Capitellar and Trochlear Fractures.
Fractures of the capitellum and trochlea account for a small proportion of elbow trauma. Clinicians need to be vigilant in their assessment as they are commonly associated with other injuries about the elbow. To optimize outcomes, the goals of management include a stable, anatomic reduction and early range of motion. Closed reduction of noncomminuted fractures may be successful but requires close follow-up. Open reduction and internal fixation is the preferred management of displaced capitellum-trochlear fractures. Elbow stiffness is the most commonly reported complication in operatively treated fractures. Arthroscopic-assisted reduction and internal fixation and arthroplasty are evolving management options.
Division of Orthopedic Surgery, Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Health Center, Western University, 268 Grosvenor Street, London, Ontario N6A 4L6, Canada.
Michael J
MJ
Carroll
Division of Orthopedic Surgery, Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Health Center, Western University, 268 Grosvenor Street, London, Ontario N6A 4L6, Canada.
George S
GS
Athwal
Division of Orthopedic Surgery, Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Health Center, Western University, 268 Grosvenor Street, London, Ontario N6A 4L6, Canada.
Graham J W
GJ
King
Division of Orthopedic Surgery, Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Health Center, Western University, 268 Grosvenor Street, London, Ontario N6A 4L6, Canada. Electronic address: kjfaber@uwo.ca.
Kenneth J
KJ
Faber
D001178:Arthroplasty; D001182:Arthroscopy; D017885:Collateral Ligaments / Q000293:injuries / Q000601:surgery; D004551:Elbow Joint / Q000601:surgery*; D005081:Exercise Therapy; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D006810:Humeral Fractures / Q000145:classification / Q000601:surgery*; D056888:Patient Positioning; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D000092464:Elbow Injuries
Capitellum; Coronal shear; Distal humerus; Fracture; Trochlea