"The primary goal of surgical treatment is an anatomical reconstruction of the articular surface and to gain stability to allow for early functional treatment for maintaining range of motion within the elbow joint. Open reduction and internal fixation with pre-contoured locking plates and headless compression screws are usually performed to achieve this goal 1-3."
"Partial articular fractures are usually managed with pre-contoured locking plates of the affected side and additional screw fixation 1. Coronal shear fractures can be managed with headless compression screws possibly accompanied by a pre-contoured locking plate if they are posteriorly comminuted 1,4."
"Partial articular fractures are usually managed with pre-contoured locking plates of the affected side and additional screw fixation 1. Coronal shear fractures can be managed with headless compression screws possibly accompanied by a pre-contoured locking plate if they are posteriorly comminuted 1,4."
"Volkmann contracture"
"Distal humeral fractures can involve the epicondyles, the trochlea, the capitellum and the metaphysis of the distal humerus or all of those osseous structures."
"Distal humeral fractures can involve the epicondyles, the trochlea, the capitellum and the metaphysis of the distal humerus or all of those osseous structures."
"The most commonly used classification system of distal humeral fractures, which takes those features into account, is the AO/OTA classification 5,7."
"The most commonly used classification system of distal humeral fractures, which takes those features into account, is the AO/OTA classification 5,7."
"Standard elbow radiographs AP view with the elbow flexed 40° and elbow lateral view with the shoulder abducted and the elbow flexed to 90° each should be obtained."
Expected headings
"Mechanism"
"Classification"
"Associations"
"Complications"
"Attributes, characteristics or activities that increase the likelihood of sustaining a distal humeral fracture include 1-3:"
"Typical symptoms include pain and swelling of the elbow, instability and functional disability. Decreased or abnormal pulses might indicate a concomitant vascular injury. Weakness or paraesthesias of the wrist might indicate nerve injury 1."
"extra-articular, partial or complete articular"
"signs of complications if evident (e.g. neurovascular injury)"
"There are different approaches with regard to the fracture type 1,2:"