Clinical Scorecard: Case Study: Isolated Medial Condylar Fracture of the Distal Humerus in a Young Baseball Pitcher

At a Glance

Key Highlights

• First reported case of isolated medial condylar fracture due to throwing motion
• Patient was a 17-year-old male with no prior trauma
• Successful open reduction and internal fixation performed
• Full range of motion regained at 3-month follow-up
• Patient returned to sports activities without complications

Guideline-Based Recommendations

Diagnosis

• X-ray imaging to confirm fracture type and displacement

Management

• Open reduction and internal fixation for displaced fractures

Monitoring & Follow-up

• Follow-up X-rays to assess healing and rehabilitation progress

Risks

• Potential for complications such as implant irritation or broken screws

Patient & Prescribing Data

Adolescent athletes involved in throwing sports

Rehabilitation and range of motion exercises are crucial post-surgery

Clinical Best Practices

• Careful identification and protection of the ulnar nerve during surgery
• Encouragement of active rehabilitation post-operation
• Monitoring for signs of complications during follow-up visits

Related Resources & Content

• Wilmoth et al. report on thrower's fracture
• Study on humeral thrower's fractures