Coronal shear fractures of distal humerus: Diagnostic and treatment protocols

Figure 2 Type 4 capitellum fracture with fracture lateral condyle in adult male-radiological and clinical outcome. A: Anteroposterior view of left elbow showing type 4 capitello trochlear fragment with lateral condyle fracture in a 34-year-old male after road traffic accident; B: Lateral view showing the fracture fragment. The internally rotated fragment is not giving double arc appearance; C: Lateral extensile approach was done. Intraoperative picture; D: The fragment was free of soft tissue attachments. It was debrided on table and repositioned; E: It was fixed with two cannulatedcancellous screws from posterior to anterior direction and lateral condyle was fixed with K-wire; F: Follow-up anteroposterior view; G: Lateral view. Follow-up shows good consolidation; H: Excellent supination; I: Excellent pronation; J: Flexion; K: Extension. Patient is having excellent MEPS score.