The Journal of Bone and Joint Surgery, Vol 62, Issue 1 46-51, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
Fracture-separation of the distal humeral epiphysis
JC DeLee, KE Wilkins, LF Rogers and CA Rockwood
Sixteen patients were seen with fracture-separation of the distal humeral
epiphysis. The difficulty that may be encountered in making the diagnosis
is thought to be partly responsible for the relative paucity of previous
reports of this condition. All sixteen patients revealed posteromedial
displacement of the distal humeral epiphysis on the initial roentgenogram.
Child-abuse was documented or suspected as a cause in six of the sixteen
fractures. Treatment consisted of closed reduction and immobilization with
the elbow in 90 degrees of flexion and the forearm pronated, for three
weeks. Post-injury cubitus varus, which developed in three patients and was
thought to be due to inadequate reduction, did not progress.