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Fracture of the capitulum humeri.
The Journal of Bone and Joint Surgery. American Volume
|December 1, 1975
Summary
Surgical excision of humerus capitulum fragments yielded superior outcomes compared to other methods. This approach led to better elbow motion and reduced pain, without causing instability.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Elbow Joint Anatomy
Background:
- Fractures of the capitulum humeri are common elbow injuries.
- Treatment options for these fractures vary, impacting patient outcomes.
Purpose of the Study:
- To compare the effectiveness of different treatment modalities for capitulum humeri fractures.
- To evaluate outcomes based on surgical technique, specifically fragment excision versus reduction and fixation.
Main Methods:
- Retrospective analysis of fourteen patients with capitulum humeri fractures.
- Ten patients underwent fragment excision (large or multiple small fragments).
- Comparison with patients treated by closed reduction or open reduction and fixation.
Main Results:
- Fragment excision group showed superior results compared to other methods.
- Nine patients in the excision group achieved good to excellent elbow motion.
- Six patients reported no pain, and three reported minimal pain post-excision.
Conclusions:
- Excision of capitulum humeri fragments is an effective treatment strategy.
- This method offers better functional recovery and pain relief than traditional reduction techniques.
- Fragment excision avoids valgus deformity and instability, crucial for elbow function.