Review
Pediatrics
Tim F. F. Saris, Denise Eygendaal, Bertram The, Joost W. Colaris, Christiaan J. A. van Bergen
Summary: Lateral humeral condyle fractures are commonly seen in children and carry a high risk of complications. The most common cause is a fall on the outstretched arm with forearm supination. Diagnosis can be confirmed through a physical examination and additional imaging. Treatment options vary based on the severity of the fracture and can include cast immobilization, closed reduction with percutaneous fixation, and open reduction with fixation. Complications such as overgrowth of the lateral condyle, infections, stiffness, deformities, and impaired healing may occur, making adequate follow-up important.
Review
Orthopedics
Yoon Joo Cho, Se Hyun Kang, Mu Hyun Kang
Summary: A meta-analysis comparing the outcomes of K-wire fixation and screw fixation for the treatment of lateral condyle fractures in pediatric patients showed that screw fixation reduces the risk of infection and limitation of range of motion compared to K-wire fixation.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Pediatrics
Huanan Bai, Qingda Lu, Xiaoju Liang, Xiaoming Wang, Yating Yang, Huan Wang, Jiaju Wang, Qiang Jie
Summary: This study aims to find the optimal arrangement of Kirschner wire (K-wire) in the sagittal plane for fixing pediatric lateral condylar humeral fractures. By using finite element analysis, a model of the fracture was developed and different configurations of K-wire were evaluated. The results showed that an angle of -60 degrees between the two pins in the sagittal plane provided the highest level of stability, with divergent configurations being superior to parallel pinning at this angle.
FRONTIERS IN PEDIATRICS
(2023)
Review
Orthopedics
Liu Yang, Feng Xia, Jia-chao Guo, Xiao-lin Wang, Jin-peng He, Jing-fan Shao
Summary: This case report presents a rare nonunion humeral medial condyle fracture (HMCF) in a 5-year-old patient caused by excessive functional exercise. The case highlights the rarity and low radiographic appearance of displaced HMCF in children, which can easily be overlooked. The authors emphasize the importance of vigilance and early re-examination and treatment in adolescents, regardless of the presence of symptoms or imaging abnormalities, to avoid complications.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Pediatrics
Giovanni Trisolino, Diego Antonioli, Giovanni Gallone, Stefano Stallone, Paola Zarantonello, Piergiuseppe Tanzi, Eleonora Olivotto, Luca Stilli, Giovanni Luigi Di Gennaro, Stefano Stilli
Summary: This retrospective study assesses outcomes in 27 children with neglected LHC fractures undergoing different treatments, finding that prolonged time interval between injury and treatment, as well as major perioperative complications, negatively impact treatment outcomes. The study highlights the need for widely agreed guidelines for surgical management in neglected LHC fractures.
Article
Orthopedics
Sangbin Jeon, Wooyeol Ahn, Jongbeom Oh, Jaiwoo Chung, Junwon Choi, Soonchul Lee
Summary: This study investigated the stability of different K-wire configurations for fixation of a lateral condyle fracture. The results showed that two divergent K-wires provided the most stability.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Yang Qi, Lin Guo, Man Sun, Zhi Wang
Summary: MRI is superior to radiographs in evaluating and diagnosing pediatric HLCFs and their stability. The coronal 3D-FS-FSPGR/3D-FSPGR sequence is significant in diagnosing osteochondral fractures in HLCFs. MRI can provide important clinical value for treatment decisions of HLCFs without significant displacement.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Medicine, General & Internal
Ijezie A. Ikwuezunma, Krishna Suresh, Derek T. Nhan, Barry R. Bryant, Ronak N. Kotian, R. Jay Lee
Summary: The study retrospectively reviewed data on acute lateral humeral condyle fractures treated at a level-1 pediatric trauma center from 2008 to 2017. Patient-reported outcomes did not significantly differ between different treatment or reduction types. Stabilization with cannulated screws resulted in significantly higher rates of return to the operating room compared to Kirschner wires.
