{"product_id":"distal-humerus-extra-articular-fracture-case-2","title":"DISTAL HUMERUS | Extra-articular Fracture - CASE 2","description":"\u003cp\u003eThis orthopedic trauma learning case presents the operative reasoning for an extra-articular fracture of the distal third of the humerus with a short distal fragment. The case emphasizes why a posterior approach may be selected when anterior access is not considered favorable, and demonstrates the use of lateral and medial paratricipital windows while preserving the triceps muscle interval.\u003c\/p\u003e\n\u003cp\u003eThe educational sequence highlights fracture exposure, identification of reduction landmarks, temporary fixation with Kirschner wires, and transition to definitive fixation using posterolateral and medial column plates. Particular attention is given to the proximity of the radial nerve laterally and the mandatory identification, circumferential release, and protection of the ulnar nerve medially.\u003c\/p\u003e\n\u003cp\u003eThe case also discusses implant positioning, plate contouring, use of cortical and locking screws, screw trajectory considerations in the distal humerus, and construct planning when plates end at similar levels. The content is intended for procedural education and surgical anatomy review, not as a substitute for supervised training or patient-specific clinical decision-making.\u003c\/p\u003e\n\u003ch1\u003eLearning objectives\u003c\/h1\u003e\n\u003cul\u003e\n\u003cli\u003eHow preoperative fracture morphology can influence the choice between anterior and posterior approaches\u003c\/li\u003e\n\u003cli\u003eHow to develop lateral and medial paratricipital windows while preserving triceps integrity\u003c\/li\u003e\n\u003cli\u003eKey anatomical considerations for radial nerve identification and implant-related nerve safety\u003c\/li\u003e\n\u003cli\u003eA systematic strategy for identifying and mobilizing the ulnar nerve during medial distal humerus exposure\u003c\/li\u003e\n\u003cli\u003eHow fracture vertices and obliquity can guide reduction clamp placement and temporary fixation\u003c\/li\u003e\n\u003cli\u003eHow Kirschner wires can be used to maintain reduction when clamps interfere with definitive plating\u003c\/li\u003e\n\u003cli\u003eDecision-making between lateral, posterolateral, and medial column fixation strategies\u003c\/li\u003e\n\u003cli\u003eTechnical considerations for plate positioning, contouring, and screw trajectory in the distal humerus\u003c\/li\u003e\n\u003cli\u003eEducational reasoning behind the use of cortical screws to seat or contour a plate and locking screws in selected fixation points\u003c\/li\u003e\n\u003cli\u003eConstruct considerations when medial and lateral plates terminate at similar heights\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch1\u003eTopics covered\u003c\/h1\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based operative planning discussion\u003c\/li\u003e\n\u003cli\u003ePosterior distal humerus exposure\u003c\/li\u003e\n\u003cli\u003eLateral paratricipital window development\u003c\/li\u003e\n\u003cli\u003eMedial paratricipital window development\u003c\/li\u003e\n\u003cli\u003eRadial nerve visualization and implant clearance assessment\u003c\/li\u003e\n\u003cli\u003eUlnar nerve identification, release, and protection\u003c\/li\u003e\n\u003cli\u003eFracture reduction principles for an oblique extra-articular pattern\u003c\/li\u003e\n\u003cli\u003eTemporary Kirschner wire fixation\u003c\/li\u003e\n\u003cli\u003ePosterolateral plate application\u003c\/li\u003e\n\u003cli\u003eMedial column plate application\u003c\/li\u003e\n\u003cli\u003eCortical and locking screw strategy discussion\u003c\/li\u003e\n\u003cli\u003ePlate contouring and distal screw trajectory considerations\u003c\/li\u003e\n\u003cli\u003eEducational closure and soft-tissue handling considerations\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch1\u003eAudience\u003c\/h1\u003e\n\u003cul\u003e\n\u003cli\u003eOrthopedic trauma surgeons\u003c\/li\u003e\n\u003cli\u003eOrthopedic residents and fellows\u003c\/li\u003e\n\u003cli\u003eUpper-limb trauma learners\u003c\/li\u003e\n\u003cli\u003eSurgical anatomy educators\u003c\/li\u003e\n\u003cli\u003eMedical professionals reviewing distal humerus fixation principles\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch1\u003eEducational notice\u003c\/h1\u003e\n\u003cp\u003eThis content is intended for medical education and procedural reasoning only. It does not provide patient-specific medical advice, does not guarantee clinical outcomes, and should not be used as a substitute for formal surgical training, institutional protocols, or specialist judgment. Human expert review is required before educational or clinical use.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: bdbc0a10-35f0-4b81-945a-45151531775b --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":44441827082301,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Capturadetela2026-10-29153059_result.webp?v=1793889914","url":"https:\/\/surgie.com\/pt-br\/products\/distal-humerus-extra-articular-fracture-case-2","provider":"Surgie","version":"1.0","type":"link"}