The Surgery of Neglected Distal Humerus Fractures in Children and Adults

  • Lars P. Müller
  • Matthias Hansen
  • Bernard F. Morrey
  • Karl J. Prommersberger
  • Pol M. Rommens


The restoration of function after a neglected distal humérus fracture presents a formidable challenge to the surgeon because of both the complexity of the regional anatomy and the proximity of numerous neurovascular structures. Inadequate or unstable fixation, a failure to reposition the articular fragments anatomically, prolonged post-operative immobilization, or the development of soft-tissue complications will result in substantial disability for the patient. Complications after injuries affecting a child’s elbow are common due to understimating the severity of the injury on the native X-rays where the growth plates and cartilage structures can not be seen.


Ulnar Nerve Distal Humerus Angular Deformity Correction Osteotomy Distal Humerus Fracture 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Smith FM (1973) An 84-year follow-up on a patient with ununited fracture of the lateral condyle of the humerus. J Bone Joint Surg Am 55:378–382PubMedGoogle Scholar
  2. 2.
    Sim FH, Morrey BF (2000) Nonunion and delayed union of distal humerus fractures. In: The elbow and its disorders. WB Saunders Co, Philadelphia, pp 331–341Google Scholar
  3. 3.
    Ackermann G, Jupiter JB (1988) Nonunion of fractures of the distal end of the humerus. J Bone Joint Surg Am 70:75–81Google Scholar
  4. 4.
    Bryan RS, Bickel WH (1971) “T” condylar fractures of the distal humerus. J Trauma 11:830–839PubMedCrossRefGoogle Scholar
  5. 5.
    Solheim K, Daagev F (1973) Delayed union and nonunion of fractures: clinical experience with ASIF method. J Trauma 13:121–132PubMedGoogle Scholar
  6. 6.
    Morrey BF (ed) (2000) In the elbow and its disorders. WB Saunders Co, Philadelphia, pp 43–60Google Scholar
  7. 7.
    Nagi ON, Dhillon MS, Aggarwal A, Gill SS (2000) Fractures of the Medial Humeral Condyle in Adults. Singapore Med J 41:347–351PubMedGoogle Scholar
  8. 8.
    Jupiter JB, Goodman LJ (1992) The management of complex distal humerus nonunion in the elderly by elbow capsulectomy, triple plating, and ulnar nerve neurolysis. J Shoulder Elbow Surg 1:37–45CrossRefGoogle Scholar
  9. 9.
    Dowdy PA, Bain GI, King GJW, Patterson SD (1995) The Midline Posterior Elbow Incision. J Bone Joint Surg Br 77:696–699PubMedGoogle Scholar
  10. 10.
    King JW, Faber KJ (2000) Post-traumatic elbow stiffness. Ortho Clin North Am 31:129–143CrossRefGoogle Scholar
  11. 11.
    Morrey BF (2000) Surgical treatment of extra-articular elbow contracture. Clin Orthop 370:57–64PubMedCrossRefGoogle Scholar
  12. 12.
    Morrey BF (2000) Surgical exposures of the elbow. In: Morrey BF (ed) The elbow and its disorders. WB Saunders Co, Philadelphia, pp 109–135Google Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Lars P. Müller
    • 1
  • Matthias Hansen
    • 2
  • Bernard F. Morrey
    • 3
  • Karl J. Prommersberger
    • 4
  • Pol M. Rommens
    • 4
  1. 1.Klinik für Unfall - Wiederherstellungs - und HandchirurgieJohannes Gutenberg Universität MainzMainzGermany
  2. 2.Klinik für UnfallchirurgieKlinikum WormsWormsGermany
  3. 3.Department of OrthopedicsMayo Medical SchoolRochesterUSA
  4. 4.Orthopädische Klinik MarkgröningenStuttgartGermany

Personalised recommendations