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Lateral epicondyle fracture (elbow)

Case contributed by Chitani Mbewe
Diagnosis certain

Presentation

Fall on outstretched hand

Patient Data

Age: 30 years
Gender: Male

Avulsion fracture fragment projecting superior to the radial head on lateral view and closely related to the lateral epicondyle on AP view. Elevated anterior and posterior pericapsular fat (joint effusion). Associated soft tissue swelling.
Anterior humeral and radio-capitellar lines are undisplaced.
No elbow joint dislocation present.

Comminuted fracture of the lateral epicondyle with intra-articular radio-capitellar joint extension.
Fracture of the coronoid process of the ulna with medial displacement of the bony fragment.
Joint effusion elevating the anterior and posterior pericapsular fat pads
Anterior humeral and radio-capitellar lines are undisplaced.
No elbow joint dislocation present.

Case Discussion

Lateral epicondyle fractures of the elbow are rare fractures.
The injury is more common in children (age range: 4-10 years, peak: 6 years)
Usually occurring due to varus force on the elbow, commonly due to a fall on an outstretched hand, which drives the proximal radius into lateral condyle.

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