Paediatric lateral humeral condyle fractures: internal oblique radiographs alter the course of conservative treatment

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dc.contributor.authorKurtulmuş T.
dc.contributor.authorSağlam N.
dc.contributor.authorSaka G.
dc.contributor.authorAvcı C.C.
dc.contributor.authorUğurlar M.
dc.contributor.authorTürker M.
dc.date.accessioned2020-06-25T15:17:25Z
dc.date.available2020-06-25T15:17:25Z
dc.date.issued2014
dc.departmentKırıkkale Üniversitesi
dc.description.abstractIntroduction: At first presentation of paediatric humeral lateral condyle fractures, radiological methods such as computerised tomography, ultrasonography, magnetic resonance imaging, arthrography, and internal oblique radiography are used to determine stability. Very few studies show which radiological method should be used to evaluate displacement at follow-up for conservatively treated patients. This study aimed to show that internal oblique radiography is a simple, effective method to determine the subsequent development of fracture displacement in patients with an initially non-displaced or minimally displaced fracture. Materials and methods: In this retrospective study, 27 paediatric patients with non-displaced or minimally displaced (<2 mm) humerus lateral condyle fracture were evaluated by elbow anteroposterior radiograph. The degree of fracture displacement was evaluated by anteroposterior then by internal oblique radiographs. The first follow-up was made between the 5th and 8th day and thereafter at intervals of 7–10 days. Results: Of the 27 patients identified with non-displaced or minimally displaced (<2 mm) fracture from the initial anteroposterior radiograph, 16 were accepted as displacement >2 mm as a result of the evaluation of the internal oblique radiography and underwent surgery. At follow-up, 2 of 11 patients were defined with displacement from anteroposterior and internal oblique radiographs and 4 from the internal oblique radiographs and underwent surgery. Conservative treatment was applied to 5 patients. Conclusions: Internal oblique radiography is the best imaging showing subsequent fracture displacement in initially non-displaced or minimally displaced humerus lateral condyle fractures. At the first week follow-up, anteroposterior and particularly internal oblique radiographs should be taken of conservatively treated patients. © 2013, Springer-Verlag France.en_US
dc.identifier.doi10.1007/s00590-013-1294-y
dc.identifier.endpage1144en_US
dc.identifier.issn16338065
dc.identifier.issue7en_US
dc.identifier.pmid23959034
dc.identifier.scopus2-s2.0-84933529502
dc.identifier.scopusqualityQ2
dc.identifier.startpage1139en_US
dc.identifier.urihttps://doi.org/10.1007/s00590-013-1294-y
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2354
dc.identifier.volume24en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer-Verlag Franceen_US
dc.relation.ispartofEuropean Journal of Orthopaedic Surgery and Traumatology
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectConservative treatmenten_US
dc.subjectInternal oblique radiographyen_US
dc.subjectLateral condyle fractureen_US
dc.subjectPaediatric elbowen_US
dc.titlePaediatric lateral humeral condyle fractures: internal oblique radiographs alter the course of conservative treatmenten_US
dc.typeArticle

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