Medial condylar fracture humerus pdf

Pdf fractures of the medial humeral condyle in adults. Medial condylar fractures may be difficult to diagnose in younger children and should be considered when there is a history of trauma and medial. All supracondylar humerus fractures treated at childrens hospital and health center, san diego chsd over. The location of the fracture line, the degree of displacement and the relationship of the condylar ossi. Lateral condylar mass lcm fractures of the distal humerus comprise 17% of distal humeral fractures and are the second most common injury around. Mar 20, 2020 injuries to the medial aspect of the distal humerus in young children can range from an avulsion fracture of the medial epicondyle to a much more serious salterharris type iv fracture of the medial condyle. Secondly, the lateral epicondylar ridge is smaller and weaker than its medial counterpart. Humeral condylar fractures in dogs and cats information sheet.

A tcondylar fracture may also be caused by a fall on the outstretched arm with the elbow in only slight flexion. Six cases of lateral condylar fracture of the humerus in children with preexisting cubitus varus due to prior elbow fracture are presented. A fishtail deformity is one of the wellknown complications following pediatric lateral condyle or supracondylar fractures of the humerus. Humeral supracondylar fracture an overview sciencedirect. Humeral condyle fracture radiology reference article. Because of their rarity, there is a lack of evidence in the literature on the best method to treat such fractures. Clinical and scintigraphic findings were suggestive of spontaneous osteonecrosis of the medial femoral condyle. Medial condyle fractures are intraarticular, extending into the elbow joint and require urgent op. Lateral condylar fractures are most prevalent in skeletally immature dogs. The humeral condyle is the name given to the end of the bone called the humerus at the top of the front leg the forelimb.

Type 3 supracondylar fracture humerus, medial approach, crossed kwire fixation, medial column comminution introduction supracondylar humerus fractures constitute about 17% of all paediatric fractures and are second only to forearm fractures 1,2. Journal of the american academy of orthopaedic surgeons. This fracture pattern is relatively rare in adults, but is the most common type of elbow fracture in children. Fracture of the medial humeral condyles is very uncommon and accounts for less than 2% of all elbow fractures in children. Gartlands classification of supracondylar fracture of humerus. Lateral condyle fracture of the humerus fracture clinics.

Humeral condylar fractures and incomplete ossification of. It is important not to miss associated injuries such as fractures of the olecranon, medial condyle, forearm bones, or elbow. Tcondylar distal humerus fractures musculoskeletal key. T condylar fractures of the distal humerus are very rare in children. A supracondylar humerus fracture is a fracture of the distal humerus just above the elbow joint. Treatment of medial condyle fracture of humerus in adults. Louahem dm, bourelle s, buscayret f, mazeau p, kelly p, dimeglio a, cottalorda j. We report the cases of three paediatric patients with t condylar fracture of the distal humerus. Type 2 is a type 1 with comminution of lateral condyle. The aims of this study were i to highlight the rarity of this injury, ii to focus on the problems in management of cases which present late, and iii to compare the results of. The specific etiology of supracondylar humerus fractures in children is not well known. Displaced medial epicondyle fractures of the humerus.

Humeral condylar fractures and incomplete ossification of the. Lateral humeral condyle fracture radiology reference. Interpretation of mandibular condyle fractures using 2d and. Oct 10, 2018 medial condylar fractures of the elbow, demonstrated in the images below, are rare in adults and children. Pediatric lateral humeral condyle fracture orthopaedicsone. Medial condyle fractures are intraarticular, extending into the elbow joint and require urgent open reduction internal fixation orif. Medial condyle fracture kilfoyle type iii of the distal humerus.

You may not embed one of our images on your web page without a link back to our site. Medial condyle, humerus, fracture, adults singapore med j 2000 vol 417. Attention was drawn to the location of the fracture because of extensive softtissue swelling on the lateral aspect white arrows. This fracture pattern is typically through the lateral metaphysis extending into the epiphysis and often extends into the articular surface. Medial epicondyle humerus, milch classification, anatomical reduction. Her xray shows a nondisplaced medial condylar fracture with mild dorsal angulation of the distal fracture fragment. Closed reduction can be performed with varus stress at the elbow with the forearm supinated. Medial epicondyle fracture of the humerus emergency. Medial condyle fractures of the humerus in children request pdf. Fracture that involves the epiphyseal plate or growth plate of a bone type i. How often should these fractures be followed up in fracture clinics. Two of three fracture dislocations lost reduction in the early postoperative period, requiring revision with more stable fixation. Together with the radius and ulna the two bones of the antebrachium or forearm the humeral condyle makes up the elbow joint. Most fractures occur between five and eight years of age 3.

A high degree of attention is needed in order not to miss the presence of intraarticular fracture, especially in. Medial condyle fractures of the humerus in children. Comparison of lateral versus tricepssplitting posterior. In case 2, we visualized the condylar fracture in the right side figure 2a from 2dct. Fracture of the lateral condyle extending medially to involve the trochlea.

