Successful Management of a Pediatric Patient with Humeral Lateral Condyle Non-union, Elbow Valgus Deformity and Ulnar Neuropathy

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dc.contributor.authorCoban, Idris
dc.contributor.authorKarakaplan, Mustafa
dc.contributor.authorErgen, Emre
dc.contributor.authorAslantuerk, Okan
dc.contributor.authorKoroglu, Muhammed
dc.contributor.authorErtem, Kadir
dc.date.accessioned2024-08-04T20:56:13Z
dc.date.available2024-08-04T20:56:13Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackgroundHumeral lateral condyle fracture is the most common elbow fracture in children after supracondylar fractures. Non-union of these fractures may cause ulnar nerve deficit, deformity and loss of joint motion, which are difficult to manage. Treatment of lateral condyle non-union can be done in two stages or one stage. However, despite all types of treatment, the chance of success is very variable. Many complications such as avascular necrosis, loss of motion, non-union, chronic pain, and heterotopic ossification have been reported as a result of surgeries performed for lateral condyle pseudoarthrosis.ObjectiveIn this article, we applied two-stage surgical treatment to a pediatric patient who developed ulnar neuropathy and elbow valgus deformity as a result of lateral condyle non-union.Case reportA 8-year-old boy with lateral condyle nonunion presented to our clinic with pain and deformity. After initial examination, two-stage surgical treatment was planned to achieve union and deformity correction. In the first stage, we performed pseudoarthrosis surgery and ulnar nerve anterior transposition, and in the second stage, we performed elbow valgus deformity correction surgery. In three year follow-up, the range of elbow was 130/5/0 flexion/extension, with full supnation and pronation. Carrying angle was same with the opposite side.ConclusionPediatric humeral lateral condyle nonunions cause deformity, pain, loss of motion, instability and neuropathy. Surgical treatment of nonunions with a careful planning provide excellent clinical and functional results.en_US
dc.description.sponsorshipDAS:All data were obtained from the Orthopaedics and Traumatology Department, Turgut Ozal Medical Center, Inonu University Medical School, Malatya Turkey.en_US
dc.identifier.doi10.1007/s43465-024-01222-3
dc.identifier.issn0019-5413
dc.identifier.issn1998-3727
dc.identifier.scopus2-s2.0-85198931401en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1007/s43465-024-01222-3
dc.identifier.urihttps://hdl.handle.net/11616/102126
dc.identifier.wosWOS:001272737600001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofIndian Journal of Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLateral condyle non-unionen_US
dc.subjectElbow valgus deformityen_US
dc.subjectLateral condyle fractureen_US
dc.titleSuccessful Management of a Pediatric Patient with Humeral Lateral Condyle Non-union, Elbow Valgus Deformity and Ulnar Neuropathyen_US
dc.typeArticleen_US

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