소두를 가로지르는 소아 상완골 외과 골절의 진단과 치료 = Diagnosis and Treatment of the Lateral Condylar Fracture of Humerus Traversing the Capitulum in Children

다국어 초록 (Multilingual Abstract)

Purpose: To emphasize the importance of the oblique view of elbow in diagnosis of the lateral condylar fracture traversing the capitulum and to propose an appropriate treatment reducing the complication.
Materials and Methods: We analyzed eight cases of lateral condylar fracture traversing the capitulum among the 192 cases of lateral condylar fracture with preoperative and postoperative complete roentgenogram and medical record from April, 1992 to September, 1998.
Results: In seven cases, it was possible to diagnose as lateral condylar fracture of humerus in initial anteroposterior and lateral view, but it had a difficulty to decide whether fracture line traversing the capitulum. The oblique view provided accurate fracture line to diagnose. One case was diagnosed fracture line traversing the capitulum in lateral view. There was no considerable complications at 18 months follow up in average, except one case with malunion that was transferred from other hospital after operation.
Conclusion; To make a diagnosis of the lateral condylar fracture traversing capitulum, the oblique view is helpful. We considered that internal fixation is required because the fragment can be displaced progressively.