Citation, DOI, disclosures and article data
Citation:
Jones J, Yap J, Jones E, et al. Milch classification of lateral humeral condyle fractures. Reference article, Radiopaedia.org (Accessed on 28 Mar 2025) https://doi.org/10.53347/rID-56887
The Milch classification is one of the classification systems that can be used for lateral humeral condyle fractures and splits these fractures into two groups depending on their relationship with the trochlear groove:
type I: fracture passes lateral to the trochlear groove into the capitulotrochlear groove, Salter-Harris IV, stable
type II: fracture passes through the trochlear groove to apex, pathologically Salter-Harris IV (but radiologically appears as Salter Harris II as cartilage is not visible), unstable
In general, this system is rarely of radiological use but is used by some orthopedic surgeons.
A 15-year-old boy presents to the trauma bay with pain and swelling in the left elbow after getting hit by a motorcycle. Where is the injury?
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1. Shaerf DA, Vanhegan IS, Dattani R. Diagnosis, management and complications of distal humerus lateral condyle fractures in children. (2018) Shoulder & elbow. 10 (2): 114-120. doi:10.1177/1758573217701107 - Pubmed
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2. Tejwani N, Phillips D, Goldstein RY. Management of lateral humeral condylar fracture in children. (2011) The Journal of the American Academy of Orthopaedic Surgeons. 19 (6): 350-8. doi:10.5435/00124635-201106000-00005 - Pubmed
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