History: 51 year-old male cyclist who was hit by a car and came to the hospital as a trauma. He was found to have a severe elbow injury consisting of a comminuted intra-articular fracture of the distal humerus at the elbow. Based on the severe injury I recommended fixation.

Diagnosis: Right complex intra-articular distal humerus fracture

Treatment: Right humerus open reduction internal fixation with olecranon osteotomy

Outcome: He worked exceptionally hard with therapy and by 1 month was already doing better than expected. by 3 months he had nearly full strength and motion and was ready to get back on his bicycle. The incision healed up beautifully and was nearly invisible.