Navigating a Rare Type IV Capitellar fracture: A Case Report and Comprehensive Literature Review.
ABSTRACT Capitellar fractures are rare, it accounts 1% of elbow fractures, and can be challenging to diagnose initially. Distinctive "double arc sign" on lateral elbow radiograph is pathogonomic. 3D CT scans is . ORIF is the preferred treatment, but the choice of fixation methods lacks...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Khesar Gyalpo University of Medical Sciences of Bh
2023-11-01
|
| Series: | Bhutan Health Journal |
| Subjects: | |
| Online Access: | https://www.bhj.com.bt/index.php/bhj/article/view/357 |
| _version_ | 1797447944047165440 |
|---|---|
| author | Damcho Tshering |
| author_facet | Damcho Tshering |
| author_sort | Damcho Tshering |
| collection | DOAJ |
| description |
ABSTRACT
Capitellar fractures are rare, it accounts 1% of elbow fractures, and can be challenging to diagnose initially. Distinctive "double arc sign" on lateral elbow radiograph is pathogonomic. 3D CT scans is . ORIF is the preferred treatment, but the choice of fixation methods lacks consensus, although headless compression screws are commonly used.
This case report presents a Type IV capitellar fracture in a 14-year-old boy resulting from a fall. The patient underwent successful ORIF using 4.0mm cannulated screws inserted posterior to anterior without penetrating joint surface, leading to complete functional recovery. At the 6-month follow-up, the patient exhibited robust healing without signs of capitellar avascular necrosis (AVN).The case underscores the significance of clinical suspicion and meticulous radiographic evaluation to avoid overlooking capitellar fractures. Moreover, it showcases the effectiveness of cannulated screws as a viable alternative in the absence of headless compression screws, offering comparable stability and excellent functional outcomes.
|
| first_indexed | 2024-03-09T14:03:14Z |
| format | Article |
| id | doaj.art-c3b08e95732c47ed928f2b828f66921e |
| institution | Directory Open Access Journal |
| issn | 2413-2993 2415-1114 |
| language | English |
| last_indexed | 2024-03-09T14:03:14Z |
| publishDate | 2023-11-01 |
| publisher | Khesar Gyalpo University of Medical Sciences of Bh |
| record_format | Article |
| series | Bhutan Health Journal |
| spelling | doaj.art-c3b08e95732c47ed928f2b828f66921e2023-11-30T06:46:03ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142023-11-019210.47811/bhj.162Navigating a Rare Type IV Capitellar fracture: A Case Report and Comprehensive Literature Review.Damcho Tshering0 Department of Orthopaedics, Wangdue Hospital, Wangdue Phodrang, Bhutan ABSTRACT Capitellar fractures are rare, it accounts 1% of elbow fractures, and can be challenging to diagnose initially. Distinctive "double arc sign" on lateral elbow radiograph is pathogonomic. 3D CT scans is . ORIF is the preferred treatment, but the choice of fixation methods lacks consensus, although headless compression screws are commonly used. This case report presents a Type IV capitellar fracture in a 14-year-old boy resulting from a fall. The patient underwent successful ORIF using 4.0mm cannulated screws inserted posterior to anterior without penetrating joint surface, leading to complete functional recovery. At the 6-month follow-up, the patient exhibited robust healing without signs of capitellar avascular necrosis (AVN).The case underscores the significance of clinical suspicion and meticulous radiographic evaluation to avoid overlooking capitellar fractures. Moreover, it showcases the effectiveness of cannulated screws as a viable alternative in the absence of headless compression screws, offering comparable stability and excellent functional outcomes. https://www.bhj.com.bt/index.php/bhj/article/view/357Capitellar fracture; Capitellum; Case report; Coronal shear fracture; Distal Humerus. |
| spellingShingle | Damcho Tshering Navigating a Rare Type IV Capitellar fracture: A Case Report and Comprehensive Literature Review. Bhutan Health Journal Capitellar fracture; Capitellum; Case report; Coronal shear fracture; Distal Humerus. |
| title | Navigating a Rare Type IV Capitellar fracture: A Case Report and Comprehensive Literature Review. |
| title_full | Navigating a Rare Type IV Capitellar fracture: A Case Report and Comprehensive Literature Review. |
| title_fullStr | Navigating a Rare Type IV Capitellar fracture: A Case Report and Comprehensive Literature Review. |
| title_full_unstemmed | Navigating a Rare Type IV Capitellar fracture: A Case Report and Comprehensive Literature Review. |
| title_short | Navigating a Rare Type IV Capitellar fracture: A Case Report and Comprehensive Literature Review. |
| title_sort | navigating a rare type iv capitellar fracture a case report and comprehensive literature review |
| topic | Capitellar fracture; Capitellum; Case report; Coronal shear fracture; Distal Humerus. |
| url | https://www.bhj.com.bt/index.php/bhj/article/view/357 |
| work_keys_str_mv | AT damchotshering navigatingararetypeivcapitellarfractureacasereportandcomprehensiveliteraturereview |