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Initial injury: supracondylar fracture in a 9 year old: |
Open reduction and fixation: |
Five years later, he has limited motion (E/F 35/100) and painful clicking with elbow flexion and extension. |
Plain films show humeral osteophytes and posttraumatic changes of the capitellum and radial head. |
MRI shows an osteochondral sequestrum of the anterior capitellum: |
Postoperatively, pain is improved, although some clicking persists. Range of motion is marginally improved. Radial head excision remains an option if he has painful problems later. |
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capitellar fracture capitellum nonunion |
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