Bone and Joint Institute

Title

Capitellar and Trochlear Fractures

Document Type

Article

Publication Date

11-1-2015

Journal

Hand Clinics

First Page

615

Last Page

630

URL with Digital Object Identifier

10.1016/j.hcl.2015.07.001

Abstract

© 2015 Elsevier Inc. 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.

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