ABSTRACT

Fractures of the distal humerus in adults may be extra-articular or intra-articular. Supracondylar fractures are extra-articular. Intra-articular fractures include transcondylar, intercondylar, condylar (medial or lateral), epicondylar fractures and isolated fractures of the articular surface. The principles of management are closed treatment wherever possible and ORIF for displaced, unstable or intra-articular fractures. Fractures around the elbow are associated with stiffness and restricted long-term mobility, so early mobilization should be encouraged to optimize outcome.