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Approaching Unusual Pediatric Distal Humerus Fracture Patterns

Anari, Jason B., MD; Arkader, Alexandre, MD; Spiegel, David A., MD; Baldwin, Keith D., MD, MSPT, MPH

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: May 1, 2019 - Volume 27 - Issue 9 - p 301–311
doi: 10.5435/JAAOS-D-17-00326
Review Article

Pediatric distal humerus fractures are common, and numerous variations can occur depending on patient's age, position of the extremity at the time of injury, and energy of impact. Classic injury patterns include the flexion/extension supracondylar humerus, medial epicondyle, lateral condyle, and the transphyseal distal humerus. We describe our treatment philosophy for pediatric elbow fractures and how these principles were applied to some unusual fractures that presented to our institution.

From the Department of Pediatric Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA.

Dr. Spiegel or an immediate family member serves as a board member, owner, officer, or committee member of the Pediatric Orthopaedic Society of North America Global Courses Committee and the American Academy of Orthopaedic Surgeons International Committee, Board of Directors, and Orthopaedics Overseas. Dr. Baldwin or an immediate family member serves as a paid consultant to Pfizer and Synthes Trauma and has stock or stock options held in Pfizer. Neither of the following authors nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Anari and Dr. Arkader.

© 2019 by American Academy of Orthopaedic Surgeons
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