Management of Acute Lateral Condyle Fractures of Humerus
Volume 7 | Issue 2 | May-August 2021 | Page: 30-34 | Sandeep Patwardhan, Arkesh Madegowda
Authors: Sandeep Patwardhan [1], Arkesh Madegowda [1]
[1] Department of Paediatric Orthopaedics, Sancheti Institute of Orthopaedics and Rehabilitation, Pune Maharashtra, India.
Address of Correspondence
Dr Sandeep Patwardhan,
Professor, Paediatric Orthopaedic surgeon, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
E-mail: sandappa@gmail.com
Abstract
Lateral condyle fractures of humerus are one of the common elbow injuries seen in children. These fractures are often difficult to visualise as fracture line passes through unossified cartilage and may need additional investigations to properly assess the fracture pattern. Non operative management is generally indicated for fractures having <2mm displacement. Closed reduction and percutaneous pinning is recommended for those fractures with >2mm displacement and loss of articular cartilage hinge. Intraoperative arthrogram helps to confirm the fracture reduction and restoration of congruent articular surface. Open reduction and fixation may become necessary for fractures with gross displacement and malrotation of the fragment. Complications of lateral condyle fractures include delayed presentation, malunion, lateral spurring and fishtail deformity.
Keywords: Lateral condyle fractures, Internal oblique view, Arthrogram, Aartilage hinge, Displacement.
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| How to Cite this Article: Patwardhan S, Madegowda A | Management of Acute Lateral Condyle Fractures of Humerus | International Journal of Paediatric Orthopaedics | May-August 2021; 7(2): 30-34. |
