Abstract
Capitellar fractures are rare. If anatomy is not reconstructed accurately, elbow function is sub-optimal. Various studies have shown good outcome in Type I Hahn–Steinthal fractures. There is only one report of a bilateral capitellar fracture in the English literature so far. We report another case of the same. A 26-year-old mother slipped and fell on level ground. She sustained closed injury to both her elbows. Radiographs revealed bilateral, displaced Hahn–Steinthal fracture of the capitellum. She underwent open anatomic reduction and stabilisation with two partially threaded 4 mm cancellous screws, inserted from posterior to anterior. At 2 months, both fractures united. At final follow-up, 19 months post-operatively, she had full range of movement of both elbows. Anatomic reduction, stable internal fixation and early mobilisation of Type I Hahn–Steinthal capitellar fracture achieves excellent results.
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References
Clough TM, Jago ER, Sidhu DP, Markovic L (2001) Fractures of the capitellum: a new method of fixation using a maxillofacial plate. Clin Orthop Relat Res 384:232–236
Dubberley JH, Faber KJ, Macdermid JC, Patterson SD, King GJ (2006) Outcome after open reduction and internal fixation of capitellar and trochlear fractures. J Bone Joint Surg Am 88:46–54
Elkowitz SJ, Polatsch DB, Egol KA, Kummer FJ, Koval KJ (2002) Capitellum fractures: a biomechanical evaluation of three fixation methods. J Orthop Trauma 16:503–506
Hardy P, Menguy F, Guillot S (2002) Arthroscopic treatment of capitellum fracture of the humerus. Arthroscopy 18:422–426
Malki AA, Salloom FM, Wong-Chung J, Ekri AI (2000) Cannulated screw fixation of fractured capitellum: surgical technique through a limited approach. Injury 31:204–206
McKee MD, Jupiter JB (2003) Trauma to the adult elbow and fractures of the distal humerus. In: Browner B, Jupiter J (eds) Skeletal trauma: basic science, management and reconstruction. Saunders, Philadelphia, pp 1404–1480
McKee MD, Jupiter JB, Bamberger HB (1996) Coronal shear fractures of the distal end of the humerus. J Bone Joint Surg Am 78:49–54
Mehdian H, McKee MD (2000) Fractures of capitellum and trochlea. Orthop Clin North Am 31:115–127
Mosheiff R, Liebergall M, Elyashuv O, Mattan Y, Segal D (1991) Surgical treatment of fractures of the capitellum in adults: a modified technique. J Orthop Trauma 5:297–300
Poynton AR, Kelly IP, O’Rourke SK (1998) Fractures of the capitellum—a comparison of two fixation methods. Injury 29:341–343
Schindler OS (2003) Bilateral capitellum humeri fracture: a case report and review of the literature. J Orthop Surg 11:207–212
Silveri CP, Corso SJ, Roofeh J (1994) Herbert screw fixation of a capitellum fracture. A case report and review. Clin Orthop Relat Res 300:123–126
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Nithyananth, J.M., Cherian, V.M., Venkatesh, K. et al. Bilateral Hahn–Steinthal fracture: a case report and review of literature. Eur J Orthop Surg Traumatol 18, 395–397 (2008). https://doi.org/10.1007/s00590-008-0323-8
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DOI: https://doi.org/10.1007/s00590-008-0323-8