Supracondylar fracture (grade I)

Case contributed by Dr Jeremy Jones


Fall from bike. Not using arm. Elbow swelling. Will not extend elbow.

Patient Data

Age: 6 years
Gender: Female

Elbow joint effusion with lucency across the supracondylar region on the AP x-ray and cortical irregularity posteriorly and medially.

Case Discussion

Supracondylar fractures are the most common childhood elbow fracture. The anterior humeral line usually comes to your aid when making this diagnosis, but where there is limited displacement (grade I) like in this case, you need to go looking for the fracture.

The elbow joint effusion heralds an intra-articular fracture and even if you can't see one, it's almost certainly a supracondylar fracture.

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Case information

rID: 76697
Published: 27th Apr 2020
Last edited: 27th Apr 2020
System: Paediatrics
Inclusion in quiz mode: Included
Institution: NHS Lothian

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