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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: Jun 27, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

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Published on: November 8, 2024

A New Radiological Parameter in Pediatric Lateral Condyle Fractures: How Effective Is Fragment Size?

Tayfun Aman1, Batuhan Gencer2, Necdet Sağlam3

  • 1Orthopaedics and Traumatology Clinic, University of Health Sciences, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, 34785 Istanbul, Turkey.

Medicina (Kaunas, Lithuania)
|June 26, 2026
PubMed
Summary
This summary is machine-generated.

The fragment/capitellum area ratio in pediatric lateral condyle fractures does not impact clinical outcomes like range of motion. However, a larger ratio is linked to radiographic complications and capitellar hypertrophy.

Keywords:
fragment sizehumerus lateral condylelateral bumplateral condyle fractures

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Pediatric Fracture Management

Background:

  • Pediatric lateral condyle fractures require understanding factors influencing outcomes.
  • Fragment size is a key consideration in surgical treatment planning.

Purpose of the Study:

  • To investigate the impact of fragment size on clinical and radiological outcomes in pediatric lateral condyle fractures.
  • To assess the relationship between the fractured fragment/capitellum area ratio and complications.

Main Methods:

  • Retrospective cohort study of 47 pediatric patients.
  • Measurement of fractured fragment/capitellum area ratio.
  • Clinical evaluation using Hardacre classification and range of motion assessment.
  • Radiographic assessment for complications and capitellar size.

Main Results:

  • No significant association between fragment/capitellum area ratio and range of motion or lateral bump presence.
  • Higher fragment/capitellum area ratio significantly correlated with radiographic complications (p=0.01).
  • Increased ratio associated with larger final capitellar area (p=0.02).

Conclusions:

  • The fractured fragment/capitellum area ratio is a novel parameter for initial fracture size.
  • This ratio does not affect clinical outcomes or range of motion.
  • The ratio is significantly associated with radiological complications and may predict capitellar hypertrophy.