Bryan and Morrey type IV intra-articular fracture of the distal extremity of the humerus treated surgically with anterior access: case report

Revista Brasileira de Ortopedia

Hugo Bertani Dressler¹  Ricardo Nunes Borges De Paula¹ 

关键词: Humeral fractures;    Elbow;    Bone screws;    Capitellum;    Trochlea;    Fraturas do úmero;    Cotovelo;    Parafusos ósseos;    Capitelo;    Tróclea;   

DOI  :  10.1016/j.rboe.2015.04.008

来源: SciELO

【 摘 要 】

Within the context of elbow-level trauma, fractures with a coronal line at the distal extremity of the humerus are rare and result from indirect axial trauma with the arm extended. These are difficult-to-treat intra-articular fractures, since they require stable anatomical reduction in order to maintain joint congruence and diminish complications such as stiffness. This paper reports a case that occurred in a young man who suffered a fall from a ladder that resulted in a Bryan and Morrey type IV intra-articular fracture of the humerus. The injury was treated surgically by means of an anterior access, using osteosynthesis with two Herbert screws that were inserted from anterior to posterior.

【 授权许可】

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