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Lateral humeral condyle fracture

Case contributed by Sebastian Tschauner
Diagnosis certain

Presentation

Patient fell on his left arm. Presents with pain and reduced range of motion.

Patient Data

Age: 5 years
Gender: Male

Lt elbow initial exam

x-ray

An undisplaced fracture of the lateral humeral condyle is seen. There is extensive soft tissue swelling and elbow joint effusion noted.

Left elbow, two weeks later

x-ray

Compared to the initial radiographs, a secondary displacement of the lateral humerus condylar fragment is seen.

Case Discussion

Lateral humeral condyle fractures are a type of pediatric elbow injury, commonly unstable due to the radial head pushing onto the capitellum. Therefore, secondary displacement of the fracture fragment is seen more frequently in these cases.

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