M. Milzsch (Halle)  

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6 Years  

Female  

Arm-Bones  

physical  

6 year-old girl, after falling from her bicycle. Swelling, pain in the elbow-joint, functio laesia, no vasculature dysfunctions, no somatic or motor nerve deficiencies.

Surgery, Kirschner-Wire Fixation in an anatomically, axially correct position without rotational mistake. After 3 years, however, angular malalignment -19° - regarding the flexion axis in the elbow joint, causing varus malposition, slight rotational deficiency.  

Due to the mechanism of trauma, the physeal space in the sense of a physeal space-crash trauma changes. Result can be a premature closure of the space. Particularly, the partial epiphyseal closure can lead to deviations in the axis. A secondary treatment possibility is the correction osteotomy after growth has ceased. A primary treatment after such a trauma is not possible.  

<- view X-Ray 1

X-ray 1: Emergency image: Supracondylar humeral fracture with dislocation of the condylar plate radially and dorsally.




<- view X-Ray 2

X-ray 2: after strategic fixation through 2 Kirschner wires: correct axis position, no rotation mistake. This image is a follow up 2 months after trauma.




<- view X-Ray 3

X-ray 3: 3 years after trauma: premature closure of the physeal gap at the ulnar condylus, thereby causing an axis deviation of -19°.



 

Total constellation (Consens)  

N/A  

Early arthrosis and functional diminishing are expected.  

N/A  

N/A  

N/A  

Swelling, pain, elbow joint, elbow, premature closure, epiphysis, epiphyseal gap, premature closure of the Epiphysis, distal Humerus epiphysis, transcondylar humerus fracture, child, childhood, pediatric radiology  

M Milzsch. Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture. PedRad [serial online] vol 2, no. 3.
URL: www.PedRad.info/?search=20020317213205