Milch classification of lateral humeral condyle fractures

Last revised by Joshua Yap on 23 Mar 2023

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 06 Dec 2023) https://doi.org/10.53347/rID-56887

DOI:

https://doi.org/10.53347/rID-56887

Permalink:

https://radiopaedia.org/articles/56887

rID:

56887

Article created:

27 Nov 2017, Jeremy Jones ◉

Disclosures:

At the time the article was created Jeremy Jones had no recorded disclosures.

View Jeremy Jones's current disclosures

Last revised:

23 Mar 2023, Joshua Yap ◉

Disclosures:

At the time the article was last revised Joshua Yap had no financial relationships to ineligible companies to disclose.

View Joshua Yap's current disclosures

Revisions:

9 times, by 9 contributors - see full revision history and disclosures

Systems:

Musculoskeletal, Trauma

Sections:

Classifications

Tags:

cases, refs

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.