TY - JOUR
T1 - Surgical Technique for Closed Reduction and Percutaneous Pinning of Pediatric Lateral Humeral Condyle Fractures
AU - Prusick, Vincent W.
AU - Dantzker, Nicholas J.
AU - Hysong, Alexander A.
AU - Johnson, Megan
AU - Mencio, Gregory A.
AU - Stutz, Christopher M.
AU - Schoenecker, Jonathan G.
N1 - Funding Information:
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 jon.schoenecker@vanderbilt.edu 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.
Publisher Copyright:
© 2020 Lippincott Williams and Wilkins. All rights reserved.
PY - 2020
Y1 - 2020
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.
KW - arthrogram
KW - closed reduction
KW - lateral humeral condyle fracture
KW - pediatrics
KW - percutaneous pinning
KW - technique
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U2 - 10.1097/BTO.0000000000000330
DO - 10.1097/BTO.0000000000000330
M3 - Article
AN - SCOPUS:85092257738
SN - 0885-9698
VL - 35
SP - 145
EP - 150
JO - Techniques in Orthopaedics
JF - Techniques in Orthopaedics
IS - 2
ER -