Intra articular fractures of distal humerus in adults: Clinical profile

Author(s): Dr. Suganthi David D and Dr. Anil Kumar SD

Abstract: Non-articular medial epicondyle is closely related to ulnar nerve and is the point of attachment of ulnar collateral ligament. The articular surface of distal humerus makes an angle 4-8° valgus with shaft axis. The articular segment projects anteriorly to the shaft at an angle of 40°. Medial epicondyle is in projected axis of shaft while lateral epicondyle is projected slightly forward from the axis. The study was conducted in Medical College, and there were 14 cases in the study in which 9 were males and 5 females. Age of the patients ranged between 25 years and 75 years with an mean age of 48.2 years. Among the 14 cases, 8 were caused by fall (57%) and six were caused by Road Traffic accidents (43%). Among the 8 patients operated before meantime of 6 day, 7 patients (88%) had acceptable outcome (average score 86.4%) and one had unacceptable outcome (score 70%). Among the 6 patients operated after 6 days, 3 had acceptable outcome (average score 83.33%) and 3 patients had non-acceptable outcome (average score 58.3%).

DOI: https://doi.org/10.22271/ortho.2019.v5.i1g.70