid issues compared to spaniels, suggesting humeral intracondylar fissures may contribute to fracture risk in FBD.
Trapezoidal Osteotomy for Treatment of Long-Standing Nonunion of Lateral Humeral Condyle Fracture With Cubitus Valgus Deformity.
J Hand Surg Am
September 2024
Department of Orthopaedics Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China. Electronic address:
Article Synopsis
- The study aims to address long-term complications from neglected lateral humeral condyle fractures, specifically focusing on a technique called medial trapezoidal osteotomy to correct cubitus valgus deformities greater than 20°.
- Eight pediatric patients, average age 7.5 years, underwent this surgical procedure after an average of 3.1 years post-fracture, with positive outcomes measured in pre- and postoperative elbow function and ulnar nerve symptoms.
- Results showed successful union of the bones, improvement in elbow angles (from 30.1° to 5.8°), no loss of motion, and resolution of ulnar nerve issues, indicating that the medial trapezoidal osteotomy is an effective treatment for
Defining the safe corridor for transcondylar screw placement in the feline humeral condyle.
J Feline Med Surg
December 2022
The Royal Veterinary College, Brookmans Park, UK.
Article Synopsis
- This study aims to create guidelines for the best locations to drill entry and exit points for transcondylar screws in cats' humeral condyles.
- By reviewing CT scans of feline elbows, researchers established optimal drilling coordinates normalized to the humeral condylar diameter and assessed safe angles for screw placement.
- The findings suggest a preference for drilling from lateral to medial due to larger tolerance angles, which may reduce the risk of damaging the articular surface, but further research is needed to validate these guidelines in practice.
Article Synopsis
- The study aims to create a precontoured plating system to repair humeral condylar fractures in spaniels with humeral intracondylar fissure (HIF) and assess its fitting accuracy on 3D printed bone models.
- Researchers used CT scans for morphometric data, applied plates to models, and measured gaps to evaluate how well the plates fit the bones.
- Results showed that most measured gaps under the plates were minimal (≤2 mm), and there was a very low occurrence of screw interference, indicating the system could effectively stabilize fractures without needing to contour plates further.
Retrospective evaluation of surgical technique, complications and long-term outcome of lateral and medial humeral condylar fractures in 80 dogs.
N Z Vet J
November 2022
Department of Veterinary Clinical Sciences, Small Animal Clinic - Surgical Department, Justus Liebig University, Giessen, Germany.
Article Synopsis
- A retrospective study was conducted on dogs with humeral condylar fractures at a veterinary hospital in Giessen, Germany, reviewing records from 2007 to 2019, focusing on surgical techniques and outcomes.
- * Out of 80 dogs with 85 fractures, most were lateral (84.7%) and commonly involved French Bulldogs; the average age of presentation was 3 months and fractures mainly occurred due to minor trauma.
- * Surgical treatment was successful in 94.1% of cases, with a notable long-term recovery rate where 68.6% of dogs had excellent outcomes and 85.7% were free from lameness after follow-up.
Modified pin and plate fixation for low intercondylar fractures of the humerus: biomechanical study corroborated with a case series.
Musculoskelet Surg
June 2023
Department of Orthopedics, Buddhachinaraj Hospital, Phitsanulok, Thailand.
Article Synopsis
- The study investigates the effectiveness of pin & plate (PP) fixation for treating tough low and comminuted intercondylar fractures of the humerus, using biomechanical analysis and outcomes from patient treatments.
- Three fixation methods (PP, L-LCP, and VA-L-LCP) were compared under various stress conditions, revealing that PP fixation offers similar stability to other dual-plating techniques, except for higher stress on the Kirschner wire during internal rotation.
- In a clinical review of eight patients, all achieved fracture union within 12-20 weeks, with mostly good-to-excellent functional outcomes measured by MEPS and DASH scores.
Computed Tomographic Features of Non-Lame French Bulldog Elbows.
Vet Comp Orthop Traumatol
May 2022
Department Clinical Sciences and Services, Queen Mother Hospital for Animals, The Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom.
Article Synopsis
- French Bulldogs are at risk for humeral condylar fractures, prompting a study to evaluate elbow conditions in non-lame dogs through CT scans.
- The retrospective analysis of 74 elbows from 37 dogs found no instances of humeral intracondylar fissures (HIF), but highlighted other issues like humeral condylar sclerosis and medial coronoid process disease.
- The study concluded that while there was a low prevalence of serious elbow disease, many dogs had mild abnormalities, and no clear cause was identified for the breed's fracture risk.
Isolated Fracture Dislocation of Medial Humeral Condyle Without Elbow Dislocation: Mechanism of an Unreported Injury.
Indian J Orthop
July 2021
Department of Orthopaedics, Northern Railway Central Hospital, New Delhi, India.
Article Synopsis
- * It highlights that fracture dislocations involving the humeral condyle are rare and typically only reported with lateral condyle fractures, while medial condyle fracture dislocations have been unreported in adults.
- * The authors present a unique case of a medial humeral condyle fracture dislocation in an adult, explaining the injury mechanism and noting that the elbow joint remains in place despite the dislodged fragment.
Total elbow arthroplasty for acute distal humeral fractures with humeral condyle resection or retention: a long-term follow-up study.
