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Fractured lateral epicondyle with associated elbow dislocation.

J M Murnaghan1, N S Thompson, T C Taylor

  • 1Department of Paediatric Orthopaedics, Royal Belfast Hospital for Sick Children, UK.

International Journal of Clinical Practice
|August 9, 2002
PubMed
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This case series highlights a rare Milch type 1 lateral condyle fracture with elbow dislocation in children. Early detection is crucial, as missed fractures can lead to long-term elbow instability.

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Traumatology
  • Pediatric Radiology

Background:

  • Milch type 1 lateral condyle fractures are typically stable due to the capitellotrochlear groove acting as a buttress.
  • Elbow dislocations in children are common, but often associated with specific fracture patterns.

Observation:

  • This case series details a rare combination of Milch type 1 lateral condyle fracture and elbow dislocation in pediatric patients.
  • These injuries often present clinically as a simple dislocation, potentially obscuring the fracture on initial imaging.

Findings:

  • The intact capitellotrochlear groove's buttressing effect is compromised in the presence of dislocation.
  • Radiographic visualization of the fracture line can be challenging on post-reduction films if manipulation precedes imaging.

Related Experiment Videos

Implications:

  • All pediatric elbow dislocations require thorough stability assessment under general anesthesia.
  • Failure to diagnose a concomitant lateral condyle fracture can result in altered carrying angle, epiphyseolysis, or chronic elbow instability.