A 6-year-old male presents to the ED after a fall from his 5 foot high bunk bed causing elbow trauma. On exam, there is significant focal swelling, ecchymosis, and tenderness at the lateral left elbow. The forearm, wrist, hand and shoulder are nontender. He is neurovascularly intact. You suspect a fracture and obtain x-rays (Figures 1 and 2).
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References
- Tejwani N, Phillips D, Goldstein RY. Management of lateral humeral condylar fracture in children. J Am Acad Orthop Surg. 2011;19(6):350-358. PMID 21628646
- Milch H: Fractures and fracture dislocations of the humeral condyles. J Trauma 1964;4:592-607. PMID 14208785
- Abzug JM, Dua K, Kozin S, Herman M. Current Concepts in the Treatment of Lateral Condyle Fractures in Children. JAAOS. 2020; 28(1):e9-e19. PMID 31268870
- Shaerf DA, Vanhegan IS, Dattani R. Diagnosis, management and complications of distal humerus lateral condyle fractures in children. Shoulder Elbow. 2018;10(2):114-120. PMID 29560037
- Rubin G, Orbach H, Bor N, Rozen N. Tardy Ulnar Nerve Palsy. J Am Acad Orthop Surg. 2019; 27(19):717-725. PMID: 30939566
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