Incidence, treatment techniques, and results of distal humeral coronal shear fractures in children and adolescents —a multicenter study of the German Section of Pediatric Traumatology (SKT)

ConclusionIn pediatric patients CSFs start to occur at the age of 10, but are typically observed at the age of 13 and older. Because of their intraarticular nature and predilection toward displacement, these fractures are frequently treated operatively. The surgical strategy requires open reduction and anatomic reconstruction of the articular surface. Stable internal fixation, most often achieved by screws, permits early mobilization and leads to good outcomes in most cases. This is presumably due to the fact that mostly simple fractures occur in children and mostly complex injuries in older adults.Level of evidence: III, retrospective analysis.
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research