[Delayed diagnosis of fractures of the capitulum of the humerus. Successful internal fixation 6 weeks after the accident].
Fractures of the capitulum of the humerus are rare and difficult to recognize. At present conservative therapy is only indicated in a few cases with no dislocation of the fracture. Otherwise an anatomical reduction and internal fixation should be done as early as possible. This article reports the case of a 51-year-old female patient with bilateral fractures of the capitulum of the humerus which were diagnosed 6 weeks after trauma. In spite of the extra risk of fragment necrosis, a reduction and internal fixation were performed. After rehabilitation, the patient was free of complaints except for a minimal limited range of motion.
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum der Friedrich-Schiller-Universität Jena.Wilharm@med.uni-jena.de
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A
Wilharm
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I
Marintschev
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F
Gras
G O
GO
Hofmann
D001863:Bone Screws; D057210:Delayed Diagnosis; D004551:Elbow Joint / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D006810:Humeral Fractures / Q000175:diagnosis* / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology; D016059:Range of Motion, Articular / Q000502:physiology; D014057:Tomography, X-Ray Computed; D000092464:Elbow Injuries