title: Distal humerus atrophic nonunion in a child with osteogenesis imperfecta.
abstract: Atrophic nonunion of the distal humerus in children with osteogenesis imperfecta is a vexing and disabling problem. Traditional treatments, including casting, intramedullary nailing, plating and bone grafting have not been universally successful. We report on a case of successful treatment of one atrophic nonunion of the distal humerus in ad 2 year 10 month old child with type III OI who had failed more traditional treatments. The treatment used a combination of telescoping intramedullary nails, locking plate fixation and bone morphogenic protein.
  
  
  METHODS
  Level IV.
authors: *Orthopaedic Surgery & Rehabilitation, William Beaumont Army Medical Center, Texas Tech University Health Sciences Center, El Paso, TX †Childrens Hospital & Medical Center, Department of Orthopaedic Surgery, University of Nebraska Medical Center, Omaha, NE.
authors: Mark S
authors: MS
authors: Hsiao
authors: Matthew A
authors: MA
authors: Mormino
authors: Paul W
authors: PW
authors: Esposito
authors: Bridget A
authors: BA
authors: Burke
mesh_terms: D019485:Bone Morphogenetic Proteins / Q000008:administration & dosage*; D001858:Bone Nails; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods; D002675:Child, Preschool; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D010013:Osteogenesis Imperfecta / Q000150:complications*; D016896:Treatment Outcome
chemical_list: D019485:Bone Morphogenetic Proteins