Distal Humerus-Elbow Fractures: Distal Humerus

Elbow Fractures: Distal Humerus

Pdf Summary

Distal humerus fractures are challenging injuries to treat due to the complex anatomy and the risk of inadequate stabilization. Various surgical techniques have been described, with bicolumnar plating being the most popular. Biomechanical testing has been used to evaluate different fixation constructs. In cases where reconstruction or fixation fails, adjunctive measures such as structural bone grafts or total elbow arthroplasty may be necessary. The articular surface can also be injured from a shear force, resulting in fractures of the capitellum and trochlea. Diagnosing distal humerus fractures typically involves conventional radiography, including anteroposterior, lateral, and oblique views. CT scans can also be useful for characterizing the fracture. Fractures can be classified into supracondylar, transcondylar, and intercondylar fractures. Treatment options depend on the location and severity of the fracture, but surgical intervention is generally recommended for displaced fractures. The surgical approach can vary depending on the fracture pattern, and care must be taken to protect the ulnar nerve during surgery. Adequate stabilization of the bone is crucial for successful treatment, especially in cases of osteopenia. In cases of severe destruction of the articular surface, total elbow arthroplasty may be considered. The outcomes of treatment for distal humerus fractures can vary widely, but with appropriate surgical techniques and rehabilitation, good to excellent outcomes can be achieved in many cases.

Keywords

distal humerus fractures

surgical techniques

biomechanical testing

adjunctive measures

total elbow arthroplasty

articular surface

diagnosing distal humerus fractures

supracondylar fractures

ulnar nerve protection

osteopenia