Pediatric Medial Condyle of Humerus Fracture Dislocation: A Case Report

We present the case of a six-year-old male patient, status post fall with elbow dislocation, successfully reduced. At the time of injury, he had normal appearing x-rays, signs of a mildly discrete chip, and possible epicondyle ossification, but no definitive fracture. A medial condyle fracture with dislocation was missed at the original time of injury. The patient returned several years later with mild elbow stiffness and intermittent pain. CT scan at this time demonstrated nonunion of the medial condyle. The patient underwent subsequent open reduction and internal fixation (ORIF) and is currently doing well clinically. Although rare, a medial condyle dislocation fracture needs surgical intervention to reduce morbidity, and therefore, should be in the differential when working up a pediatric fracture.