TO THE EDITOR:
In “Coronal Shear Fractures of the Distal End of the Humerus” (78-A: 49–54, Jan. 1996), McKee et al. described the fracture as a “shear fracture ... that extended in the coronal plane across the capitellum to include most of the lateral trochlear ridge and the lateral half of the trochlea.” They indicated that this type of injury had not been described before. It seems more likely that most such coronal fractures of the capitellum extend into the trochlea. The authors should have indicated how many patients had the typical pre-reduction radiographs, shown in their article, that did not demonstrate extension into the trochlea and how these patients were managed.
We recently reported successful closed reduction of nine coronal fractures of the capitellum2. The pre-reduction radiographs were identical to those in the article by McKee et al. Contrary to what has been reported in the literature, …
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