BACKGROUND An intra-articular distal humerus malunion can be disabling. To improve function, reduce pain and/or prevent further secondary osteoarthritis an intra-articular corrective osteotomy can be considered. Herein we present the indications, practical guidelines for pre- operative planning and surgical technique. Subsequently, we provide long-term results in a small series. METHODS We in...

Distal humerus fractures may range from a simple extra-articular fracture pattern to a complex pattern, involving extensive destruction of the articular surface with comminution and bone loss in the metaphysealdiaphyseal junction of the bone. The management decision in the younger patient requires complete anatomical reconstruction and early active range of motion. Different approaches to the d...

Fractures of the articular surface of the distal end of the humerus (i.e., of the capitellum and the trochlea) are rather uncommon injuries. Fractures of the capitellum account for 1% of all elbow fractures and about 6% of all distal humeral fractures. Fractures of the trochlea are usually encountered as part of more complex intra-articular fractures of the distal end of the humerus, disrupting...

This study evaluates the exposure of the distal humerus articular surface obtained using a triceps hemi-peel approach versus the triceps-flexor carpi ulnaris (TRIFCU) approach. Twelve cadaveric upper extremity specimens were dissected using a lateral-to-medial hemi-peel modification of the TRIFCU approach to the elbow. After completing the hemi-peel exposure, the visible border of the articular...

BACKGROUND The trans-olecranon approach has been suggested to improve the visualization of complex intra-articular distal humerus fractures. Significant osteotomy complications have prompted a search for alternative approaches. The purpose of this series was to study the outcome of the olecranon osteotomy in terms of union and complications and the ultimate outcome of the fracture. METHODS Ni...

Background & Aims: supracondylar humerus fracture is one of the most common pediatric elbow fractures accounting for about 16% of the pediatric fractures. Loss of reduction is one of the complications after closed and percutaneous fixation. This research is aimed to investigate the factors involved in the loss of reduction. Method: In this descriptive study, the children with supracondylar hum...

Posterior fracture-dislocations often remain undiagnosed at initial medical attendance. In dislocation, the head of humerus extends beyond glenoid to form a zone impaction, which “fixes” it. The injury is almost unidentifiable in standard frontal X-ray images. Meanwhile, continued fixation state posterior dislocation leads rapid progression traumatic impaction over up 50% articular surface area...

Anatomically precontoured locking plates are intended to facilitate the fixation of articular fractures and particularly those associated with osteoporosis. Fractures of the distal humerus are relatively uncommon injuries where operative intervention can be exceptionally challenging. The distal humeral trochlea provides a very narrow anatomical window through which to pass a fixed-angle locking...