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Capitellar and Trochlear Fractures.

Michael J Carroll1, George S Athwal1, Graham J W King1

  • 1Division of Orthopedic Surgery, Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Health Center, Western University, 268 Grosvenor Street, London, Ontario N6A 4L6, Canada.

Hand Clinics
|October 27, 2015
PubMed
Summary
This summary is machine-generated.

Vigilant assessment is crucial for elbow fractures involving the capitellum and trochlea, often linked with other injuries. Optimal management focuses on stable, anatomic reduction and early motion to prevent complications like elbow stiffness.

Keywords:
CapitellumCoronal shearDistal humerusFractureTrochlea

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Elbow Biomechanics

Background:

  • Capitellum and trochlea fractures are infrequent but serious elbow injuries.
  • These fractures frequently accompany other elbow trauma, necessitating thorough evaluation.
  • Effective management aims for anatomical reduction and early joint mobility.

Purpose of the Study:

  • To review the assessment and management strategies for capitellum and trochlea fractures.
  • To highlight the importance of identifying associated injuries.
  • To discuss current and evolving treatment options for optimizing patient outcomes.

Main Methods:

  • Review of current literature on capitellum and trochlea fractures.
  • Analysis of management goals, including reduction techniques and fixation methods.
  • Evaluation of common complications and emerging treatment modalities.

Main Results:

  • Displaced fractures typically require open reduction and internal fixation for anatomical alignment.
  • Closed reduction may suffice for noncomminuted cases but demands diligent monitoring.
  • Elbow stiffness remains a primary complication following surgical intervention.

Conclusions:

  • Early recognition and management of capitellum and trochlea fractures are vital for preventing long-term morbidity.
  • Open reduction and internal fixation is the standard for displaced fractures.
  • Arthroscopic techniques and arthroplasty represent progressive treatment avenues.