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Review
. 2010 Aug;34(6):897-901.
doi: 10.1007/s00264-009-0896-9. Epub 2009 Nov 6.

Fractures of capitellum: a review of 14 cases treated by open reduction and internal fixation with Herbert screws

Arun Pal Singh  1 , Ajay Pal Singh, Raju Vaishya, Atul Jain, Divesh Gulati
Affiliations
Review

Fractures of capitellum: a review of 14 cases treated by open reduction and internal fixation with Herbert screws

Arun Pal Singh et al. Int Orthop. 2010 Aug.

Abstract

Fourteen patients with displaced fractures of the humeral capitellum were treated by open reduction and internal fixation of the capitellar fragments with Herbert screws. As per Bryan and Morrey classification, there were seven type I fractures, one type II fracture, three type III fractures, and three non-unions. Patient outcomes were evaluated using the Mayo elbow performance score. The follow-up period ranged from three to seven years (mean 4.8 years). All patients had a stable, pain-free elbow with good range of motion at follow-up. There was no evidence of avascular necrosis or degenerative change.

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Figures

Fig. 1
Fig. 1
Preoperative X-ray (a) and 3D computed tomogram (b) showing type IV fracture of the capitellum in a 25-year-old man. c Free capitellotrochlear fragment devoid of any soft tissue attachment. d Three-year follow-up radiograph showing good union and reconstructed joint space
Fig. 2
Fig. 2
a Preoperative X-ray of six-month-old type I capitellum fracture in a 40-year-old female. b Two-year follow-up X-ray showing union and well-maintained joint space after reduction and fixation with the Herbert screw
See this image and copyright information in PMC

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