Surgical Technique for Closed Reduction and Percutaneous Pinning of Pediatric Lateral Humeral Condyle Fractures

Vincent W. Prusick; Nicholas J. Dantzker; Alexander A. Hysong; Megan Johnson; Gregory A. Mencio; Christopher M. Stutz; Jonathan G. Schoenecker

doi:10.1097/BTO.0000000000000330

Surgical Technique for Closed Reduction and Percutaneous Pinning of Pediatric Lateral Humeral Condyle Fractures

Vincent W. Prusick
, Nicholas J. Dantzker
, Alexander A. Hysong
, Megan Johnson
, Gregory A. Mencio
, Christopher M. Stutz
, Jonathan G. Schoenecker

College of Medicine

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Lateral condyle fractures are intra-articular injuries of the distal humerus and are the second most common elbow fracture in pediatric patients. When these fractures involve significant displacement, anatomic reduction of the lateral condyle fragment is commonly achieved using open reduction techniques. Although a technique for closed reduction of lateral condyle fractures has been proposed in the literature, an instructional, step-by-step description of such a technique has yet to be published. We have built upon the previously published closed reduction technique by focusing on the pathomechanism of injury, with the goal of making successful closed reduction more reliably reproducible across treating surgeons. Specifically, this article provides step-by-step descriptions of the proposed mechanism of injury, reduction technique, pinning technique, arthrogram/casting technique, and suggested follow-up for pediatric patients with lateral humeral condyle fractures.

Original language	English
Pages (from-to)	145-150
Number of pages	6
Journal	Techniques in Orthopaedics
Volume	35
Issue number	2
DOIs	https://doi.org/10.1097/BTO.0000000000000330
State	Published - 2020

Bibliographical note

Publisher Copyright:
© 2020 Lippincott Williams and Wilkins. All rights reserved.

Funding

From the Departments of *Orthopaedics and Rehabilitation; †Pediatrics; ∥Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center; ¶Department of Pharmacology, Vanderbilt University; ‡Vanderbilt University School of Medicine, Nashville, TN; and §Texas Scottish Rite Hospital for Children, Pediatric Orthopaedic Surgery, Dallas, TX. V.W.P., N.J.D., and A.A.H. contributed equally. Supported by the Vanderbilt Department of Orthopaedics and Rehabilitation, Nashville, TN; The Caitlin Lovejoy Foundation, Nashville, TN. The authors declare that they have nothing to disclose. For reprint requests, or additional information and guidance on the techniques described in the article, please contact Jonathan G. Schoenecker, MD, PhD, at [email protected] or by mail at 4202 Doctor’s Office Tower, 2200 Children’s Way, Nashville, TN 37232. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website, www.techortho.com. Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Funders
Caitlin Lovejoy Foundation
Vanderbilt Department of Orthopaedics and Rehabilitation

Keywords

arthrogram
closed reduction
lateral humeral condyle fracture
pediatrics
percutaneous pinning
technique

ASJC Scopus subject areas

Orthopedics and Sports Medicine

Access to Document

10.1097/BTO.0000000000000330

Cite this

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title = "Surgical Technique for Closed Reduction and Percutaneous Pinning of Pediatric Lateral Humeral Condyle Fractures",

abstract = "Lateral condyle fractures are intra-articular injuries of the distal humerus and are the second most common elbow fracture in pediatric patients. When these fractures involve significant displacement, anatomic reduction of the lateral condyle fragment is commonly achieved using open reduction techniques. Although a technique for closed reduction of lateral condyle fractures has been proposed in the literature, an instructional, step-by-step description of such a technique has yet to be published. We have built upon the previously published closed reduction technique by focusing on the pathomechanism of injury, with the goal of making successful closed reduction more reliably reproducible across treating surgeons. Specifically, this article provides step-by-step descriptions of the proposed mechanism of injury, reduction technique, pinning technique, arthrogram/casting technique, and suggested follow-up for pediatric patients with lateral humeral condyle fractures.",

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AU - Mencio, Gregory A.

AU - Stutz, Christopher M.

AU - Schoenecker, Jonathan G.

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N2 - Lateral condyle fractures are intra-articular injuries of the distal humerus and are the second most common elbow fracture in pediatric patients. When these fractures involve significant displacement, anatomic reduction of the lateral condyle fragment is commonly achieved using open reduction techniques. Although a technique for closed reduction of lateral condyle fractures has been proposed in the literature, an instructional, step-by-step description of such a technique has yet to be published. We have built upon the previously published closed reduction technique by focusing on the pathomechanism of injury, with the goal of making successful closed reduction more reliably reproducible across treating surgeons. Specifically, this article provides step-by-step descriptions of the proposed mechanism of injury, reduction technique, pinning technique, arthrogram/casting technique, and suggested follow-up for pediatric patients with lateral humeral condyle fractures.

AB - Lateral condyle fractures are intra-articular injuries of the distal humerus and are the second most common elbow fracture in pediatric patients. When these fractures involve significant displacement, anatomic reduction of the lateral condyle fragment is commonly achieved using open reduction techniques. Although a technique for closed reduction of lateral condyle fractures has been proposed in the literature, an instructional, step-by-step description of such a technique has yet to be published. We have built upon the previously published closed reduction technique by focusing on the pathomechanism of injury, with the goal of making successful closed reduction more reliably reproducible across treating surgeons. Specifically, this article provides step-by-step descriptions of the proposed mechanism of injury, reduction technique, pinning technique, arthrogram/casting technique, and suggested follow-up for pediatric patients with lateral humeral condyle fractures.

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Surgical Technique for Closed Reduction and Percutaneous Pinning of Pediatric Lateral Humeral Condyle Fractures

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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