From ring et al for very distal comminuted fractures. Fractures of the medial condyle of humerus are uncommon in adults. Elbow fractures in children orthopaedic trauma association. Humeral condylar fractures what are humeral condylar fractures. Tcondylar fractures of the distal humerus in children. Management of lateral humeral condylar mass fractures in children. This 3yearold female fell while jumping on a trampoline and landed on her left elbow. Medial condyle fracture kilfoyle type iii of the distal.

Once anatomically aligned, the fracture is pinned with smooth pins. Lateral condylar mass lcm fractures of the distal humerus comprise 17% of distal humeral fractures and are the second most common injury around the elbow in the paediatric population, after supracondylar fractures. The fracture is usually transverse or oblique and above the medial and lateral condyles and epicondyles. Medial condyle fractures involve a fracture line that extends through and separates the medial metaphysis and epicondyle from the rest of. When should i refer for an orthopaedic consultant opinion. Business strategies you need to start doing the last 127 days of 2019 melbourne 2019 keynote duration. For each type the breed and age prevalence, the cause of fracture, the method of fixation and the results of treatment have been recorded. These fractures are easily missed and when not managed appropriately can displace. Milch classification lateral humeral condyle fracture weiss classification lateral humeral condyle fracture bado classification of monteggia fracture dislocations radiusulna mason classification radial head fracture frykman classification distal radial fracture mayo classification scaphoid fracture. The aims of this study were i to highlight the rarity of this injury, ii to focus on the problems in management of cases. Management of lateral humeral condylar fracture in children.

Pdf fractures of the medial condyle of humerus are uncommon in adults. A case report pierre lafforgue and pierreclaude acquaviva an 88yearold woman complained of pain in the medial part of her knee for 5 weeks. Distal humerus fractures edward j harvey md msc frcsc december 2015. It has been estimated that they account for approximately 65% of all fractures and dislocations in children. Closed reduction and percutaneous pinning crpp or open reduction internal fixation orif are both commonly used in displaced lateral condylar humerus fractures. Request pdf medial condyle fractures of the humerus in children a retrospective study of 21 medial condylar fractures revealed that the complication rate. They may be subtle but are hugely important to diagnose in a timely manner because if they are missed. Lateral condylar and capitellar fractures of the distal humerus figure 191 a. Type 5 is a type 4 with fracture of medial condyle. Posteromedial elbow dislocation with lateral humeral condylar. Lateral condyle fracture of the humerus emergency department. Operative treatment was performed if there was 2 mm of displacement at the fracture site. Distal humerus fractures orthopaedic trauma association.

We herein report a case of medial condyle fracture kilfoyle type iii in an 11yearold boy. According to cotton1, they almost never occur, and judet2 used the word. Distal humerus fracture medial condylar fracture with pathologic fat pad sign. We help you diagnose your distal humerus case and provide detailed descriptions of how to manage this and hundreds of other pathologies. Lateral condyle fractures pediatric orthopaedic society of. Management of lateral humeral condylar fracture in. What are the potential complications associated with this injury. It is important to distinguish a medial epicondyle fracture common from a medial condyle fracture very rare.

Missed fracture is a common cause of nonunion and deformity. Mar 01, 2016 business strategies you need to start doing the last 127 days of 2019 melbourne 2019 keynote duration. If you would like a large, unwatermarked image for your web page or. Medial epicondyle fracture of the humerus emergency department.

Supracondylar and lateral condyle fractures of the humerus. Lateral condylar fractures constitute 12% to 20% of all pediatric distal humerus fractures. Black arrowheads indicate the fracture lines of the distal humerus. They may be subtle but are hugely important to diagno. When the 3dct technique was used, we observed the anterior and medial bone displacement of the condylar fracture figure 2bd. Management of lateral humeral condylar mass fractures in. Lateral condylar and capitellar fractures of the distal humerus.

Lateral humeral condyle fractures also referred to simply as lateral condyle fractures in the appropriate context, are relatively common elbow fractures that predominantly occur in children. Ten months later, he returns complaining of limited range of motion and continued pa. Injury film of a 7year old with a nondisplaced fracture of the lateral condyle small arrows. This image permitted only the visualization of anterior bone displacement of the condylar fracture. This extension mechanism has been suggested by patients in their description of the dynamics of the fall and indirectly by the position of the distal fragments in relation to the diaphyses of the humerusin other words, lying posterior fig. Lcp periarticular plating system the lcp periarticular plating system is capable of addressing. Lateral condyle fractures are the second most common elbow fracture after the supracondylar humerus fracture in children. Introduction fracture of the medial condyle of humerus is very rare, the incidence being less than 12% of all elbow injuries 1. Fifty percent of medial epicondyle fractures are associated with an elbow dislocation. Coronal image a and sagittal images b, c of the left elbow in case 3 showing milch type i lateral humeral condylar fracture. Especially for the evaluation of suspected lateral condyle fractures.