title: Multiplane fracture of the distal humerus.
abstract: A unique but complex intraarticular fracture of the distal humerus is described. The term multiplane fracture has been applied to highlight a fracture pattern that features not only the well recognized T fracture lines in the sagittal and horizontal planes but also a coronal fracture of the trochlea. The Herbert screw was used in five cases to achieve stable fixation of the purely articular coronal fracture. At a follow-up of 20 months, on average, all fractures healed with an acceptable functional result. No radiographic evidence of avascular necrosis was seen in the follow-up radiographs.
authors.affiliation: Harvard Medical School, Massachusetts General Hospital, Boston 02114.
authors.forename: J B
authors.initials: JB
authors.lastname: Jupiter
authors.forename: K A
authors.initials: KA
authors.lastname: Barnes
authors.forename: L J
authors.initials: LJ
authors.lastname: Goodman
authors.forename: A E
authors.initials: AE
authors.lastname: Saldaña
mesh_terms: D000328:Adult; D001863:Bone Screws; D004550:Elbow; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography