Distal Humeral Fractures

Fractures of the distal HUMERUS at the ELBOW JOINT.

Also Known As:

Humeral Fractures, Distal; Capitellar Fracture, Humeral; Capitellum Humeri Fractures; Capitellum Humerus Fractures; Distal Humeral Fracture; Distal Humerus Fracture; Fracture, Capitellum Humeri; Fracture, Capitellum Humerus; Fracture, Distal Humeral; Fracture, Distal Humerus; Fracture, Hahn-Steinthal; Fracture, Humeral Capitellar; Fracture, Humeral Trochlear; Fracture, Humerus Trochlear; Fracture, Intercondylar Humeral; Fracture, Intercondylar Humerus; Fracture, Kocher-Lorenz; Fractures, Humeral Capitellar; Fractures, Humeral Trochlear; Hahn Steinthal Fracture; Humeral Capitellar Fracture; Humeral Fracture, Distal; Humeral Fracture, Intercondylar; Humeral Trochlear Fracture; Humeri Fracture, Capitellum; Humerus Fracture, Capitellum; Humerus Fracture, Distal; Humerus Fracture, Intercondylar; Humerus Trochlear Fracture; Humerus Trochlear Fractures; Intercondylar Humeral Fracture; Intercondylar Humerus Fracture; Kocher Lorenz Fracture; Trochlear Fracture, Humeral; Trochlear Fracture, Humerus; Capitellum Humeri Fracture; Capitellum Humerus Fracture; Distal Humerus Fractures; Hahn-Steinthal Fracture; Humeral Capitellar Fractures; Humeral Trochlear Fractures; Intercondylar Humeral Fractures; Intercondylar Humerus Fractures; Kocher-Lorenz Fracture; Lateral Condylar Fracture of Humerus; Lateral Condylar Fractures of Humerus; Lateral Condyle Fracture of Humerus; Lateral Condyle Fractures of Humerus; Lateral Epicondylar Fracture of Humerus; Lateral Epicondylar Fractures of Humerus; Lateral Epicondyle Fracture of Humerus; Lateral Epicondyle Fractures of Humerus; Lateral Epicondyle Fractures of the Elbow; Lateral Humeral Condyle Fractures; Supracondylar Distal Humeral Fracture; Supracondylar Distal Humeral Fractures; Supracondylar Distal Humerus Fracture; Supracondylar Distal Humerus Fractures; Trochlear Fractures, Humerus

Networked: 312 relevant articles (17 outcomes, 58 trials/studies)

Relationship Network

Disease Context: Research Results

Wounds and Injuries: 176426
- Bone Fractures: 3857
  - Humeral Fractures: 1089
    - Distal Humeral Fractures: 312
  - Elbow Fractures: 94
    - Distal Humeral Fractures: 312
- Arm Injuries: 16
  - Humeral Fractures: 1089
    - Distal Humeral Fractures: 312
  - Elbow Injuries: 81
    - Elbow Fractures: 94
      - Distal Humeral Fractures: 312

Related Diseases

1.	Arthritis (Polyarthritis)
2.	Wounds and Injuries (Trauma)
3.	Osteoarthritis
4.	Rheumatoid Arthritis
5.	Heterotopic Ossification (Ectopic Ossification)

Experts

1.	Sanchez-Sotelo, Joaquin: 9 articles (09/2021 - 07/2007)
2.	Müller, L P: 8 articles (09/2022 - 12/2010)
3.	Morrey, Bernard F: 7 articles (09/2021 - 05/2004)
4.	King, Graham J W: 6 articles (01/2021 - 01/2014)
5.	Athwal, George S: 5 articles (01/2021 - 04/2008)
6.	Wegmann, K: 4 articles (09/2022 - 08/2013)
7.	Rotini, Roberto: 4 articles (05/2022 - 01/2016)
8.	Egol, Kenneth A: 4 articles (10/2021 - 09/2007)
9.	Adolfsson, Lars: 4 articles (04/2019 - 10/2006)
10.	Burkhart, K J: 4 articles (09/2014 - 12/2010)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Distal Humeral Fractures:

