Medial epicondyle fracture

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Trauma. Pain and swelling to the elbow.

Patient Data

Age: Child
Gender: Male
x-ray

A large bone fragment is noted on medial aspect of elbow, away from medial epicondyle region.

A faint smaller elongated bone flake is noted adjacent to it.

Elevation of anterior fat pad and visualization of posterior fat pad is seen.

Case Discussion

Avulsion fracture of medial epicondyle of humerus is represented by the larger fragment. There is a very likely associated avulsion from adjacent metaphysis represented by the smaller fragment.

Elevation of anterior fat pad and visualization of posterior fat pad is indicative of an elbow hemarthrosis.

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