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Lateral Condyle Fracture
Aka: Lateral Condyle Fracture
- See Also
- Pediatric Fractures
- Supracondylar Fracture
- Epidemiology
- Second most common elbow Fracture in children
- Most common elbow physeal Fracture
- Age of onset typically 4 to 7 years old
- Mechanism
- Fall on an outstretched hand
- Avulsion Fracture of lateral condyle at attachment of the wrist extensors (and lateral collateral ligament)
- Signs
- Lateral Elbow Pain, swelling and decreased range of motion
- Management
- Initial Splinting
- Posterior splint with Forearm in neutral position and elbow at 90 degrees
- Definitive management
- Orthopedic referral in all cases
- Most cases require surgical management with ORIF
- Some non-displaced or minimally displaced Fractures may be managed with Casting
- Requires repeat XRay every 3-5 days for first 7-10 days to confirm Fracture remains nondisplaced
- Non-displaced Fractures can then be casted in a Long Arm Cast for 3 weeks
- Complications
- Growth arrest
- Nonunion or malunion
- Cubitus varus deformity
- Cubitus valgus deformity
- Risk of Ulnar Nerve palsy
- References
- Eiff (2012) Fracture Management for Primary Care, Saunders, Philadelphia, p. 265-6