background: intra-articular t- type or y- type fractures of the distal end of the humerus are relatively rare, and consequently few surgeons will be able to attain extensive experience with the surgical treatment of these injuries. the current emphasis is on operative intervention with rigid internal fixation and early mobilization. methods: in this prospective and retrospective study, we revie...

BACKGROUND A comminuted distal humerus fracture in an older patient is a difficult clinical problem. Open reduction internal fixation (ORIF) carries the risks of nonunion, loss of fixation, infection, and stiffness. Arthroplasty carries the risks of loosening, infection, and periprosthetic fracture. Both procedures are technically challenging, and complications following these procedures are fr...

Distal humeral fractures in adults are relatively uncommon injuries that require operative intervention in the majority of cases. Dual plate fixation, with placement of a separate strong plate on each column and orientation of the plates either at 90° or 180° to each other, is indicated for all adult fractures involving both columns of the distal part of the humerus. Acute total elbow arthropla...

Comminuted fractures of the distal end of the radius are caused by high-energy trauma and present as shear and impacted fractures of the articular surface of the distal radius with displacement of the fragments. The force of the impact and the position of the hand and carpal bone determine the pattern of articular fragmentation and their displacement and the amount and the extent of frequent co...

Arm wrestling is a popular activity enjoyed by men and women of all ages. Although uncommon, several cases of arm wrestling injuries have been reported in the medical literature. Fractures of the humerus sustained during arm wrestling are rare clinical entities that can be confused with pathologic fractures. A butterfly fragment subtype of comminuted humeral fracture is an even more exceptional...

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...

Treatment of comminuted distal humeral fractures remains challenging. Open reduction-internal fixation remains the preferred treatment, but is not always feasible. In selected cases with non-reconstructable or highly comminuted fractures, total elbow arthroplasty has been used, however, also with relatively high complication and failure rates. Distal humerus prosthetic hemiarthroplasty (DHA) ma...

Distal humeral fractures are among the most challenging injuries to treat. Although precise repair of articular surface is essential during surgery, accurate reconstruction metaphysis contributes overall stability fracture construct. The intraosseous wiring technique has been used for small-fragment fractures. However, its efficacy as an adjunct distal humerus fixation yet be thoroughly investi...