Distal humeral anatomy
An understanding of the anatomy, biomechanics and growth plate patterns of the distal humerus is vital to the rational consideration of fracture care in children.
The main indications for a medial approach to the distal humerus are:
Note: The medial approach, including opening of the joint, is not an ideal procedure for supracondylar fractures.
The main indications for a posterior approach in the distal humerus are:
Bear in mind that use of posterior approach for extension type supracondylar fractures, compromises the tension band effect of the posterior periosteum.
The main indications for an anterior approach to the distal humerus are: