The appropriate treatment of extraarticular distal humerus fractures is controversial. While functional bracing has been shown to result in good outcomes, some surgeons continue to favor operative fixation. Specifically, they cite concerns of radial nerve injury, difficulty in controlling fracture alignment, and long-term elbow stiffness with bracing. Jawa et al compared functional bracing with...

In 1980, we developed a specially designed brace for treating supracondylar fractures of the humerus in children, along with an easy and safe technique of reduction by skeletal traction. This method, which takes into consideration only the medial tilting and anterior angulation of the distal fragment, achieves complete reduction, ignoring any lateral, posterior and minor rotational displacement...

The outward angulation of elbow with supinated forearm is cubitus varus deformity. This deformity is often seen as sequelae of malunited supracondylar fracture of humerus in paediatric age group of 5e8 years. The deformity is usually non-progressive, but in cases of physeal injury or congenital bony bar formation in the medial condyle of humerus, the deformity is progressive and can be grotesqu...

1. Every screw should pass through a plate. 2. Each screw should engage a fragment on the opposite side that is also fixed to a plate. 3. As many screws as possible should be placed in the distal fragments. 4. Each screw should be as long as possible. 5. Each screw should engage as many articular fragments as possible. 6. The screws should lock together by interdigitation within the distal frag...

An original technique was developed to correct distal humerus malunion using a three-dimensional computer-assisted planning and a custom-made surgical guide. The technique was used in three cases (two with cubitus varus and one with cubitus valgus).A CT-scan of the distal humerus was obtained. The correction was simulated by software. A three-dimensional model of the patient's affected humerus ...

Lack of full extension of the elbow is a common abnormality in patients with achondroplasia. We studied 23 patients (41 elbows) clinically and radiologically. Extension of the elbow was assessed clinically and the angle of posterior bowing of the distal humerus was measured from lateral radiographs. There was limited extension of the elbow in 28 (68.3%) and the mean loss of extension was 13.1 d...

Supracondylar fractures of the humerus are the most common fracture pattern of the elbow in children. Severely displaced supracondylar fractures of the distal humerus in children are challenging problems. Many treatment methods have been described for the treatment of displaced supracondylar fractures of the humerus, however, it has not been reached a consensus for the choice of the treatment. ...

Giant cell tumour of the bone (GCT) is a rare locally aggressive primary bone tumour with an incidence of 3% to 5% of all primary bone tumours. The most common location for this tumour is the long bone metaepiphysis especially of the distal femur, proximal tibia, distal radius, and the proximal humerus. Involvement of distal ulna is rare accounting for 0.45% to 3.2%. Considering local aggressiv...

OBJECTIVE To evaluate the results of treatment of an osteotomy of the olecranon and an ulnar diaphyseal fracture with a single nail, in cases with an ipsilateral ulnar diaphyseal fracture and a comminuted fracture of the distal humerus. DESIGN Retrospective clinical study. SETTING University-affiliated teaching hospital. PATIENTS Eight patients with comminuted fractures of the distal hume...

BACKGROUND Due to the anatomical nature of the radial nerve, dissection and attainment of an adequate operative field in mid to distal humerus fracture is dangerous and limited. We devised a combined anterolateral and lateral approach that ensures protection of the radial nerve. This is achieved by performing bimodal dissection of the proximal humerus anteriorly and the distal humerus laterally...