Functional Outcome following Capitellum Excision in Isolated Capitellum Fracture: A Case Series
Vol 05 Issue 1 | January 2024 | page: 15-17 | Saurav Narayan Nanda, Saswat Samant, Debashish Mishra, Sayashi
DOI: https://doi.org/10.13107/ojot.2024.v05i01.051
Received 02/07/2023; Reviewed 04/08/2023; Accepted 04/10/2023; Published 10/01/2024
Authors: Saurav Narayan Nanda [1], Saswat Samant [1], Debashish Mishra [1], Sayashi [1]
[1] Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Address of Correspondence
Dr Sayashi
Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Email: sayashi.96@gmail.com
Abstract
Background: Capitellum fractures are rare, and outcomes of fragment excision are reported by very few studies. The purpose of this study was to determine the range of motion and clinical outcomes for patients treated with capitellum excision.
Methods: Five patients with isolated capitellum fractures who underwent capitellum excision were retrospectively followed up for functional outcomes. The mechanism of injury, complications, type of fracture, and postoperative outcomes were assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) score and Oxford Elbow Score. Final elbow range of motion (ROM) and elbow instability were also evaluated.
Results: The clinical follow-up was 12 months. The final examination demonstrated an average elbow range of motion from 8.3 degrees to 123.3 degrees flexion. Patients had full forearm rotation, and there was no clinical evidence of elbow instability. The DASH score and Oxford Elbow Score had improved for the patients at the final follow-up.
Conclusion: Capitellum excision can provide good functional outcomes in cases where open reduction and internal fixation cannot offer a satisfactory fixation and postoperative functional range of motion.
Keywords: Capitellum fractures, Excision, Range of motion, Clinical outcomes
References
- Bryan RS, Morrey BF. Fractures of the distal humerus. In: Morrey BF, ed. The elbow and its disorders. Philadelphia: WB Saunders; 1985: 325.
- Mighell MA, Harkins D, Klein D, et al. Technique for internal fixation of capitellum and lateral trochlea fractures. J Orthop Trauma. 2006; 20(10): 699-704
- Alvarez E, Patel MR, Nimberg G, et al. Fracture of the capitulum humeri. J Bone Joint Surg Am. 1975; 57(8): 1093-1096
- Hahn NF. Fall von einer besonderes varietat der frakturen des ellenbogens. Z Wund Geburt. 1853; 6: 185.
- Dushuttle RP, Coyle MP, Zawadsky JP, et al. Fractures of the capitellum. J Trauma. 1985; 25(4): 317-321.
- Collert S. Surgical management of fracture of the captulum humeri. Acta Orthop Scand. 1977; 48(6): 603-606.
- Cottalorda J, Bourelle S. The often-missed Kocher-Lorenz elbow fracture. Orthop Traumatol Surg Res. 2009; 95(7): 547-550
- McKee MD, Jupiter JB. A contemporary approach to the management of complex fractures of the distal humerus and their sequelae. Hand Clin. 1994; 10(3): 479-494.
- McKee MD, Jupiter JB, Bamberger HB. Coronal shear fractures of the distal end of the humerus. J Bone Joint Surg Am. 1996; 78(1): 49-54.
- Ruchelsman DE, Tejwani NC, Kwon YW, et al. Open reduction and internal fixation of capitellar fractures with headless screws. Surgical technique. J Bone Joint Surg Am. 2009; 91(Suppl 2 Pt 1): 38-49.
- Poynton AR, Kelly IP, O’Rourke SK. Fractures of the capitellum—a comparison of two fixation methods. Injury. 1998; 29(5): 341-343.
| How to Cite this Article: Nanda SN, Samant S, Mishra D, Sayashi | Functional Outcome following Capitellum Excision in Isolated Capitellum Fracture: A Case Series | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01: 15-17 | https://doi.org/10.13107/ojot.2024.v05i01.051 |