1.	TeaIBA 01/01/2009 - "TEA for the treatment of comminuted intra-articular distal humeral fractures resulted in more predictable and improved 2-year functional outcomes compared with ORIF, based on the MEPS. " 09/29/2023 - "The aim of this study was to compare the functional outcome of EHA and TEA for the treatment of unreconstructable distal humeral fractures in elderly patients. " 09/29/2022 - "This study aimed to pool and analyze the outcomes and complications in elderly patients with distal humeral fractures treated with either ORIF or TEA by performing a meta-analysis. " 01/01/2021 - "The aim of the current study was to review the outcomes and complications using a cemented convertible TEA system in a linked configuration in patients with distal humeral fractures. " 06/01/2020 - "This study aimed to compare the clinical and functional outcomes of ORIF and TEA for managing intra-articular distal humerus fractures in patients aged 65 years or older. "
2.	ElementsIBA 01/01/2022 - "Length of Plates and Number of Screws for the Fixation of Distal Humerus Fractures: A Finite Element Biomechanical Study." 12/01/2021 - "This study attempts to analyse the biomechanical effect of internal fixation (plated in parallel or plated vertically) on the basis of distal humeral fractures on musculoskeletal multibody dynamics using AnyBody in Finite Element Method. " 03/01/2019 - "Comparison of biomechanical characteristics in treatment of distal humerus fracture using different fixation plates: A finite element study." 01/01/2016 - "Influence of Gap Shape on Biomechanical Properties of Extra-Articular Distal Humeral Fracture - A Finite Element Study" 01/01/2022 - "We performed a biomechanical analysis using the finite element method to assess the effects of plate length and the number of screws on construct stiffness, stress distribution, and fracture displacement in the fixation of type A2 distal humerus fractures. "
3.	aldosterone secretion inhibitory factor (ASIF)IBA 07/01/2013 - "Twenty-five patients with distal humeral fractures classified as type C according to the Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF) classification system, who were admitted to the Second Hospital Affiliated to Anhui Medical University (Hefei, China) from October 2008 to October 2011, were included in the study. " 08/15/2019 - "Ten patients were distal humerus fractures which were classified as type 13-B3 in 8 cases and type 13-C3 in 2 cases according to the International Association of Internal Fixation Research (AO/ASIF). " 07/01/2016 - "Retrospectively evaluated were 17 patients treated for type C distal humerus fracture according to AO/ASIF classification between January 2009 and January 2013. " 09/01/2011 - "The two-window approach is our preferred approach for all distal humerus fractures inclusively C3 fractures according to the ASIF/AO classification, except for complex volar shear fractures."
4.	Anesthetics (Anesthetic Agents)IBA 03/09/2023 - "Randomly allocated to either the control group (n = 51) or the study group (n = 55) were children with lateral humeral condyle fractures who were admitted to our hospital between October 2020 and October 2021, depending on the surgical anesthetic technique used. " 01/01/2023 - "Twenty-four patients with distal humerus fracture received ultrasound (US)-guided PHB as part of their perioperative anesthetic management. "
5.	TitaniumIBA 05/01/2021 - "This study aims to evaluate the mechanical performance of custom 3D-printed titanium plates in the treatment of distal humerus fractures. "
6.	N-acetyltalosaminuronic acid (NAT)IBA 01/01/2022 - "We found a 13-times-greater risk of NAT for children <3 years of age who sustain a displaced transphyseal distal humeral fracture compared with a displaced supracondylar fracture. " 01/01/2022 - "NAT was the cause for 6 (26%) of the displaced transphyseal distal humeral fractures and 4 (2%) of the displaced supracondylar fractures. " 01/01/2022 - "The purpose of this study was to determine and compare the incidence of NAT among displaced transphyseal distal humeral fractures and displaced supracondylar humeral fractures in children <3 years of age. " 01/01/2022 - "The associated risk of NAT was 13 times greater (95% confidence interval [CI], 4.05 to 43.7; p < 0.001) for children admitted for operative management of displaced transphyseal distal humeral fractures compared with those admitted for operative management of displaced supracondylar humeral fractures. " 01/01/2022 - "The transphyseal distal humeral fracture has been well described as a concerning fracture pattern for non-accidental trauma (NAT) in young pediatric patients. "
7.	antiarrhythmic peptide (AAP)IBA 08/01/2012 - "The aim of this study was to determine whether operative treatment of lateral humeral condyle fractures in children using Screw-wires (Orthofix GmbH, Ottobrunn, Germany) has any advantage over treatment with Kirschner wires ("K-wires") (aap-Implantate AG, Berlin, Germany). "
8.	O,O-diisopropyl-S-benzylthiophosphate (IBP)IBA 03/01/2008 - "This study reviews our experience with primary total elbow arthroplasty in the management of acute distal humeral fractures by use of the iBP unlinked elbow prosthesis. "
9.	SolutionsIBA 03/01/2016 - "Distal humerus fractures nonunion with elbow stiffness in working adults: Can triple tension band technique and Lambda Plate(®) be a standby solution?" 11/22/2021 - "We believe that the here presented modified approach could represent a solution that meets the modern demands for both ro-bust fixation and early mobilization, with minimal soft tissues damage around distal humeral fractures."
10.	MagnesiumIBA 12/19/2018 - "Herein, a patient who sustained a comminuted distal humeral fracture with multi-fragmentary osteochondral fragments is presented, and treatment with magnesium bioabsorbable compression screws is discussed." 12/19/2018 - "Fixation of Small Osteochondral Fragments in a Comminuted Distal Humerus Fracture with Magnesium Bioabsorbable Screws: A Case Report."

