In the past, extensively comminuted fractures were not amenable to surgical management and therefore treated without surgery-this is rarely the case today. Nonoperative treatment is reserved for nondisplaced fractures currently. If more concern is directed toward ligament or tendon injury, MRI imaging may be ordered.Ī three dimensional CT scan of a comminuted (many pieces) distal humerus fracture. However, additional imaging for bone, such as computerized tomography (CT scan) may yield additional helpful information. In many cases, x-rays alone may adequately provide enough information to determine treatment. Lateral and frontal views of a comminuted supracondylar humerus fracture X-rays may be taken from several angles to better delineate the fracture. X-rays are indicated to determine the bones which have been injured and if there are any dislocations associated with the injury. Similarly, nerve function may be disrupted due to trauma or displacement of fractures. Although uncommon, fractures in this area may embarrass vascular supply secondary to injury or swelling. Similarly the sensation and motion of digits are noted.
The status of the vascular supply to the hand is observed. Physician ExamĪfter taking a history and noting your symptoms, a physical exam is then performed by the surgeon. There may be deformity of the arm dependent upon the degree of displacement of the fracture. Patients who experience distal humerus fractures present with pain, swelling and often bruising over time. Ligaments of the elbow viewed from the lateral aspect Diagnosis Symptoms As we age, the strength of both ligaments and bones decrease over time. The bones of the elbow are held together by joint capsule, ligaments and tendons. Lateral view of a right elbow demonstrating humerus, ulna, and radius The elbow utilizes three bones in articulation to accomplish these purposes-humerus, ulna, and radius. The elbow serves two distinct functions: 1) to bend and straighten 2) to turn the palm up and palm down. While many elbow fractures in children can be treated nonoperatively, the majority of fractures in adults will require surgery Anatomy These injuries interfere with the ability of the elbow to place the hand in a functional position. A Patient’s Guide to Distal Humerus Fractures of the ElbowĮlbow fractures are typically associated with trauma-a fall or motor vehicle accident are common causes.
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