Pediatric Capitellum Fracture Fixation with Bio-absorbable K-wire
Introduction: Pediatric capitellum fractures are rare, accounting for <1% of elbow fractures in children. They are typically caused by axial loading on an outstretched arm. Due to the high cartilaginous composition of the pediatric elbow, these fractures are often missed in radiographic diagnosis...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-07-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/07/01/pediatric-capitellum-fracture-fixation-with-bio-absorbable-k-wire/ |
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| author | Fawaz Mohammed Manu M Jyothi Prasanth Hijas Ismayil |
| author_facet | Fawaz Mohammed Manu M Jyothi Prasanth Hijas Ismayil |
| author_sort | Fawaz Mohammed Manu |
| collection | DOAJ |
| description | Introduction:
Pediatric capitellum fractures are rare, accounting for <1% of elbow fractures in children. They are typically caused by axial loading on an outstretched arm. Due to the high cartilaginous composition of the pediatric elbow, these fractures are often missed in radiographic diagnosis. Proper diagnosis using computed tomography or magnetic resonance imaging is essential for effective treatment planning.
Case Report:
A 14-year-old female sustained a left elbow injury following a fall while playing. Clinical and radiological evaluations confirmed a displaced Hahn–Steinthal fracture of the capitellum. Open reduction and internal fixation using bio-absorbable K-wires were performed. Postoperatively, an above-elbow cast was applied for 4 weeks. At 10 weeks, the patient had achieved a full range of motion, and radiographic assessment confirmed fracture union.
Conclusion:
Pediatric capitellum fractures, though rare, can lead to significant morbidity if not diagnosed and treated in a timely manner. The use of bio-absorbable K-wires offers an effective fixation method, eliminating the need for a second surgery for implant removal. Early intervention, proper radiological assessment, and surgical management result in excellent functional outcomes with minimal complications. |
| format | Article |
| id | doaj-art-df8d89178f97487ca4075d285369d58d |
| institution | Kabale University |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-df8d89178f97487ca4075d285369d58d2025-08-20T04:01:57ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-07-0115718919410.13107/jocr.2025.v15.i07.5820Pediatric Capitellum Fracture Fixation with Bio-absorbable K-wireFawaz Mohammed ManuM Jyothi PrasanthHijas IsmayilIntroduction: Pediatric capitellum fractures are rare, accounting for <1% of elbow fractures in children. They are typically caused by axial loading on an outstretched arm. Due to the high cartilaginous composition of the pediatric elbow, these fractures are often missed in radiographic diagnosis. Proper diagnosis using computed tomography or magnetic resonance imaging is essential for effective treatment planning. Case Report: A 14-year-old female sustained a left elbow injury following a fall while playing. Clinical and radiological evaluations confirmed a displaced Hahn–Steinthal fracture of the capitellum. Open reduction and internal fixation using bio-absorbable K-wires were performed. Postoperatively, an above-elbow cast was applied for 4 weeks. At 10 weeks, the patient had achieved a full range of motion, and radiographic assessment confirmed fracture union. Conclusion: Pediatric capitellum fractures, though rare, can lead to significant morbidity if not diagnosed and treated in a timely manner. The use of bio-absorbable K-wires offers an effective fixation method, eliminating the need for a second surgery for implant removal. Early intervention, proper radiological assessment, and surgical management result in excellent functional outcomes with minimal complications.https://jocr.co.in/wp/2025/07/01/pediatric-capitellum-fracture-fixation-with-bio-absorbable-k-wire/paediatricelbow fractures capitellark-wires |
| spellingShingle | Fawaz Mohammed Manu M Jyothi Prasanth Hijas Ismayil Pediatric Capitellum Fracture Fixation with Bio-absorbable K-wire Journal of Orthopaedic Case Reports paediatric elbow fractures capitellar k-wires |
| title | Pediatric Capitellum Fracture Fixation with Bio-absorbable K-wire |
| title_full | Pediatric Capitellum Fracture Fixation with Bio-absorbable K-wire |
| title_fullStr | Pediatric Capitellum Fracture Fixation with Bio-absorbable K-wire |
| title_full_unstemmed | Pediatric Capitellum Fracture Fixation with Bio-absorbable K-wire |
| title_short | Pediatric Capitellum Fracture Fixation with Bio-absorbable K-wire |
| title_sort | pediatric capitellum fracture fixation with bio absorbable k wire |
| topic | paediatric elbow fractures capitellar k-wires |
| url | https://jocr.co.in/wp/2025/07/01/pediatric-capitellum-fracture-fixation-with-bio-absorbable-k-wire/ |
| work_keys_str_mv | AT fawazmohammedmanu pediatriccapitellumfracturefixationwithbioabsorbablekwire AT mjyothiprasanth pediatriccapitellumfracturefixationwithbioabsorbablekwire AT hijasismayil pediatriccapitellumfracturefixationwithbioabsorbablekwire |