Therapies and Procedures

1.	Osteotomy 01/01/2014 - "The olecranon osteotomy provides better outcome than the triceps-lifting approach for the treatment of distal humerus fractures." 01/01/2020 - "We propose that geriatric comminuted intra-articular distal humerus fractures can be effectively treated with a limited fixation approach aimed at achieving varus/valgus stability with columnar fixation, but allowing intra-articular comminution to heal by secondary congruency against an intact olecranon, thus avoiding an olecranon osteotomy. " 01/01/2015 - "Determining the efficacy of screw and washer fixation as a method for securing olecranon osteotomies used in the surgical management of intraarticular distal humerus fractures." 05/01/2022 - "The purpose of this study was to assess and compare elbow range of motion, triceps extension strength and functional results of type C (AO/OTA) distal humerus fractures treated with bilateral triceps tendon (BTT) approach and olecranon osteotomy (OO). " 09/01/2021 - "Between January 2010 and December 2018, the study was initiated with 52 patients who underwent an olecranon osteotomy approach for an AO Type C distal humerus fracture. "
2.	Arthroplasty 12/01/2012 - "Total elbow arthroplasty is the current gold standard of treatment for unreconstructable distal humerus fractures; however, longevity of the implant remains a concern in younger, more active patients. " 12/15/2015 - "To evaluate the efficacy of total elbow arthroplasty in treatment of distal humeral fracture in the elderly. " 12/01/2020 - "Literatures were searched through PubMed, Ovid/Medline, Cochrane, Google Scholar, and Embase databases with the keywords, "distal humerus fracture," "total elbow arthroplasty," and "outcome" according to the MeSH (Medical Subject Headings) index for English-language studies published from April 2009 to April 2019. " 04/01/2019 - "Arthroplasty as primary treatment for distal humeral fractures produces reliable results with regards to revisions and adverse events: a registry-based study." 03/01/2005 - "The purpose of this study was to review the cases of patients with a distal humeral fracture that was treated with a noncustom total elbow arthroplasty. "
3.	Hemiarthroplasty 05/01/2019 - "Good outcome after elbow hemiarthroplasty in active patients with an acute intra-articular distal humeral fracture." 12/01/2012 - "This short-term review suggests that distal humerus hemiarthroplasty may be an effective treatment for certain distal humerus fractures. " 09/01/2023 - "The purpose of this study was to create a model to simulate treatment of unreconstructable distal humerus fractures with hemiarthroplasty. " 11/01/2021 - "The purpose of this study was to report results of elbow hemiarthroplasty for comminuted, intra-articular distal humerus fractures in low-demand elderly female patients. " 09/01/2018 - "Our study indicates that hemiarthroplasty is a viable option for comminuted distal humerus fracture. "
4.	External Fixators 05/01/2007 - "The use of a hinged external fixator for supplemental fixation of distal humerus fractures may be effective in cases where internal fixation is severely compromised, although displacements may increase above optimal fixation." 05/01/2008 - "We present a bilateral uniplanar mini-external fixator construct for the treatment of open intercondylar distal humeral fractures. " 05/01/2007 - "To assess improvements in fixation stability when a hinged unilateral external fixator is used to supplement compromised internal fixation for distal humerus fractures. " 08/01/2000 - "Use of a hinged external fixator for elbow instability after severe distal humeral fracture." 01/01/1999 - "Type 1-2 hybrid external fixator with tied-in intramedullary pin for treating comminuted distal humeral fractures in a dog and a cat."
5.	Elbow Replacement Arthroplasty 02/01/2010 - "To discuss the efficacy of total elbow replacement in the treatment of complex distal humeral fractures. " 06/01/2015 - "In two study centers, between 2003 and 2009, a total of 44 patients (34 women and 10 men) with an average age of 65 years were treated primarily (n = 19) or secondarily (n = 25) by semiconstrained total elbow replacement after distal humerus fractures. " 09/07/2023 - "Total elbow replacement (TER) is an accepted treatment for complex intra-articular distal humerus fractures in elderly patients. " 03/01/2020 - "High complication rate after open reduction and internal fixation can lead to use of primary total elbow replacement (TER) in treatment of complex distal humerus fractures in elderly patients. " 03/01/2020 - "Primary Total Elbow Replacement for Treatment of Complex Distal Humerus Fracture: Outcomes of Short-term Follow-up."