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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

Journal of Medical Case Reports 1/2012

An unusual case of an isolated capitellar fracture of the right elbow in a child: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2012
Autoren:
José António Gonçalves Pestana, Ana Patrícia Macedo França, António Pedro Tomás Cunha Freitas, Bruno Tertuliano Jales, Cristina Alves, Fabíola Ferreira, Manuel Correia Ramos, Mário Pereira
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-6-57) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

JAGP was the main author and performed the clinical assessment, follow-up and the bibliographic research. APMF performed the clinical assessment, the surgery and the follow-up. APTCF performed the surgery and the bibliographic research. CA performed the clinical assessment and the surgery, and was a major contributor in writing the manuscript. MCR was a major contributor in writing the manuscript. MP was a major contributor in writing the manuscript. BTJ performed the clinical assessment and the bibliographic research. FF performed the clinical assessment and the bibliographic research. All authors have read and approved the final manuscript.

Abstract

Introduction

Although elbow fractures have a high incidence in the pediatric population, fractures of the capitellum are almost exclusively observed in individuals older than 12 years of age. Due to their rarity in children, reports with large numbers of cases are lacking in the literature and the surgical treatment options are poorly defined.

Case presentation

We present the case of an 11-year-old Portuguese girl with a displaced fracture of the capitellum of the right elbow, a typical Hahn-Steinthal or Type 1 fracture, which was followed for one year. The treatment and outcome of this fracture are described. Our patient underwent an open reduction and internal fixation with two cannulated screws. There were no complications and normal elbow function was recovered.

Conclusion

The authors believe that cannulated screw fixation is a reliable method of treatment for Type 1 capitellar fracture in children because it enables good interfragmentary compression, early mobilization, faster functional elbow recovery and implant removal is rarely necessary.

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