chevron osteotomy

Distal Humerus Fractures

EpidemiologyDistal Humeral Fracture


2 groups

- young patient with high velocity injury

- older patient with comminuted, osteoporotic fracture


In the second group fixation can be very difficult




Hinged Joint

- trochlea axis is centre of rotation

- 40o anterior angulation in sagittal plane




Painful prominence of lateral eminence of 5th metatarsal head 


Coughlin Classification 


Type I deformity 

- prominent lateral condyle 5th metatarsal head

- lateral condylectomy


Type II deformity 

- lateral bowing of 5th metatarsal

- chevron osteotomy