[Intra-articular fractures of the elbow in childhood]

Correct assessment of the prognosis is a special problem in intra-articular fractures of the elbow in children. Pseudarthrosis, which is other-wise not seen in children, is often observed in fractures of the radial condyle but, together with other post-traumatic dislocations (fishtail deformity), is of little functional significance. In principle, an operation should be performed even on slightly dislocated fragments at the distal humeral joint surface. Intra-articular fractures of the proximal ulna also tend to result in persistent dislocations and therefore require exact repositioning. Fractures of the head of the radius can usually be expected to reduce spontaneously with astonishingly good results and only seldom require open repositioning. Growth disturbances can occur many years after the original injury - even if the treatment is correct.