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Bilateral fractures of the capitulum. A case report
S Acharya1, F Kneife, J G Mackinnon
1Department of Orthopaedics, Cheltenham General Hospital, England.
International Orthopaedics
|January 1, 1996
Summary
This case study details treating isolated displaced capitulum fractures in both elbows. Closed manipulation and immobilization successfully restored full elbow flexion.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Elbow Biomechanics
Background:
- Capitulum fractures are rare elbow injuries, often associated with complex trauma.
- Isolated fractures of the capitulum without other elbow injuries are particularly uncommon.
- Understanding optimal management strategies for these specific fractures is crucial for patient outcomes.
Observation:
- A case of bilateral, isolated, displaced capitulum fractures is presented.
- The injury pattern involved both distal humerus capitulums.
- No associated ligamentous or other bony injuries were noted.
Findings:
- Treatment involved closed manipulation to reduce the displaced fractures.
- Immobilization was maintained for a duration of three weeks.
- Post-treatment assessment revealed a satisfactory clinical result with full range of motion.
Implications:
- This case highlights the efficacy of conservative management for isolated capitulum fractures.
- Successful outcomes can be achieved with prompt diagnosis and appropriate non-operative treatment.
- Restoration of 100 degrees of elbow flexion indicates good functional recovery, informing future treatment protocols.