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A Rare Repair: Trochlear Fracture Fixed With Headless Screws and Medial Epicondyle Osteotomy - A Case Report
Kunal Chaudhari1, Maulik Kothari1, Kumar Parth1
1Department of Orthopaedics, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Introduction:
Isolated trochlear fractures of the distal humerus are rare and often underreported.
Case Report:
We present a case of a 35-year-old female who sustained such a fracture after falling onto a flexed elbow. Initially managed conservatively, she later required surgery due to persistent pain and limited motion. Imaging revealed an anterosuperiorly displaced osteochondral fragment, necessitating open reduction and internal fixation via medial epicondyle osteotomy. Two titanium screws secured the fragment, achieving articular congruency. Twelve months post-operative, the patient had a Mayo Elbow performance index score of 100.
Conclusion:
This case emphasizes the importance of recognizing and managing isolated trochlear fractures effectively.
