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Supracondylar fracture - grade Ib

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Fall.

Patient Data

Age: 7 years
Gender: Male

Transverse fracture across the supracondylar region of the distal humerus with minimal posterior displacement of the distal fracture fragment.

Annotated image

The anterior humeral line passes through the anterior third of the capitellum indicating a type 1b supracondylar fracture. 

Case Discussion

This is a grade Ib supracondylar fracture with minimal posterior displacement. These are the cases where the anterior humeral line is particularly useful. The anterior humeral line does not intersect the middle third of the capitellum, although it does intersect the anterior portion (making it a Ib).

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