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Fractures of the Distal End of the Humerus

  • J. Schatzker

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.

Keywords

Internal Fixation Ulnar Nerve Kirschner Wire Lateral Condyle Medial Epicondyle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Alvarez E, Patel MR, Nimberg G, Pearlman HS (1975) Fractures of the capitelum humeri. J Bone Joint Surg 57A:1093–1096Google Scholar
  2. Bickel WE, Perry RE (1963) Comminuted fracture of the distal humerus. JAMA 184:553–557PubMedCrossRefGoogle Scholar
  3. Cassebaum WH (1952) Operative treatment of T and Y fractures of the lower end of the humerus. Am J Surg 83:265–270PubMedCrossRefGoogle Scholar
  4. Heim U, Pfeiffer KM (1972) Periphere Osteosynthesen. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  5. Keon-Cohen BT (1966) Fractures of the elbow. J Bone Joint Surg 48A: 1623–1639Google Scholar
  6. Miller WE (1964) Comminuted fractures of the distal end of the humerus in the adult. J Bone Joint Surg 46 A: 644–657Google Scholar
  7. Müller ME, Allgower M, Willenegger H (1965) Technique of internal fixation of fractures. Springer, Berlin Heidelberg New York, p 196, fig 210CrossRefGoogle Scholar
  8. Müller ME, Allgower M, Schneider R, Willenegger H (1979) Manual of Internal Fixation, 2nd edn. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  9. Riseborough EJ, Radin EL (1969) Intercondylar fractures of the humerus in the adult. J Bone Joint Surg 51A:130–141Google Scholar
  10. Salter RB, Simmonds DF, Malcolm BW, Rumble EJ, Mac-Michael D (1980) The biological effects of continuous passive motion on the healing of full thickness defects in articular cartilage: an experimental investigation in the rabbit. J Bone Joint Surg 62A: 1232–1251Google Scholar
  11. Van Gorder GW (1940) Surgical approach in supracondylar “T” fractures of the humerus requiring open reduction. J Bone Joint Surg 22:278–292Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • J. Schatzker

There are no affiliations available

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