Arthroscopic treatment of capitellum fracture of the humerus

被引:54
作者
Hardy, P [1 ]
Menguy, F [1 ]
Guillot, S [1 ]
机构
[1] CHU Paris Ouest, Hop Ambroise Pare, Serv Chirurg Orthoped & Traumatol, F-92100 Boulogne, France
关键词
elbow arthroscopy; capitellum fracture; Hahn-Steinthal fracture; arthroscopic screw fixation;
D O I
10.1053/jars.2002.32238
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This case report presents a type I Hahn-Steinthal capitellum fracture treated by screw fixation under arthroscopic control. It is the first published case of the use of this technique. The 3 types of capitellum fractures and different methods for treatment are described: functional treatment, open surgery, and arthroscopic surgery. The arthroscopic approach allows a precise reduction and fixation of the articular fragment with a better evaluation of associated lesions compared with the open surgery. Arthroscopic fixation minimizes the damage to periarticular soft tissues and has a lower morbidity compared with open surgery.
引用
收藏
页码:422 / 426
页数:5
相关论文
共 17 条
[1]   FRACTURE OF CAPITULUM HUMERI [J].
ALVAREZ, E ;
PATEL, MR ;
NIMBERG, G ;
PEARLMAN, HS .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1975, 57 (08) :1093-1096
[2]  
Bryan RS, 1985, ELBOW ITS DISORDERS, P302
[3]  
DECOULX P, 1964, REV CHIR ORTHOP, V50, P265
[4]  
DISCHINO M, 1991, REV CHIR ORTHOP, V77, P432
[5]   FRACTURES OF THE CAPITELLUM [J].
DUSHUTTLE, RP ;
COYLE, MP ;
ZAWADSKY, JP ;
BLOOM, H .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1985, 25 (04) :317-321
[6]   Arthroscopic excision of type II capitellar fractures [J].
Feldman, MD .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 1997, 13 (06) :743-748
[7]  
Hahn NF, 1853, Z WUNDARTZE GEBURTSH Z WUNDARTZE GEBURTSH, V6, P185
[8]   FRACTURE OF THE HUMERAL CAPITELLUM FIXED WITH ABSORBABLE POLYGLYCOLIDE PINS - 1-YEAR FOLLOW-UP OF 8 ADULTS [J].
HIRVENSALO, E ;
BOSTMAN, O ;
PARTIO, E ;
TORMALA, P ;
ROKKANEN, P .
ACTA ORTHOPAEDICA SCANDINAVICA, 1993, 64 (01) :85-86
[9]  
JUDET J, 1957, Acta Orthop Belg, V23, P5
[10]   Fracture of the capitellum of the humerus [J].
Lee, WE ;
Summey, TJ .
ANNALS OF SURGERY, 1934, 99 :497-509