Arthroscopic-Assisted Surgery of the Distal Humeral Fractures

  • Selami Cakmak
  • Roza Dzoleva Tolevska
  • Enes Sari
  • Daniela Georgieva
  • Mahir Mahirogullari


Fractures of the distal part of the humerus are rare in adults, but there has been an increase in their number and incidence among the elderly. Mostly these fractures involve disruption of both the medial and lateral columns, disrupting the humeral triangle and resulting in disassociation of the articular surface from the humeral shaft. The clinical appearance of distal humerus fractures can be described as a painfully swollen elbow with deformity and functional disability.

The fracture specifics, including bone quality, fracture pattern, level of comminution, articular involvement, displacement, and associated injuries, must be understood completely before treatment is performed. Standard anteroposterior and lateral radiographs of the elbow are usually sufficient for diagnosis, classification, and surgical templating.

Due to the complexity of the local anatomy and injury patterns, fractures of the distal humerus are challenging to treat. The stiffness of elbow and devitalization of the bony fragments are other problems with extended surgical exposures. The indications for elbow arthroscopy have expanded with increased experience levels and advances in arthroscopic instrumentation due to high incidence of complications following elbow surgery in experienced hands. Arthroscopic-assisted surgery may be helpful for selected patients in several types of distal humeral fractures including capitellar fractures, lateral condyle fractures, coronal shear fractures of the coronoid, and pediatric distal humeral fractures (epicondylar, supracondylar, or unicondylar fractures) .


Elbow fractures Arthroscopy Capitellar fractures Distal humerus 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Selami Cakmak
    • 1
  • Roza Dzoleva Tolevska
    • 2
  • Enes Sari
    • 3
  • Daniela Georgieva
    • 2
  • Mahir Mahirogullari
    • 4
  1. 1.Department of Orthopaedic SurgeryAcibadem Kadikoy HospitalIstanbulTurkey
  2. 2.University Clinic for Orthopedic SurgerySkopjeRepublic of Macedonia
  3. 3.Department of Orthopaedic SurgeryNear East University HospitalTRNC-Mersin 10Turkey
  4. 4.Department of Orthopaedic SurgeryMemorial HospitalIstanbulTurkey

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