Transphyseal fracture of the distal humerus

Joshua M. Abzug, Christine A. Ho, Todd F. Ritzman, Brian K. Brighton

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Transphyseal fractures of the distal humerus typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of the injury is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiography can aid in the diagnosis of the injury. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed. The most common complication is cubitus varus caused by a malunion, osteonecrosis of the medial condyle, or growth arrest. A corrective lateral closing wedge osteotomy can be performed to restore a nearly normal carrying angle.

Original languageEnglish (US)
Pages (from-to)e39-e44
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume24
Issue number2
DOIs
StatePublished - Feb 1 2016

Keywords

  • arthrogram
  • distal humerus fracture
  • elbow dislocation
  • transphyseal fracture
  • transphyseal separation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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