JSES Int
July 2021
Department of Orthopaedic and Trauma Surgery, Shoulder and Elbow Unit, Hesperia Hospital, Modena, Italy.
Article Synopsis
- Open reduction and internal fixation is the standard treatment for intra-articular distal humeral fractures, but complications are common in elderly patients; this study looks at long-term outcomes of total elbow arthroplasties (TEAs) in younger patients (under 70).
- The study included 13 patients aged 61-67 with acute distal humeral fractures, who received a linked Coonrad-Morrey prosthesis, comparing outcomes between those who had condyle fragments resected versus those who had them stabilized.
- Over a mean follow-up of 12 years, most patients had good elbow function and satisfaction, with fewer revisions needed in those whose condyles were stabilized, suggesting that preserving these bone fragments may improve long-term stability
Open Reduction and Pin Fixation of Pediatric Lateral Humeral Condylar Fractures.
JBJS Essent Surg Tech
November 2020
Children's Hospital Los Angeles, Los Angeles, California.
Article Synopsis
- *The article discusses diagnostic methods, classification systems, and the proper surgical technique for treating these fractures.
- *For minor fractures (<2 mm displacement), non-surgical methods may be used, while closed reduction is an option for fractures with 2-4 mm displacement.
[Ultrasound-guided closed reduction and kirschner wires internal fixation for the treatment of KilfoyleⅡand Ⅲ medial condylar fracture of humerus in children].
Zhongguo Gu Shang
May 2021
The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China.
Article Synopsis
- The study aimed to analyze the effectiveness and safety of using ultrasound-guided closed reduction and K-wires for internal fixation in children with Kilfoyle type II and III medial condylar humeral fractures.
- A total of 32 children were treated, with results showing that all fractures healed well within an average of 4.5 weeks, and no significant complications such as infections or deformities were reported.
- The final evaluation indicated excellent elbow function based on the Mayo elbow performance score, with no significant differences noted between the affected and healthy sides.
Trash Lesions Around the Elbow: A Review of Approach to Diagnosis and Management.
Indian J Orthop
June 2021
Department of Paediatric Orthopaedics, Sancheti Institute for Orthopaedics and Rehabilitation, 16 Shivajinagar, Pune, 411005 India.
Article Synopsis
- TRASH lesions are special elbow injuries caused by high energy trauma that can be easily overlooked due to normal-looking X-rays.
- These injuries often require surgical intervention and can lead to poor results if not treated properly, making timely diagnosis crucial.
- The text reviews different types of TRASH lesions and emphasizes the need for awareness and early management, supported by literature and case examples.
T-condylar humerus fracture in children: treatment options and outcomes.
Int Orthop
April 2021
School of Medicine, University of Belgrade, Belgrade, 11000, Serbia.
Article Synopsis
- Intracondylar T-type fractures of the distal humerus are rare in children, with limited data mostly coming from case reports and series, making the actual incidence unclear.
- A review of the literature analyzed nine institutional reports from 1984 to 2015, involving 135 pediatric patients and showing that open reduction with internal fixation was the main treatment used.
- Follow-up studies revealed that younger patients typically had better outcomes in terms of range of motion, but complications like transient neuropathy and elbow stiffness occurred in a notable percentage of cases.
Results of the modified reverse step-cut osteotomy in paediatric cubitus varus.
Int Orthop
July 2020
Department of Orthopaedics, PGIMER Chandigarh, 162 K Block Mdh Pgimer, Chandigarh, 160012, India.
Article Synopsis
- Cubitus varus deformity in children is often a result of supracondylar fractures and requires corrective osteotomies, with this study focusing on the modified reverse step-cut technique.
- The study involved 15 patients, assessing both clinical and radiological outcomes over two years, with notable improvements in elbow angles and range of motion.
- Results showed 93.3% of patients had good to excellent clinical outcomes and 86.6% rated their cosmetic results positively, supporting the technique as safe and effective for correcting the deformity.
Standardized sonographic examination of pediatric elbow injuries is an effective screening method and improves diagnostic efficiency.
Injury
March 2021
Department of Traumatology, University of Szeged, Hungary.
Article Synopsis
- The study confirms the usefulness of a five-point ultrasound method for diagnosing pediatric elbow injuries, addressing the lack of standardized approaches in clinical settings.
- A total of 365 children suspected of having closed elbow injuries were assessed using ultrasound and standard x-rays, with two orthopedic surgeons and a resident conducting the exams.
- Results indicated that 165 out of 365 cases showed positive findings on x-rays, categorizing various types of fractures and dislocations, with the abnormal sonographic dorsal fat pad sign serving as a significant diagnostic indicator.
Oblique Lateral Closing-Wedge Osteotomy for Cubitus Varus in Skeletally Immature Patients.
JBJS Essent Surg Tech
November 2019
St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
Article Synopsis
- The text discusses a surgical procedure called an oblique lateral closing-wedge osteotomy of the humerus to correct cubitus varus deformity in children, often caused by poorly managed fractures.
- Traditionally, surgery focused on cosmetic improvements, but now it's recognized that failing to correct this deformity can lead to serious complications, including elbow instability and fractures.
- The procedure involves removing a wedge from the humerus, with younger patients receiving Kirschner wire fixation and older ones requiring more complex stabilization methods; options for less invasive treatments are also discussed, emphasizing the risks of delaying surgery.