Milch classification of lateral humeral condyle fractures (illustrations)

Case contributed by Andrew Murphy
Diagnosis not applicable

type I: fracture passes lateral to the trochlear groove into the capitulotrochlear groove, Salter-Harris type IV, stable

Note how subtle type 2 can be as it passed through the trochlear groove

type II: fracture passes through the trochlear groove to apex, Salter-Harris II, unstable

type I: fracture passes lateral to the trochlear groove into the capitulotrochlear groove, Salter-Harris type IV, stable

Note how subtle type 2 can be as it passed through the trochlear groove

type II: fracture passes through the trochlear groove to apex, Salter-Harris II, unstable

Case Discussion

The Milch classification is an of the classification systems used with lateral humeral condyle fractures depending on the location of the fracture to the trochlear groove:

  • type I: fracture passes lateral to the trochlear groove into the capitulotrochlear groove, Salter-Harris type IV, stable
  • type II: fracture passes through the trochlear groove to apex, Salter-Harris II, unstable

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