ArticleMedicine2026
Lateral humeral condyle combined with ulnar olecranon fractures in pediatric patients: A retrospective study of treatment and outcomes.
Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
This study aimed to conduct a retrospective review of pediatric patients with concomitant ipsilateral lateral humeral condyle fractures and further evaluate treatment approaches and patient outcomes. Inclusion criteria: age 4 to 14 years with the diagnosis of ipsilateral lateral humeral condyle and ulnar olecranon fractures, no history of fractures, and follow-up of at least 24 months. Excluded patients: patients with open fractures, history of elbow joint surgery, and associated neurovascular injury. Surgical methods include closed reduction and percutaneous pinning or open reduction and internal fixation with/or tension-band wiring. We measured clinical and radiographic evaluation. A total of 62 patients (22 girls and 40 boys) between January 2018 and January 2022 were included in this retrospective study. The average follow-up time was 29.2 ± 3.8 months. At the final follow-up, there were no cases of cubitus valgus deformity, nonunion, delayed union, malunion, and osteoarthritis. The postoperative average elbow flexion range was 135.1 ± 7.5°. The elbow extension range was 1.5 ± 2.3°. The average forearm pronation was 82.2 ± 3.6°. The average forearm supination was 84.1 ± 2.8°. According to the Kim score, the outcome was "excellent" in 45 cases and "good" in 17 cases. The average Mayo Elbow Performance Score was 92.5 ± 3.3 points. Reduction and internal fixation yielded satisfactory clinical outcomes in the management of these rare fractures.
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