Fractures of the Distal End of the Humerus

Abstract

Fractures of the distal end of the humerus fall into two categories: the simple epicondylar and condylar fractures, and the difficult supracondylar fractures. The former, although sometimes part of a more complex injury, such as dislocation of the elbow, are relatively easy to treat and usually have a good prognosis. They will be discussed first. We will then in the remaining part of the chapter discuss supracondylar fractures, which continue to be a difficult and controversial problem. Although we will indicate, for the benefit of those who wish to refer to the Manual of Internal Fixation (Miiller et al. 1979), the designation of each fracture in accordance with the AO classification (Fig. 6.1), we are not entirely in accord with this classification of fractures about the elbow. We feel that a classification of fractures should group fractures which have similar problems in treatment and a similar prognosis.