J Korean Orthop Assoc.  1996 Oct;31(5):1030-1035. 10.4055/jkoa.1996.31.5.1030.

Internal Fixation of Capitellar Fractures Using Herbert Screws: A Report of Three Cases

• Chang JD
• Choi SJ
• Ahn SC

• KMID: 2423716
• DOI: http://doi.org/10.4055/jkoa.1996.31.5.1030

Abstract

Capitellar fracture was first described by Hahn in 1853. It is rare, espically in children, and has been occurred 0.5% to 1% of incidence of all elbow injuries. Factures of the capitellum can involve a significant portion of the articular surfaces. It is desirable to reduce and internally fix the capitellar fragment, if possible, because this restores the artucular surface and augment joint stability. Three patients with displaced fractures of the capitellum(capitulum humeri) were treated by open reduction and internal fixation using Herbert screws, which stabilized the joint, allowed anatomical reduction, and gave rigid fixation. Postoperatively, early motion of the joint was allowed. All fractures were united without evidence of avascular necrosis and final follow-up was excellent.

Keyword

Humerus; Capitellar Fracture; Herbert screw

MeSH Terms

Child
Elbow
Follow-Up Studies
Humans
Humerus
Incidence
Joints
Necrosis