A rare case report of type IV capitellum fracture in a young female managed by a single Herbert screw fixation


  • Vivek Kumar David Department of Orthopedics, Tata Main Hospital, Jamshedpur, Jharkhand
  • Abhishek Kumar Department of Orthopedics, Fortis Hospital, Kangra, Himachal Pradesh http://orcid.org/0000-0001-5531-8743
  • Chittra . Department of Anaesthesia, Fortis Hospital, Kangra, Himachal Pradesh




Capitellum, Fracture, Herbert, Kocher, Elbow


Isolated coronal shear fractures of capitellum are very rare, accounting for nearly 1% of all elbow fractures. There are various approaches and implants documented for management of such fractures. One of them is lateral Kocher’s approach and Herbert screw fixation. Our case report is strengthening this approach and Herbert screw fixation and shows good short term functional outcome along with radiological union.



Faber KJ. Coronal shear fractures of the distal humerus: the capitellum and trochlea. Hand Clin. 2004;20:455-64.

Mckee MD, Jupiter JB, Bamberger HB. Coronal shear fractures of the distal end of the humerus. J Bone Jt Surg Am. 1996;78:49-54.

Suresh SS. Type 4 capitellum fractures: Diagnosis and treatment strategies. Indian J Orthop. 2009;43(3):286-91.

Morrey BF, An KN, Stormont TJ. Force transmission through the radial head. J Bone Joint Surg Am. 1988;70:250-6.

Zhang Y, Hu J, Li X, Quin X. Humeral capitellum fracture combined with humeral lateral column injury: A novel classification system and treatment algorithm. Injury. 2020;51:955-63.

Ochner RS, Bloom H, Palumbo RC, Coyle MP. Closed reduction of coronal fractures of the capitellum. J Trauma. 1996;40(2):199-203.

Grantham SA, Norris TR, Bush DC. Isolated fracture of the humeral capitellum. Clin Orthop Relat Res. 1981;161:262-9.

Bilić R, Kolundzić R, Anticević D. Absorbable implants in surgical correction of a capitellar malunionin an 11-year old: A case report. J Orthop Trauma. 2006; 20:66-9.

Are A, Tornatore I, Theodorakis E. Operative management of a shear fracture of the bilateral capitellum: a case report and review of the literature. Chin J Traumatol. 2016;19(4):231-4.

Singh AP, Dhammi IK, Garg V, Singh AP. Outcome of surgical treatment of type IV capitellum fractures in adults. Chin J Traumatol. 2012;15(4):201-5.