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The Milch classification is a system of categorizing single column (AO type B) distal humerus fractures based on the pattern of epicondyle involvement. It is distinct from the Jupiter classification which is used for bicolumnar distal humerus fractures.
In birds, where the arm is somewhat rotated compared to other tetrapods, it is termed dorsal epicondyle of the humerus. In comparative anatomy, the term ectepicondyle is sometimes used. [2] A common injury associated with the lateral epicondyle of the humerus is lateral epicondylitis also known as tennis elbow. Repetitive overuse of the forearm ...
The posterior fat pad is normally pressed in the olecranon fossa by the triceps tendon, and hence invisible on lateral radiograph of the elbow. [3] When there is a fracture of the distal humerus, or other pathology involving the elbow joint, inflammation develops around the synovial membrane forcing the fat pad out of its normal physiologic resting place.
The lateral supracondylar ridge is a prominent, rough margin on the lower part of the lateral border of the humerus. It presents an anterior lip for the origin of forearm extensors, including the brachioradialis muscle above, and the extensor carpi radialis longus muscle below. [ 1 ]
A supracondylar humerus fracture is a fracture of the distal humerus just above the elbow joint. The fracture is usually transverse or oblique and above the medial and lateral condyles and epicondyles. This fracture pattern is relatively rare in adults, but is the most common type of elbow fracture in children. [1]
Types of major humerus fractures. After a humerus fracture, pain is immediate, enduring, and exacerbated with the slightest movements. The affected region swells, with bruising appearing a day or two after the fracture. The fracture is typically accompanied by a discoloration of the skin at the site of the fracture.
The Gartland classification is a system of categorizing supracondylar humerus fractures, clinically useful as it predicts the likelihood of associated neurovascular injury, such as anterior interosseous nerve neurapraxia or brachial artery disruption.
The trochlea has the capitulum located on its lateral side and the medial epicondyle on its medial. It is directly inferior to the coronoid fossa anteriorly and to the olecranon fossa posteriorly. In humans, these two fossae, the most prominent in the humerus, are occasionally transformed into a hole, the supratrochlear foramen , [ 2 ] which is ...