Abstract
Fractures of the elbow joint in children may occur at any age. They usually result from indirect violence, such as a fall onto the outstretched hand. The force may act axially on the joint, or it may be directed obliquely and thus tend to produce valgus or varus angulation, flexion, or hyperextension. The nature of the resulting injury is also determined by the angle of the elbow and the position of the forearm during the accident. Thus, for example, pronation abolishes the physiological valgus angulation of the elbow and changes the direction of the force from valgus to varus. An axial impact drives the capitulum and the trochlea apart, producing a T(Y)-shaped fracture. The fracture gapes proximally and the fragments are tilted in the frontal plane owing to the pull of the collateral ligaments and that of the flexor and extensor muscles (Fig. 1).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Baumann, E.: Ellenbogen, spezielle Frakturen and Luxationslehre. Stuttgart: Thieme 1965.
Baumann, E.: Distale Oberarmbruche beim Kind. Chir. Praxis 4, 317 (1967).
Blount, W. P.: Knochenbrüche bei Kindern. Stuttgart: Thieme 1957.
Chigot, P. L., Estève, P.: Traumatologie infantile. Paris: Expansion scientifique 1958.
Dameron, T. B., Reibel, D. B.: Fractures involving the proximal humeral epiphyseal plate. J. Bone Jt Surg., 51 A, 71 (1969).
Ehalt, W.: Verletzungen bei Kindern and Jugendlichen. Stuttgart: Enke 1961.
Kutscha, E., Rauhs, R.: Frische Ellenbogenverletzungen im Wachstumsalter. Hefte zur Unfallheilkunde, Heft 118. Berlin-Heidelberg-New York: Springer 1974.
Pollen, A.: Fractures and Dislocations in Children. Edinburgh, London: Churchill & Livingstone 1973.
Renne, J., Weller, S.: Unfallverletzungen bei Kindern (Hrsg. J. Rehn). Berlin-Heidelberg-New York: Springer 1974.
Tachdjian, M.: Pediatric Orthopedics. Philadelphia: Saunders 1972.
Weber, B. G.: Grundlagen and Möglichkeiten der Zuggurtungsosteosynthese. Chirurg 35, 81 (1964).
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1980 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Zimmermann, H. (1980). Fractures of the Elbow. In: Weber, B., Brunner, C., Frueler, F. (eds) Treatment of Fractures in Children and Adolescents. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67271-2_10
Download citation
DOI: https://doi.org/10.1007/978-3-642-67271-2_10
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-67273-6
Online ISBN: 978-3-642-67271-2
eBook Packages: Springer Book Archive