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Distal Humerus Fracture
Andrew Sonin, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • May encompass variety of fracture subtypes
                • Supracondylar, transcondylar, and intercondylar fractures
            • Definitions

              • Any fracture involving distal humeral shaft &/or 1 or both humeral condyles

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        • Reporting Tips

                                          Selected References

                                          1. Scaglione M et al: The role of external fixation in the treatment of humeral shaft fractures: A retrospective case study review on 85 humeral fractures. Injury. 46(2):265-9, 2015
                                          2. Supakul N et al: Distal humeral epiphyseal separation in young children: an often-missed fracture-radiographic signs and ultrasound confirmatory diagnosis. AJR Am J Roentgenol. 204(2):W192-8, 2015
                                          3. Jacquot A et al: Usefulness and reliability of two- and three-dimensional computed tomography in patients older than 65 years with distal humerus fractures. Orthop Traumatol Surg Res. 100(3):275-80, 2014
                                          4. Mehlhoff TL et al: Distal humeral fractures: fixation versus arthroplasty. J Shoulder Elbow Surg. 20(2 Suppl):S97-106, 2011
                                          5. Nauth A et al: Distal humeral fractures in adults. J Bone Joint Surg Am. 93(7):686-700, 2011
                                          6. Ashwood N et al: Transarticular shear fractures of the distal humerus. J Shoulder Elbow Surg. 19(1):46-52, 2010
                                          7. Galano GJ et al: Current treatment strategies for bicolumnar distal humerus fractures. J Am Acad Orthop Surg. 18(1):20-30, 2010
                                          8. The AO Foundation. https://www.aofoundation.org/Structure/Pages/default.aspx. Accessed March 23, 2009
                                          9. Ruan HJ et al: Incidence, management, and prognosis of early ulnar nerve dysfunction in type C fractures of distal humerus. J Trauma. 67(6):1397-401, 2009
                                          10. Davies MB et al: A clinically applicable fracture classification for distal humeral fractures. J Shoulder Elbow Surg. 15(5):602-8, 2006
                                          11. Doornberg J et al: Two and three-dimensional computed tomography for the classification and management of distal humeral fractures. Evaluation of reliability and diagnostic accuracy. J Bone Joint Surg Am. 88(8):1795-801, 2006
                                          12. McCarty LP et al: Management of distal humerus fractures. Am J Orthop. 34(9):430-8, 2005
                                          13. O'Driscoll SW et al: Management of the smashed distal humerus. Orthop Clin North Am. 33(1):19-33, vii, 2002
                                          14. Ring D et al: Fractures of the distal humerus. Orthop Clin North Am. 31(1):103-13, 2000
                                          15. Hastings H 2nd et al: Fixation of complex elbow fractures, Part I. General overview and distal humerus fractures. Hand Clin. 13(4):703-19, 1997
                                          16. McKee MD et al: A contemporary approach to the management of complex fractures of the distal humerus and their sequelae. Hand Clin. 10(3):479-94, 1994
                                          17. Jupiter JB et al: Fractures of the distal humerus. Orthopedics. 15(7):825-33, 1992
                                          18. Wilkins KE: The operative management of supracondylar fractures. Orthop Clin North Am. 21(2):269-89, 1990
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • May encompass variety of fracture subtypes
                                                        • Supracondylar, transcondylar, and intercondylar fractures
                                                    • Definitions

                                                      • Any fracture involving distal humeral shaft &/or 1 or both humeral condyles

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              • Image Interpretation Pearls

                                                                                • Reporting Tips

                                                                                  Selected References

                                                                                  1. Scaglione M et al: The role of external fixation in the treatment of humeral shaft fractures: A retrospective case study review on 85 humeral fractures. Injury. 46(2):265-9, 2015
                                                                                  2. Supakul N et al: Distal humeral epiphyseal separation in young children: an often-missed fracture-radiographic signs and ultrasound confirmatory diagnosis. AJR Am J Roentgenol. 204(2):W192-8, 2015
                                                                                  3. Jacquot A et al: Usefulness and reliability of two- and three-dimensional computed tomography in patients older than 65 years with distal humerus fractures. Orthop Traumatol Surg Res. 100(3):275-80, 2014
                                                                                  4. Mehlhoff TL et al: Distal humeral fractures: fixation versus arthroplasty. J Shoulder Elbow Surg. 20(2 Suppl):S97-106, 2011
                                                                                  5. Nauth A et al: Distal humeral fractures in adults. J Bone Joint Surg Am. 93(7):686-700, 2011
                                                                                  6. Ashwood N et al: Transarticular shear fractures of the distal humerus. J Shoulder Elbow Surg. 19(1):46-52, 2010
                                                                                  7. Galano GJ et al: Current treatment strategies for bicolumnar distal humerus fractures. J Am Acad Orthop Surg. 18(1):20-30, 2010
                                                                                  8. The AO Foundation. https://www.aofoundation.org/Structure/Pages/default.aspx. Accessed March 23, 2009
                                                                                  9. Ruan HJ et al: Incidence, management, and prognosis of early ulnar nerve dysfunction in type C fractures of distal humerus. J Trauma. 67(6):1397-401, 2009
                                                                                  10. Davies MB et al: A clinically applicable fracture classification for distal humeral fractures. J Shoulder Elbow Surg. 15(5):602-8, 2006
                                                                                  11. Doornberg J et al: Two and three-dimensional computed tomography for the classification and management of distal humeral fractures. Evaluation of reliability and diagnostic accuracy. J Bone Joint Surg Am. 88(8):1795-801, 2006
                                                                                  12. McCarty LP et al: Management of distal humerus fractures. Am J Orthop. 34(9):430-8, 2005
                                                                                  13. O'Driscoll SW et al: Management of the smashed distal humerus. Orthop Clin North Am. 33(1):19-33, vii, 2002
                                                                                  14. Ring D et al: Fractures of the distal humerus. Orthop Clin North Am. 31(1):103-13, 2000
                                                                                  15. Hastings H 2nd et al: Fixation of complex elbow fractures, Part I. General overview and distal humerus fractures. Hand Clin. 13(4):703-19, 1997
                                                                                  16. McKee MD et al: A contemporary approach to the management of complex fractures of the distal humerus and their sequelae. Hand Clin. 10(3):479-94, 1994
                                                                                  17. Jupiter JB et al: Fractures of the distal humerus. Orthopedics. 15(7):825-33, 1992
                                                                                  18. Wilkins KE: The operative management of supracondylar fractures. Orthop Clin North Am. 21(2):269-89, 1990