Pearls and pitfalls of treating the intra-articular distal humerus fractures: A practical approach

  • Mr David Parsons, Sir Charles Gairdner Hospital, Australia
  • Few injuries of the elbow present more of a challenge to assess and treat than an intra-articular distal humerus fracture. The poster aims to provide a comprehensive overview of the nature of this injury. The complicated anatomy of the elbow will be discussed. Common therapy and surgical problems or “pitfalls” associated with distal humerus fractures will be presented and individual treatment modalities and “pearls” to address these problems will be incorporated into the poster.

    The poster will highlight the importance of problem-orientated, individualized treatment options using clinical reasoning in relation to the specific injury, surgery and patient compliance and incorporate these principles in the treatment of distal humerus fractures.

    The poster will combine current research and practical components as well as a series of photographs and medical imaging to provide insight into the treatment of distal humerus fractures. Various types of post-operative splinting options will be covered on the poster. The splinting section will incorporate static, static-progressive and dynamic splinting strategies in treating distal humerus fractures and will include photographs of a number of these splints.

    A biomechanical approach to appropriate splinting options to regain reduced elbow range of motion will be covered to assist the therapist in their clinical reasoning and decision making processes to choose the appropriate splinting option in treating these difficult injuries. A non-removable fibreglass hinge elbow cast that has been utilised to allow early elbow movement in the non-compliant patient will also be presented.