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FRACTURES OF THE LOWER END OF THE HUMERUS

GEORGE J. GARCEAU, M.D.
JAMA. 1939;112(7):623-626. doi:10.1001/jama.1939.02800070039009.
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It appears that physicians in general fear fractures of the lower end of the humerus. Many practitioners must treat these fractures in their communities. Often they ask the question "In what type of fractures about the elbow should I assume the full responsibility?" A knowledge of the prognosis would help them to select the fractures which are attended with the least danger. The treatment of supracondylar fractures is different from that of fractures of the lateral or medial condyle. This fact should also be of some help.

This paper, based on an analysis of 133 fractures involving the condylar region of the elbow, is an attempt to answer this question.

One hundred and seven, or 80.5 per cent, of the 133 fractures were of the supracondylar and epiphysial separation type. Fifteen, or 11.2 per cent, involved only the lateral condyle. Eleven, or 8.2 per cent, were fractures of the medial

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