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REVIEW

Clinical Outcomes and Management Strategies for Capitellum and Trochlea Fractures: A Systematic Review

ORCID Icon, , , , , & ORCID Icon show all
Pages 179-197 | Received 06 Apr 2024, Accepted 20 Jun 2024, Published online: 25 Jun 2024

Figures & data

Figure 1 PRISMA flowchart depicting the process of study inclusion.

Figure 1 PRISMA flowchart depicting the process of study inclusion.

Table 1 Patient Demographics and Characteristics

Figure 2 Illustration of the Bryan and Morrey classification for capitellum fractures with the McKee modification. I: Large osseous capitellum piece, II: Shear fracture of the articular cartilage, III: Comminuted fracture of the capitellum, IV: McKee modification that includes a coronal shear of the capitellum and trochlea.

Figure 2 Illustration of the Bryan and Morrey classification for capitellum fractures with the McKee modification. I: Large osseous capitellum piece, II: Shear fracture of the articular cartilage, III: Comminuted fracture of the capitellum, IV: McKee modification that includes a coronal shear of the capitellum and trochlea.

Figure 3 Illustration of the Dubberley classification for capitellar and trochlear fractures. Type I: fractures of the capitellum with/ without lateral trochlear ridge, type II: Fractures of the capitellum and trochlea as one piece, III: fractures of the capitellum and trochlea as separate fragments. In addition to (A) Without posterior wall comminution, (B) with posterior wall comminution.

Figure 3 Illustration of the Dubberley classification for capitellar and trochlear fractures. Type I: fractures of the capitellum with/ without lateral trochlear ridge, type II: Fractures of the capitellum and trochlea as one piece, III: fractures of the capitellum and trochlea as separate fragments. In addition to (A) Without posterior wall comminution, (B) with posterior wall comminution.

Table 2 Summarizing Approaches, Implant Selection and Screw Trajectory

Table 3 A Summary of Functional Outcomes, Union Time, and Range of Motion for the Included Studies

Table 4 Complications, Problems and Re-Interventions Across the Included Studies

Data Sharing Statement

Data will not be publicly available.