Management of nonunion of humeral medial condyle fracture: A case series and review of the literature

J Orthop Surg (Hong Kong). 2020 Jan-Apr;28(2):2309499020921755. doi: 10.1177/2309499020921755.

Abstract

Pediatric humeral medial condyle fracture (HMCF) is a rare condition and is difficult to detect, especially in young children. The management of late presentation of HMCF is challenging and lacks consensus. Herein, we reported four cases of HMCF nonunion received open reduction and internal fixation (ORIF) or supracondyle osteotomy from our institution. In addition, 12 cases of ORIF and 4 cases of osteotomy reported in the previous studies were also reviewed. The HMCF nonunion can heal after ORIF, but the indication and the optimal techniques need to be clarified. Supracondylar osteotomy alone is an effective and safe treatment option to improve the functional and cosmetic outcomes of HMCF nonunion.

Keywords: humeral medial condyle fracture; nonunion; osteotomy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Child, Preschool
  • Elbow Joint / diagnostic imaging
  • Elbow Joint / surgery
  • Female
  • Fracture Fixation, Internal / methods*
  • Fractures, Ununited / diagnosis
  • Fractures, Ununited / surgery*
  • Humans
  • Humeral Fractures / diagnosis
  • Humeral Fractures / surgery*
  • Male
  • Open Fracture Reduction / methods*
  • Osteotomy / methods
  • Radiography
  • Treatment Outcome
  • Young Adult