Progress in clinical diagnosis and treatment of fracture of humeral capitellum in children
10.3760/cma.j.cn101070-20240306-00133
- VernacularTitle:儿童肱骨小头骨折的临床诊疗进展
- Author:
Yalong MA
1
;
Tixue WANG
;
Mingxuan SUN
;
Baohua YU
;
Lin FENG
;
Jinsong SUN
Author Information
1. 济宁医学院临床医学院，济宁 272100
- Publication Type:Journal Article
- Keywords:
Child;
Fracture of humeral capitellum;
Diagnosis;
Classification;
Treatment;
Complication
- From:
Chinese Journal of Applied Clinical Pediatrics
2025;40(2):157-160
- CountryChina
- Language:Chinese
-
Abstract:
Fracture of humeral capitellum (FHC) in children is often detected on the coronal plane of the distal humerus.It is an intra-articular fracture, often a Salter-Harris type Ⅲ epiphyseal fracture, which is extremely rare in clinical practice and accounts for only about 1% of elbow fractures in children.This type of fracture tends to extend medially involving the trochlea, so it is also known as capitellar trochlea fracture.The rarity of this fracture makes it difficult to differentiate it from other elbow fractures on X-ray, which finally leads to miss-diagnosis or misdiagnosis as epicondylar humerus fracture or intercondylar fracture, etc.Since FHC is an intra-articular and epiphyseal fracture, inappropriate treatment will results in irreversible consequences, so the diagnosis and treatment of FHC in children are challenging.Currently, there are few studies on FHC in children, and most of related studies are case reports.Therefore, the classification and treatment of FHC in children are performed based on only the experience of FHC treatment in adults.Incisional reduction and internal fixation is the preferred treatment for most FHC children, but the efficacy of this treatment lacks the support of controlled studies with a large sample size.The mechanism of injury, staging, diagnosis, treatment, postoperative rehabilitation, and complications of pediatric FHC were reviewed in this paper to improve clinicians' understanding of pediatric FHC.
