Displaced T-condylar and supracondylar fracture of the distal humerus


Type III comminuted and displaced T-condylar and supracondylar fracture of the distal humerus.

T- or Y-condylar fractures of the distal humerus are very rare in children and rare in adults as well. They require a higher energy force than that is required in supracondylar fractures. The semilunar notch of the olecranon acts as a wedge during the axial load with a direct fall on the flexed elbow; this wedge splits the trochlea and the fracture line ascends through the central groove of the trochlea and goes up proximally to the supracondylar fracture line splitting or separating the medial and lateral condyles of the humerus.

Post-operative complication in this patient was stiffness of the elbow with mild tenderness and pain as well as limited range of movement in flexion and limited terminal end range extension.