Lateral condyle fracture

Case contributed by Dr Jeremy Jones

Presentation

Fall off bike. Pain around elbow. Unable to straighten completely.

Patient Data

Age: 8
Gender: Male
Modality: X-ray

Lucency traverses the lateral condyle above the capitellum. Features of a lateral condyle fracture.

Case Discussion

One of the most frequently missed elbow fractures in children is the lateral condyle fracture. The fracture line is often very close to the physis and may be obscured by other parts of the study.

In this case, there is a lucency projected across the distal humeral metaphysis proximal to the capitellum. This fracture line extends out through the cartilage that wraps the distal humerus and is therefore a much larger injury that would be expected by looking at the x-ray alone.

These fractures are liable to slip and may well be pinned or wired.

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Case Information

rID: 27440
Case created: 3rd Feb 2014
Last edited: 18th Sep 2015
System: Paediatrics
Inclusion in quiz mode: Included

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