Orthopedics Book

http://www.fpnotebook.com/

Lateral Condyle Fracture

Aka: Lateral Condyle Fracture
  1. See Also
    1. Pediatric Fractures
    2. Supracondylar Fracture
  2. Epidemiology
    1. Second most common elbow Fracture in children
    2. Most common elbow physeal Fracture
    3. Age of onset typically 4 to 7 years old
  3. Mechanism
    1. Fall on an outstretched hand
    2. Avulsion Fracture of lateral condyle at attachment of the wrist extensors (and lateral collateral ligament)
  4. Signs
    1. Lateral Elbow Pain, swelling and decreased range of motion
  5. Management
    1. Initial Splinting
      1. Posterior splint with Forearm in neutral position and elbow at 90 degrees
    2. Definitive management
      1. Orthopedic referral in all cases
      2. Most cases require surgical management with ORIF
      3. Some non-displaced or minimally displaced Fractures may be managed with Casting
        1. Requires repeat XRay every 3-5 days for first 7-10 days to confirm Fracture remains nondisplaced
        2. Non-displaced Fractures can then be casted in a Long Arm Cast for 3 weeks
  6. Complications
    1. Growth arrest
    2. Nonunion or malunion
      1. Cubitus varus deformity
      2. Cubitus valgus deformity
        1. Risk of Ulnar Nerve palsy
  7. References
    1. Eiff (2012) Fracture Management for Primary Care, Saunders, Philadelphia, p. 265-6

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree