Distal Humerus: Coronal Shear (Capitellum) Fractures

  • Louis W. CatalanoIIIEmail author
  • Michael T. Milone


A case is presented of a patient who sustained an isolated displaced coronal shear fracture of the capitellum. Various aspects of perioperative management are discussed, including preoperative imaging, treatment options, surgical timing, interoperative tips, rehabilitation protocols, and common complications. Several treatment pearls are provided. Ultimately, the presented patient underwent posterior to anterior directed screw fixation of the capitellum. The patient experienced no complications, recovered well, and has returned to full, painless activity.


Elbow Trauma Capitellum Open reduction internal fixation Operative technique 


  1. 1.
    McKee MD, Jupiter JB, Bamberger HB. Coronal shear fractures of the distal end of the humerus. J Bone Joint Surg Am. 1996;78(1):49–54.CrossRefGoogle Scholar
  2. 2.
    Bryan RS, Morrey BF. Fractures of the distal humerus. In: BF M, editor. The elbow and its disorders. Philadelphia: Saunders; 1985. p. 302–39.Google Scholar
  3. 3.
    Carroll MJ, Athwal GS, King GJ, Faber KJ. Capitellar and trochlear fractures. Hand Clin. 2015;31(4):615–30.CrossRefGoogle Scholar
  4. 4.
    Feldman MD. Arthroscopic excision of type II capitellar fractures. Arthroscopy. 1997;13(6):743–8.CrossRefGoogle Scholar
  5. 5.
    Kuriyama K, Kawanishi Y, Yamamoto K. Arthroscopic-assisted reduction and percutaneous fixation for coronal shear fractures of the distal humerus: report of two cases. J Hand Surg Am. 2010;35(9):1506–9.CrossRefGoogle Scholar
  6. 6.
    Ochner RS, Bloom H, Palumbo RC, Coyle MP. Closed reduction of coronal fractures of the capitellum. J Trauma. 1996;40(2):199–203.CrossRefGoogle Scholar
  7. 7.
    Ring D. Open reduction and internal fixation of an apparent capitellar fracture using an extended lateral exposure. J Hand Surg Am. 2009;34(4):739–44.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.NYU Langone Orthopedic HospitalNew YorkUSA

Personalised recommendations