Do not Miss a Pediatric Lateral Condyle Fracture- A Case Based Description of Neglected Case Managed with Good Outcome

Abstract

Background: Lateral Condyle Fractures are the second most common fracture amongst the pediatric elbow fractures, which is usually neglected commonly due to parents not seeking timely medical help or clinician missing the diagnosis with lack of knowledge or understanding. Case Presentation: A 3-year-old female was presented in the outpatient department with outward bowing of the right elbow following a history of FOOSH injury more than a month back. Clinical examination showed gross valgus deformity with an increased carrying angle with thickened and irregular lateral condyle on examination. Adiograph of the elbow showed nonunion of the lateral humeral condyle with lateral displacement and malrotation of the fracture fragment. The carrying angle of the affected side was 50º and Baumann’s angle on affected side was 40º. A CT scan also showed displaced fracture of lateral epicondyle of right humerus. Patient was treated successfully with Open Reduction and Internal Fixation (ORIF) with Kirschner (k) wires. On follow up, the patient had significant improvement with the correction of valgus deformity and overall improvement in the elbow range of movements.