Open reduction and internal fixation of an apparent capitellar fracture using an extended lateral exposure.

Apparent fractures of the capitellum are often more complex involving the trochlea and the posterior aspect of the lateral column. Many of these fractures can be addressed through an extended lateral exposure, but fixation techniques specific to small, nearly entirely articular fragments will be necessary. When the fracture fragments do not fit, there is usually posterior impaction of the lateral column and sometimes the posterior trochlea.