M.E.Müller: Atlas: Fracture 13-B2

Humerus, Distal,
partial articular fracture,
sagittal medial condyle 0,08% of the total
1,15% of the femur
3,11% of the segment

12 fractures 26,7% group 84%M, 16%F

22 fractures 48,9% group 59%M, 41%F

11 fractures 24,4% group
10%M, 90%F

Transtrochlear simple, through the medial side (Milch I) Transtrochlear simple, through the groove +Q Transtrochlear multifragmentary +Q

These are medial sagittal transtrochlear articular fractures of the distal humerus. Ref. Manual of Internal Fixation:
184 - 187. 446 - 449.
Surgeon. RO.

Anatomic reduction is required. One cancellous screw, placed from the medial condyle through the trochlea, is enough to compress the reduced fracture and stabilize the articular surface. A second ascending screw, or a

small plate, will resist the torsional loads and complete the assembly. Whenever possible (adequate mechanical stability), it is preferable to use isolated screws rather than plates screwed to the cortices.

preoperative postoperative +1 year

preoperative postoperative +1 year




						Humerus, Distal, partial articular fracture, sagittal medial condyle	0,08% of the total 1,15% of the femur 3,11% of the segment






These are medial sagittal transtrochlear articular fractures of the distal humerus.		Ref. Manual of Internal Fixation: 184 - 187. 446 - 449. Surgeon. RO.

Anatomic reduction is required. One cancellous screw, placed from the medial condyle through the trochlea, is enough to compress the reduced fracture and stabilize the articular surface. A second ascending screw, or a	small plate, will resist the torsional loads and complete the assembly. Whenever possible (adequate mechanical stability), it is preferable to use isolated screws rather than plates screwed to the cortices.