title: Neglected isolated fracture of the trochlea humeri.
abstract: A 15 years old girl was found to have isolated trochlea fracture 10 weeks after an injury caused by a fall on her left elbow. Movement of the elbow was severely restricted. Radiographs showed a half moon-shaped and anterosuperiorly displaced osteochondral fragment. Medial approach capsulotomy of the elbow and excision of the intraarticular adhesions were done to expose the isolated trochlea fracture. Headless screws were used for fixation, combined with bone grafting. The follow-up showed union and excellent functional recovery of the elbow. Isolated trochlea fracture in adults is rare and usually associated with capitellar fractures and/or elbow dislocations. A neglected trochlea fracture is rarely reported in the English language literature to the best of our knowledge. Recognition of isolated trochlea fracture is vital to apprehend the pathomechanics of the injury and to devise a suitable treatment approach.
authors.affiliation: Department of Orthopaedics, Guru Teg Bahadur Hospital, University College of Medical Sciences, University of Delhi, Delhi 110095, India. docajaypal@gmail.com
authors.forename: Ajay-Pal
authors.initials: AP
authors.lastname: Singh
authors.forename: Ish-Kumar
authors.initials: IK
authors.lastname: Dhammi
authors.forename: Anil-Kumar
authors.initials: AK
authors.lastname: Jain
authors.forename: Saurabh
authors.initials: S
authors.lastname: Jain
mesh_terms: D000293:Adolescent; D004551:Elbow Joint / Q000000981:diagnostic imaging; D005260:Female; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D000092464:Elbow Injuries