Biepicondylar fracture of the humerus is very rare in adults. To date, there have been limited evidence of this injury in the English literature. We report a case of a 65-year-old female with a biepicondylar fracture of the left distal humerus without dislocation. Open reduction and internal fixation with K-wires, cannulated screw, and suture anchor were performed. We obtained stability of the elbow and a satisfactory functional outcome. Because this type of injury is associated with varus and valgus instability, operative reduction and fixation are essential in order to gain stability and early recovery of normal function.
Adult* ; Aged ; Dislocations ; Elbow ; Female* ; Humans ; Humeral Fractures ; Humerus* ; Suture Anchors

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.
Adult ; Classification ; Female ; Humans ; Humerus ; Middle Aged

Biepicondylar fracture of the humerus is very rare in adults. To date, there have been limited evidence of this injury in the English literature. We report a case of a 65-year-old female with a biepicondylar fracture of the left distal humerus without dislocation. Open reduction and internal fixation with K-wires, cannulated screw, and suture anchor were performed. We obtained stability of the elbow and a satisfactory functional outcome. Because this type of injury is associated with varus and valgus instability, operative reduction and fixation are essential in order to gain stability and early recovery of normal function.
Adult ; Aged ; Dislocations ; Elbow ; Female ; Humans ; Humeral Fractures ; Humerus ; Suture Anchors

PURPOSE: No research on posterior bowing of the distal humerus in the sagittal plane requiring evaluation during performance of intramedullary nailing has been reported in Korea. This study is designed to evaluate the location and angle of distal humeral posterior bowing in the sagittal plane through analysis of true lateral radiographs of humerus and discusses key points when performing intramedullary nailing. MATERIALS AND METHODS: A retrospective study was conducted on 99 people with a simple lateral radiograph of the humerus and the authors analyzed total length of humerus, the angle and location of maximum posterior bowing in the distal shaft of the humerus. RESULTS: The mean length of the humerus was 319.7 mm, and the mean angle of the distal posterior bowing was 8.8 degrees. The mean point of posterior bowing was 221.6 mm from the proximal end, which was 69.3% of the total length of the humerus. CONCLUSION: The average posterior angulation of humerus existed at the point of 69.3% from the proximal humerus. Careful assessment is needed during intramedullary nailing in order to prevent complications.
Fracture Fixation, Intramedullary* ; Humeral Fractures ; Humerus* ; Korea ; Retrospective Studies