Fractures of the distal humeral articular surface

Adam A. Watts*, A. Morris, C. M. Robinson

*Corresponding author for this work

Research output: Contribution to journalArticle (journal)peer-review

60 Citations (Scopus)

Abstract

Fractures of the distal humeral articular surface which do not involve the medial and lateral columns are often more extensive than is apparent from plain radiographs. This retrospective study describes the epidemiology of this injury using modern classification systems and compares pre-operative radiography with operative findings. The study group included 79 patients with a mean age of 47 years (13 to 91). The annual incidence was 1.5 per 100 000 population, and was highest in women over the age of 60. The majority of the fractures (59; 75%) were sustained in falls from standing height. Young males tended to sustain more high-energy injuries with more complex fracture patterns. In 24% of cases (19) there was a concomitant radial head fracture. Classification from plain radiographs often underestimates the true extent of the injury and computed tomography may be of benefit in pre-operative planning, especially in those over 60 years of age.

Original languageEnglish
Pages (from-to)510-515
Number of pages6
JournalJournal of Bone and Joint Surgery - Series B
Volume89
Issue number4
DOIs
Publication statusPublished - 1 Apr 2007

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