Lateral condyle fracture of a child's humerus: the radiographic features may be subtle

Fractures of the lateral condyle of the humerus in children are relatively common and can be easily missed on initial plain radiographs especially in the younger age group. We present a case in which diagnosis of this fracture was delayed for five weeks and therefore presented more challenging surgi...

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Bibliographic Details
Published in:Scottish medical journal 2012-08, Vol.57 (3), p.1-4
Main Authors: Gaston, M S, Irwin, G J, Huntley, J S
Format: Article
Language:English
Subjects:
Child, Preschool
Delayed Diagnosis - adverse effects
Elbow Joint - diagnostic imaging
Elbow Joint - injuries
Elbow Joint - physiopathology
Elbow Joint - surgery
Female
Fracture Fixation, Internal - methods
Fracture Healing
Fractures, Ununited - diagnostic imaging
Fractures, Ununited - physiopathology
Fractures, Ununited - surgery
Humans
Humeral Fractures - diagnostic imaging
Humeral Fractures - physiopathology
Humeral Fractures - surgery
Radiography
Range of Motion, Articular
Treatment Outcome
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Summary:Fractures of the lateral condyle of the humerus in children are relatively common and can be easily missed on initial plain radiographs especially in the younger age group. We present a case in which diagnosis of this fracture was delayed for five weeks and therefore presented more challenging surgical management. The salient features that were apparent on the initial radiograph at presentation are discussed as is the use of further imaging techniques that may help to clarify the initial diagnosis. This could significantly reduce the risk of serious complications such as chronic pain, deformity and nerve palsy.
ISSN:0036-9330
2045-6441
DOI:10.1258/smj.2012.012028