Lateral condyle fracture

Case contributed by Dr Jeremy Jones

Presentation

Fall from climbing frame. Not using arm.

Patient Data

Age: 14 years
Gender: Male
X-ray

 There is an oblique lucency projected across the lateral humeral condyle adjacent to the capitellum. This represents fracture of the lateral humeral condyle and is one of the commonest paediatric elbow injuries.

Annotated image

Zoomed AP image of the elbow.  Its important to remember that the paediatric elbow is wrapped in cartilage as the ossification centres develop. The red-dashed line represents the approximate position of the cartilage margin. The fracture fragment of a lateral condylar fracture therefore represents a significant chunk of the distal humerus!

Case Discussion

Lateral humeral condyle fractures are one of the commonest fractures of the paediatric elbow. They may be subtle radiographically since only a small amount of ossified tissue is detached from the humeral metaphysis. However, the fracture fragment is predominantly cartilage and a sizable fragment of tissue.

PlayAdd to Share

Case information

rID: 23652
Case created: 30th Jun 2013
Last edited: 12th Oct 2017
Tags: trauma, elbow
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.