Article
Orthopedics
Xing Wu, Xiongtao Li, Shaowei Yang, Si Wang, Jingdong Xia, Xiaoliang Chen, Xiantao Shen
Summary: Ultrasound and arthrography evaluations of the integrity of the cartilage hinge status are highly consistent and can be used as a complementary tool to predict the integrity of the cartilage hinge status in children with minimally displaced lateral humeral condyle fractures.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Review
Orthopedics
Suyue Zhu, Yan Zheng, Yazhou Jiang, Hanjun Yin, Dongsheng Zhu
Summary: This meta-analysis compared two different management options for Song stage 2-4 lateral condyle humeral fractures in children and found that there was no significant difference in clinical outcomes between closed reduction and percutaneous pinning, and open reduction and internal fixation.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Surgery
Changzong Deng, Zhien Shen, Kai Wang, Wenbin Xu, Weibin Du, Wei Zhuang
Summary: This research investigated the effectiveness of percutaneous Kirschner wire fixation in children with Jacob II and III lateral humeral condyle fractures. The results showed that percutaneous Kirschner wire fixation had good outcomes in terms of fracture reduction and healing, as well as satisfactory elbow function recovery without significant complications.
FRONTIERS IN SURGERY
(2022)
Article
Orthopedics
Aymen Ben Fredj, Hedi Rbai, Farouk Chatbouri, Marouene Berriri, Abderrahmen Daadoucha, Anouar Boughattas
Summary: The aim of this study was to evaluate the clinical and radiographic outcomes of using combined intramedullary and lateral wires for treatment of displaced supracondylar humeral fractures in paediatric patients. The results showed that this method achieved satisfactory functional and cosmetic outcomes in patients. This technique also has unique advantages for the treatment of infracondylar fractures and fractures with anterior displacement.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Medicine, General & Internal
Rony-Orijit Dey Hazra, Johanna Illner, Karol Szewczyk, Mara Warnhoff, Alexander Ellwein, Robert Maximillian Blach, Helmut Lill, Gunnar Jensen
Summary: This study aimed to investigate whether age predicts the functional outcome of locking plate osteosynthesis for proximal humeral fractures. The results showed comparable functional outcomes and complication rates in both age groups, suggesting that treatment decisions should be based on fracture morphology and individual patient factors.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Ali Lari, Ahmad Alenezi, Jarrah Abughaith, Haitham AlShehawy, Wael Hammady, Saleh AlSaifi
Summary: This study evaluates the utility of intraoperative arthrography and plain radiography in managing pediatric lateral humeral condyle fractures (LHCF) with a displacement of 1-5 mm. It finds that the degree of displacement measured on plain radiography is insufficient in predicting articular integrity for fractures in this range. Arthrography guides reduction method and adequacy, avoiding unnecessary open reduction and insufficient closed reduction. Furthermore, a significant number of patients have intact articular hinges above 4 mm displacement and disrupted hinges below 2 mm displacement. Favorable outcomes were achieved with early operative treatment.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Man He, Qian Wang, Jingxin Zhao, Yu Wang
Summary: The study demonstrated that ultra-early rehabilitation treatment can significantly expedite recovery after surgery and improve elbow function in children and adolescents with supracondylar humeral fractures.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Pediatrics
Johannes Wirmer, Michael Sennert, Ahmed T. Hadidi
Summary: This study shows that short anogenital distance is a helpful marker of the severity of chordee and hypospadias. Patients with glanular hypospadias and short anogenital distance have a 38% chance of having severe chordee.
JOURNAL OF PEDIATRIC UROLOGY
(2021)
Article
Pediatrics
Michael Sennert, Johannes Wirmer, Ahmed T. Hadidi
Summary: This study reports glans and penile dimensions in 1023 consecutive boys with hypospadias. It found that about a third of distal hypospadias patients have a small glans, while two-thirds of proximal hypospadias patients and more than 90% of perineal hypospadias patients have a small glans.
JOURNAL OF PEDIATRIC UROLOGY
(2022)
Article
Pediatrics
Michael Sennert, Christina Perske, Johannes Wirmer, Mohammed Fawzy, Ahmed T. Hadidi
Summary: This study examines the urethral plate and underlying tissues in children with severe chordee associated with proximal hypospadias. The researchers found that these patients had different structures in their urethral plate and underlying tissues compared to normal urethra. Lack of elastic fibers may explain the rigidity of the ventral penis causing chordee, and the disorganized distribution of smooth muscle fibers suggests hypoplastic corpus spongiosum. Abnormal large blood sinusoids may explain the poor healing quality observed in patients with severe chordee. The study also supports a two-stage procedure for the management of proximal hypospadias with severe chordee.
JOURNAL OF PEDIATRIC UROLOGY
(2022)