Capitellar fractures-is open reduction and internal fixation necessary?

Cutbush, Kenneth, Andrews, Steven, Siddiqui, Nashat, Brown, Lochlin M. and Ross, Mark (2015) Capitellar fractures-is open reduction and internal fixation necessary?. Journal of Orthopaedic Trauma, 29 1: 50-53. doi:10.1097/BOT.0000000000000148

Author Cutbush, Kenneth
Andrews, Steven
Siddiqui, Nashat
Brown, Lochlin M.
Ross, Mark
Title Capitellar fractures-is open reduction and internal fixation necessary?
Journal name Journal of Orthopaedic Trauma   Check publisher's open access policy
ISSN 0890-5339
Publication date 2015-01-01
Sub-type Article (original research)
DOI 10.1097/BOT.0000000000000148
Open Access Status Not Open Access
Volume 29
Issue 1
Start page 50
End page 53
Total pages 4
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Objective: The purpose of this retrospective study was to evaluate the medium-term to longer-term results of type 1 displaced capitellar fractures treated with closed reduction.

Design: Retrospective case series.

Patients: Eight consecutive cases (7 adults; 1 child) with type 1 capitellar fractures.

Intervention: Closed reduction of type 1 capitellar fractures and 4 weeks of postreduction immobilization.
Outcome Measures: Complications (including radiographic), Disabilities of the Arm, Shoulder, and Hand Score, and active elbow range of motion.

Results: Average follow-up was 41.6 months (range, 18–77 months). All 8 fractures were united. The patients obtained near full return of the range of motion when compared with the uninjured contralateral side. Mean average Disabilities of the Arm, Shoulder, and Hand Score scores were 4.36 (SD, 2.68; Range, 0–9). No complications were observed.

Conclusions: This study demonstrated that type 1 capitellar fractures can be treated successfully with closed reduction and cast immobilization.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Keyword Humeral fracture
Elbow joint
Intraarticular fracture
Treatment outcome
Follow-up study
Recovery of function
Humeral Capitellum
Closed Reduction
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
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