Internal Fixation of Capitellar Fractures Using Herbert Screws: A Report of Three Cases
10.4055/jkoa.1996.31.5.1030
- Author:
Jun Dong CHANG
;
Soo Joong CHOI
;
Sang Chun AHN
- Publication Type:Case Report
- Keywords:
Humerus;
Capitellar Fracture;
Herbert screw
- MeSH:
Child;
Elbow;
Follow-Up Studies;
Humans;
Humerus;
Incidence;
Joints;
Necrosis
- From:The Journal of the Korean Orthopaedic Association
1996;31(5):1030-1035
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Capitellar fracture was first described by Hahn in 1853. It is rare, espically in children, and has been occurred 0.5% to 1% of incidence of all elbow injuries. Factures of the capitellum can involve a significant portion of the articular surfaces. It is desirable to reduce and internally fix the capitellar fragment, if possible, because this restores the artucular surface and augment joint stability. Three patients with displaced fractures of the capitellum(capitulum humeri) were treated by open reduction and internal fixation using Herbert screws, which stabilized the joint, allowed anatomical reduction, and gave rigid fixation. Postoperatively, early motion of the joint was allowed. All fractures were united without evidence of avascular necrosis and final follow-up was excellent.
