Capitellar Osteochondral Impacted Fracture of the Humerus in an Adult Female: A Case Report
10.12671/jkfs.2018.31.4.154
- Author:
Jaekwang YUM
1
;
Minkyu SEONG
;
Kyungil KIM
Author Information
1. Department of Orthopaedic Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea. shoulder@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Humerus;
Capitellum fracture;
Elbow injury;
Osteochondral fracture;
Impacted fracture
- MeSH:
Adult;
Classification;
Female;
Humans;
Humerus;
Middle Aged
- From:Journal of the Korean Fracture Society
2018;31(4):154-158
- CountryRepublic of Korea
- Language:English
-
Abstract:
Capitellar osteochondral impaction fractures of the humerus are an uncommon injury and not encompassed by commonly used classification systems, such as that of Bryan and Morrey. Only a few cases of capitellar osteochondral impaction fractures have been reported. We report a case of a 53-year-old female with a capitellar osteochondral impaction fracture. The osteochondral fracture fragment of the capitellum was impacted and there was a step-off on the articular surface. Recovery of congruence in the capitellar articular surface was necessary. Satisfactory clinical and radiological results were obtained through the ‘lever arm’ reduction of the fracture fragment with a small osteotome and fixation with ‘raft’ K-wire.