Surgical treatment of Hahn-Steinthal fracture using Herbert screws

Yassine Saadi; Alae Neqrachi; Moncif Boufettal; Rida-Allah Bassir; Mohamed Kharmaz; Mohamed Saleh Berrada

doi:10.1093/jscr/rjad673

Surgical treatment of Hahn-Steinthal fracture using Herbert screws

J Surg Case Rep. 2023 Dec 16;2023(12):rjad673. doi: 10.1093/jscr/rjad673. eCollection 2023 Dec.

Authors

Yassine Saadi¹, Alae Neqrachi¹, Moncif Boufettal¹, Rida-Allah Bassir¹, Mohamed Kharmaz¹, Mohamed Saleh Berrada¹

Affiliation

¹ Orthopaedic Surgery & Traumatology, University Mohamed V, Ibn Sina Hospital, Avenue des Nations Unies, Agdal, Rabat Maroc B.P:8007.N.U, Rabat, Morocco.

Abstract

Hahn-Steinthal fractures are rare and often neglected. Their initial management should be early, given the relatively high complication rate. We report eight cases of type I capitellum fractures treated by Herbert screw fixation. Between 2019 and 2022, we selected eight patients (six men and two women) with a mean age of 25 years (18-40 years). The mean follow-up was 2 years (1-3 years). Clinical results were assessed using the Mayo Clinic Elbow Performance Score (MEPS). The mean arc of mobilitý was 135° (105°-150°) for flexion/extension and 161° (150°-175°) for pronosupination. The mean MEPS was 90.6 points, with seven excellent results and one good result. The aim of this study was to highlight the good results of Herbert screw fixation technique in the management of Hahn-Steinthal fractures.

Keywords: Hahn–Steinthal; Herbert screw; fracture; humeral capitellum.

Publication types

Case Reports