Medial humeral condyle fracture in childhood: a rare but often overlooked injury

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
F F FernandezO Eberhardt

Abstract

The medial condyle fracture of the humerus is-in comparison to the lateral condyle fracture-a very rare Salter-Harrison IV-fracture of the elbow. In this prospective study 14 children were included and reviewed. One child had minimal displacement fracture type I, one child had type II, and 12 children had type III-fractures. One patient was treated conservatively by an upper arm cast; thirteen were surgically treated using open reduction and osteosynthetical treatment. Postoperatively the elbow was immobilized in 90° flexion and neutral position in a long-arm cast for 4-6 weeks. In 11 children the diagnosis was made immediately after trauma, in 3 children the fracture was overlooked initially. Medial condyle fractures may be difficult to diagnose in children younger than 6 years and the lesion may be mistaken for a simple avulsion of the medial epicondyle or even missed. The C-sign is a hint for a medial condyle fracture. The development of nonunion happens in consequence of failure to recognize the fractures. Results after an average follow-up of 36 months showed that children who were diagnosed immediately and received operative stabilization had very good functional and aesthetical results. Three children with delayed diagno...Continue Reading

References

Jul 1, 1987·Journal of Pediatric Orthopedics·V PapavasiliouT Venturis
Jul 1, 1986·Journal of Pediatric Orthopedics·H BensahelS Badaoui
Apr 1, 1996·Acta Orthopaedica Scandinavica·E IppolitoR Caterini
Jan 27, 2007·Journal of Shoulder and Elbow Surgery·Keinosuke RyuJunnosuke Ryu
Sep 1, 2011·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Kwang Soon SongEun Seok Son
Aug 13, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Necdet SağlamMehmet Türker

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Citations

May 15, 2020·Journal of Orthopaedic Surgery·Huang-Chia SuPeng-Ju Huang
Aug 4, 2020·Journal of Pediatric Orthopedics. Part B·Weizheng ZhouLianyong Li
May 18, 2021·Indian Journal of Orthopaedics·Sandeep Patwardhan, Sujith Omkaram

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