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Case Report
- T-Condylar Fracture of Distal Humerus in a Child: A Case Report
- Young-Ryeol Pae, M.D., Sang-Soo Kang, M.D., Hyeong-Min Kim, M.D., Min Jeong, M.D.
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Journal of the Korean Fracture Society 2014;27(3):232-236.
DOI: https://doi.org/10.12671/jkfs.2014.27.3.232
Published online: July 16, 2014
Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
- Address reprint requests to: Min Jeong, M.D. Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, 158 Paryong-ro, Masanhoewon-gu, Changwon 630-723, Korea. Tel: 82-55-290-6030, Fax: 82-55-290-6117, jeongmin3744@daum.com
• Received: May 9, 2013 • Revised: June 6, 2014 • Accepted: June 9, 2014
Copyright © 2014 The Korean Fracture Society. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
- T-condylar fracture is a type of distal humerus fracture. T-condylar fracture in children is rare, with reported incidence of less than 1% of T-condylar fractures. The mean reported age of T-condylar fracture in children is 11. Cases in children under 5 years-old are extremely rare. Herein, we report on a T-condylar fracture of the distal humerus in a 5-year-old boy. This patient was treated with open reduction and K-wire fixation through the posterolateral approach. The result of treatment was satisfactory; therefore, we report this case.
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Fig. 1Initial plain antero-posterior (AP) and lateral view of x-ray. (A) AP view of plain x-ray shows the intercondylar fracture line. (B) Lateral view of plain x-ray shows posterior displacement at the lateral condyle of the left distal humerus.
Fig. 2Pre-operative computed tomography (CT) image of the left elbow. (A) Axial view shows the supracondylar fracture line. (B) Lateral condylar fracture line is definite in the coronal view. (C) T-condylar fracture and posterior displacement of the lateral condyle is remarkable in 3-dimensional CT image.
Fig. 3Plain x-ray after open reduction and Kirschner wire fixation. (A) Antero-posterior view of plain x-ray shows reduced, anatomically. (B) Shaft-condylar angle was recovered on lateral view x-ray.
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Fig. 1
Initial plain antero-posterior (AP) and lateral view of x-ray. (A) AP view of plain x-ray shows the intercondylar fracture line. (B) Lateral view of plain x-ray shows posterior displacement at the lateral condyle of the left distal humerus.
Fig. 2
Pre-operative computed tomography (CT) image of the left elbow. (A) Axial view shows the supracondylar fracture line. (B) Lateral condylar fracture line is definite in the coronal view. (C) T-condylar fracture and posterior displacement of the lateral condyle is remarkable in 3-dimensional CT image.
Fig. 3
Plain x-ray after open reduction and Kirschner wire fixation. (A) Antero-posterior view of plain x-ray shows reduced, anatomically. (B) Shaft-condylar angle was recovered on lateral view x-ray.
Fig. 4
Five weeks after the operation, Kirschner-wires are removed. (A) Well-bone union is checked in the anteroposterior view of plain x-ray. (B) Posterior displacement is reduced successfully in lateral view of plain x-ray.
Fig. 5
Two years and seven months after surgery. (A) Valgus or varus deformity is not found in long bone view of plain x-ray. (B) 125 degrees of active elbow flexion was possible. (C) There was no flexion contracture at the elbow.
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T-Condylar Fracture of Distal Humerus in a Child: A Case Report
