Lateral condyle fracture

Case contributed by Dr Jeremy Jones


Fall from climbing frame. Not using arm.

Patient Data

Age: 14 years
Gender: Male

 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 pediatric elbow injuries.

Annotated image

Zoomed AP image of the elbow.  Its important to remember that the pediatric elbow is wrapped in cartilage as the ossification centers 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 pediatric 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.

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Case information

rID: 23652
Published: 30th Jun 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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