Supracondylar and epicondylar fracture of elbow

Case contributed by Dr Shailaja Muniraju

Presentation

History of fall. Unable to move right hand. Severe pain. Swelling over elbow.

Patient Data

Age: 10 years
Gender: Male
Modality: X-ray

Superiorly displaced lateral supracondylar fracture with undisplaced medial epicondylar fracture.

No elbow joint dislocation.

Small volume joint effusion seen.

Moderate periarticular soft tissue thickening seen. 

Post operative imaging

Modality: X-ray

Internal fixation using two divergent Kirschner wires laterally and a single wire medially. The wires are unburied.

Satisfactory alignment and anatomic reduction.

Limb in plaster of paris.

No complicating features.

Case Discussion

Distal humeral fractures are at increased risk of non-union. 

Buried Kirschner wires have fewer complications than unburied wires. Buried wires are removed around 4 weeks although plaster immobilization is required until union.

In follow up imaging, it is important to assess for callus formation, union, inadequate reduction and for any infective complications.

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Case Information

rID: 49890
Case created: 8th Dec 2016
Last edited: 11th Dec 2016
Inclusion in quiz mode: Included

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