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Neglected Comminuted Fracture of the Capitellum.

作者信息

Sehgal Apoorv, Shahi Pratyush, Bansal Kuldeep, Zafar Ahmer, Pathak Siddharth

机构信息

Orthopaedics, University College of Medical Science and Guru Teg Bahadur Hospital, Delhi, IND.

Orthopaedics, University College of Medicine Science and Guru Teg Bahadur Hospital, Delhi, IND.

出版信息

Cureus. 2020 Apr 21;12(4):e7765. doi: 10.7759/cureus.7765.

DOI:10.7759/cureus.7765
PMID:32455082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7243095/
Abstract

Fracture of the capitellum is a rare injury, accounting for about 1% of the fractures around the elbow. We report the case of a young adult with elbow pain and swelling presenting to us three weeks after the injury. Radiographs suggested a comminuted fracture of the capitellum extending medially to the trochlea. Using the anterolateral approach to the elbow, an open reduction and internal fixation of the fracture with screws was done. The procedure had an excellent functional outcome. Through this case report, we aim to highlight the importance of radiographic assessment and decision-making regarding the surgical approach and choice of the implant in the treatment of comminuted capitellar fractures.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032c/7243095/f60e95c3464f/cureus-0012-00000007765-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032c/7243095/09b8c272579f/cureus-0012-00000007765-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032c/7243095/30bd560c8ad0/cureus-0012-00000007765-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032c/7243095/f60e95c3464f/cureus-0012-00000007765-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032c/7243095/09b8c272579f/cureus-0012-00000007765-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032c/7243095/30bd560c8ad0/cureus-0012-00000007765-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032c/7243095/f60e95c3464f/cureus-0012-00000007765-i03.jpg

相似文献

1
Neglected Comminuted Fracture of the Capitellum.
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引用本文的文献

1
Humeral Capitellum Fractures in Adolescents: A Study of 6 Cases Treated by Open Reduction and Internal Fixation with Bioabsorbable Nails.青少年肱骨小头骨折：6例采用可吸收钉切开复位内固定治疗的研究
Adv Orthop. 2022 Apr 11;2022:4012125. doi: 10.1155/2022/4012125. eCollection 2022.

本文引用的文献

1
Comparison of lateral approach versus anterolateral approach with Herbert screw fixation for isolated coronal shear fractures of humeral capitellum.外侧入路与前外侧入路联合 Herbert 螺钉固定治疗单纯肱骨滑车冠状面剪切骨折的比较。
J Orthop Surg Res. 2019 Jul 22;14(1):230. doi: 10.1186/s13018-019-1261-3.
2
The stiff elbow.僵硬的肘部。
Hand (N Y). 2009 Dec;4(4):368-79. doi: 10.1007/s11552-009-9181-z. Epub 2009 Apr 7.
3
Outcome after open reduction and internal fixation of capitellar and trochlear fractures.肱骨小头和滑车骨折切开复位内固定术后的结果
J Bone Joint Surg Am. 2006 Jan;88(1):46-54. doi: 10.2106/JBJS.D.02954.
4
Herbert screw fixation of capitellar fractures.肱骨小头骨折的赫伯特螺钉固定术。
J Shoulder Elbow Surg. 2005 May-Jun;14(3):307-11. doi: 10.1016/j.jse.2004.09.005.
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Coronal shear fractures of the distal end of the humerus.肱骨远端冠状面剪切骨折。
J Bone Joint Surg Am. 1996 Jan;78(1):49-54. doi: 10.2106/00004623-199601000-00007.
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Herbert screw fixation of a capitellum fracture. A case report and review.肱骨小头骨折的赫伯特螺钉固定。病例报告及文献复习。
Clin Orthop Relat Res. 1994 Mar(300):123-6.