0
Journal Contents   |    
FRACTURES OF THE LATERAL CONDYLE OF THE LOWER END OF THE HUMERUS WITH COMPLICATIONS A Simple Technique for Closed Reduction of Capitellar Fracture
M. G. Kini
View Disclosures and Other Information
King George Hospital, Vizagapatam, South India
1942 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1942; 24:270-280 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

1. Fractures of the lateral condyle in children are known as capitellar fractures, and, when they occur above the origin of the extensors, are accompanied by marked displacement of the lower fragment, causing it to turn over.

2. Closed reduction has given satisfactory results in those patients who sought advice soon after the accident. The main principles are reduction of the effusion, and then the manipulation of the lower fragment into position with the elbow in flexion and the forearm in pronation. If the forearm is supinated it is found that the gap between the fragments after reduction becomes greater.

3. In the cases which were not treated properly, malunion caused limitation of movements at the elbow. In two cases ulnar transposition improved the functional movement of the elbow; and in one case, with marked new bone formation, rest in flexion improved the functional movement.

4. A slight exaggeration of cubitus valgus deformity has been the rule even in cases with a good roentgenographic apposition and union of the fragments.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    Maine - Central Maine Medical Center