A case of complex paediatric elbow trauma, comprising of fracture lateral condyle associated with posterior dislocation of elbow is presented. Concomitant elbow dislocation was managed by closed reduction under sedation, assessing the elbow stability under general anaesthesia along with lateral condylar fracture fixation using cannulated cancellous screw. The patient had an uneventful recovery ...

Posteromedial dislocation of the elbow in children is an extremely rare injury. The current study describes four boys with posteromedial dislocation of the elbow associated with a displaced fracture of the lateral humeral condyle. The patients ranged in age from 6 to 12 years (average age, 9 years 6 months). Closed reduction of the elbow dislocation and open reduction of the lateral humeral con...

BACKGROUND Conservative treatment of fractures of the lateral humeral condyle in children is associated with many problems as noted previously by several authors. OBJECTIVE To determine the outcome of internal fixation of fractures of the lateral humeral condyle. DESIGN A prospective study. SETTING Department of Orthopaedic Surgery, Asir Central Hospital, Abha, Saudi Arabia, between 1991 ...

Lateral humeral condyle fractures account for 17 % of the distal humeral condyle fractures. Displaced and/or rotated fractures require appropriate reduction and stabilisation. There are, however, a number of controversies in the surgical management of these patients. The aim of the present study was to review the results of patients with a displaced lateral humeral condyle fracture treated with...

We describe a case of a Monteggia fracture dislocation and an ipsilateral lateral humeral condyle fracture in a 3-year-old child. This is a rare combination of injuries with no previously reported cases in the literature. This case emphasises that when a fracture is detected around an elbow there should be a high index of suspicion for other injuries in the region.

From an anatomical study and clinical review of fractures of the lateral humeral condyle in children, the following conclusions are drawn. The mechanism of injury is a violent varus force with the elbow in extension, the condyle being avulsed by the lateral ligament and the extensor muscles. If the fracture is incomplete, with an intact hinge of pre-osseous cartilage medially, the fragment will...

BACKGROUND Although conservative treatment is a well-established method for treating nondisplaced and minimally displaced (< or =2 mm) fractures of the lateral humeral condyle in children, there is still great uncertainty concerning the rate and time course of subsequent displacement. Therefore, the appropriate frequency of radiographic follow-up remains unclear. The aim of the study was to det...

Objective: Lateral humeral condyle fractures are troublesome injuries and are common among the lower end humerus epiphyseal injuries. These fractures are prone to go for non union . Preference for treatment of these nonunions, is to be individualised. Methods, varying from open reduction internal fixation with or without bone pegs, varus osteotomy to displacement osteotomy in gross valgus defor...

PURPOSE To assess the outcome after using the Shaft-Condylar angle (SCA) as intraoperative reference for sagittal plane correction in displaced lateral humeral condyle fractures in children presented 3-weeks after injury. METHODS Ten children, with delayed presentation of a displaced lateral humeral condyle fracture and undergoing surgery during 1999-2011, were reviewed. The goal was to obtai...

INTRODUCTION Lateral humeral condyle fractures typically require a longer period of internal fixation than other distal humeral fractures due to the increased risk of non-union. K-wires can be buried and left in situ until union or they can be left unburied and require removal after four weeks, with plaster immobilisation until union. There is no consensus as to whether wire burial is preferab...