Longitudinal distal humeral fracture (adolescent)

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Direct fall onto elbow.

Patient Data

Age: 14 years
Gender: Male

On the frontal view, there is a longitudinal linear fracture that extends through the metaphysis and trochlea, all the way to the joint line. The fracture is not visible on the lateral view.

Case Discussion

This fracture type is an unusual elbow fracture. However, in adolescents, the classical pediatric pathologies reduce in frequency and these type of unusual patterns appear. It's worth noting the in adolescents, pediatric and adult patterns can both be seen.

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