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Lateral Condyle Fracture, Elbow
Kirkland W. Davis, MD, FACR; Andrew Sonin, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Any fracture of lateral humeral condyle that extends intraarticularly
                • Excludes fractures only involving extraarticular portion of condyle
                • Excludes fractures involving both condyles
                • Much more common in children

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Kim HH et al: Pediatric elbow injuries. Semin Ultrasound CT MR. 39(4):384-96, 2018
                                            2. Emery KH et al: Pediatric elbow fractures: a new angle on an old topic. Pediatr Radiol. 46(1):61-6, 2016
                                            3. Shirley E et al: Screw fixation of lateral condyle fractures: results of treatment. J Pediatr Orthop. 35(8):821-4, 2015
                                            4. KurtulmuĊŸ T et al: Paediatric lateral humeral condyle fractures: internal oblique radiographs alter the course of conservative treatment. Eur J Orthop Surg Traumatol. 24(7):1139-44, 2014
                                            5. Little KJ: Elbow fractures and dislocations. Orthop Clin North Am. 45(3):327-40, 2014
                                            6. Agarwal A et al: Management of neglected lateral condyle fractures of humerus in children: a retrospective study. Indian J Orthop. 46(6):698-704, 2012
                                            7. Cates RA et al: Growth arrest of the capitellar physis after displaced lateral condyle fractures in children. J Pediatr Orthop. 32(8):e57-62, 2012
                                            8. Gaston MS et al: Lateral condyle fracture of a child's humerus: the radiographic features may be subtle. Scott Med J. 57(3):182, 2012
                                            9. Song KS et al: Lateral condylar humerus fractures: which ones should we fix? J Pediatr Orthop. 32 Suppl 1:S5-9, 2012
                                            10. Wirmer J et al: Operative treatment of lateral humeral condyle fractures in children. Eur J Pediatr Surg. 22(4):289-94, 2012
                                            11. Marcheix PS et al: Distal humerus lateral condyle fracture in children: when is the conservative treatment a valid option? Orthop Traumatol Surg Res. 97(3):304-7, 2011
                                            12. Orthopaedia Collaborative Knowledgebase: Pediatric lateral humeral condyle fracture. Accessed March 15, 2009, http://www.orthopaedia.com/display/Main/Pediatric+lateral+humeral+condyle+fracture
                                            13. Shrader MW: Pediatric supracondylar fractures and pediatric physeal elbow fractures. Orthop Clin North Am. 39(2):163-71, v, 2008
                                            14. Sullivan JA: Fractures of the lateral condyle of the humerus. J Am Acad Orthop Surg. 14(1):58-62, 2006
                                            15. Murnaghan JM et al: Fractured lateral epicondyle with associated elbow dislocation. Int J Clin Pract. 56(6):475-7, 2002
                                            16. Jakob R et al: Observations concerning fractures of the lateral humeral condyle in children. J Bone Joint Surg Br. 57(4):430-6, 1975
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Any fracture of lateral humeral condyle that extends intraarticularly
                                                          • Excludes fractures only involving extraarticular portion of condyle
                                                          • Excludes fractures involving both condyles
                                                          • Much more common in children

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Staging, Grading, & Classification

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Kim HH et al: Pediatric elbow injuries. Semin Ultrasound CT MR. 39(4):384-96, 2018
                                                                                      2. Emery KH et al: Pediatric elbow fractures: a new angle on an old topic. Pediatr Radiol. 46(1):61-6, 2016
                                                                                      3. Shirley E et al: Screw fixation of lateral condyle fractures: results of treatment. J Pediatr Orthop. 35(8):821-4, 2015
                                                                                      4. KurtulmuĊŸ T et al: Paediatric lateral humeral condyle fractures: internal oblique radiographs alter the course of conservative treatment. Eur J Orthop Surg Traumatol. 24(7):1139-44, 2014
                                                                                      5. Little KJ: Elbow fractures and dislocations. Orthop Clin North Am. 45(3):327-40, 2014
                                                                                      6. Agarwal A et al: Management of neglected lateral condyle fractures of humerus in children: a retrospective study. Indian J Orthop. 46(6):698-704, 2012
                                                                                      7. Cates RA et al: Growth arrest of the capitellar physis after displaced lateral condyle fractures in children. J Pediatr Orthop. 32(8):e57-62, 2012
                                                                                      8. Gaston MS et al: Lateral condyle fracture of a child's humerus: the radiographic features may be subtle. Scott Med J. 57(3):182, 2012
                                                                                      9. Song KS et al: Lateral condylar humerus fractures: which ones should we fix? J Pediatr Orthop. 32 Suppl 1:S5-9, 2012
                                                                                      10. Wirmer J et al: Operative treatment of lateral humeral condyle fractures in children. Eur J Pediatr Surg. 22(4):289-94, 2012
                                                                                      11. Marcheix PS et al: Distal humerus lateral condyle fracture in children: when is the conservative treatment a valid option? Orthop Traumatol Surg Res. 97(3):304-7, 2011
                                                                                      12. Orthopaedia Collaborative Knowledgebase: Pediatric lateral humeral condyle fracture. Accessed March 15, 2009, http://www.orthopaedia.com/display/Main/Pediatric+lateral+humeral+condyle+fracture
                                                                                      13. Shrader MW: Pediatric supracondylar fractures and pediatric physeal elbow fractures. Orthop Clin North Am. 39(2):163-71, v, 2008
                                                                                      14. Sullivan JA: Fractures of the lateral condyle of the humerus. J Am Acad Orthop Surg. 14(1):58-62, 2006
                                                                                      15. Murnaghan JM et al: Fractured lateral epicondyle with associated elbow dislocation. Int J Clin Pract. 56(6):475-7, 2002
                                                                                      16. Jakob R et al: Observations concerning fractures of the lateral humeral condyle in children. J Bone Joint Surg Br. 57(4):430-6, 1975