Abstract

Eight children between 4 and 10 years old with displaced and rotated fractures of the lateral humeral condyle were treated by open reduction and internal fixation. In all cases union occurred. There were no complications apart from one case developed stiff elbow which need manipulation under anaesthesia later on.

Highlights

  • Fractures of the lateral condyle of the humerus are quite common and occur at approximately the age 6 years 2,14

  • Lateral condylar fracture has been classified according to the amount of displacement of the metaphyseal fragment and integrity of the articular cartilage 8 (Figure 1)

  • All patients were treated by open reduction and internal fixation

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Summary

Introduction

Fractures of the lateral condyle of the humerus are quite common and occur at approximately the age 6 years 2,14. They are the most common distal humeral epiphyseal fractures, they are mor ecommon than those of the medial epicondyle, or the fracture separation of the entire distal epiphysis. Lateral condylar fracture has been classified according to the amount of displacement of the metaphyseal fragment and integrity of the articular cartilage 8 (Figure 1). Milch classified this fracture into two types according to the principle of epiphyseal injury[2] (Figure 2).

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