FRACTURED LATERAL EPICONDYLE WITH ASSOCIATED ELBOW DISLOCATION
SUMMARY We describe a case series involving a very unusual injury in children, i.e. a Milch 1 fracture of the lateral condyle with an associated dislocation of the elbow. This fracture configuration is normally stable as the intact capitellotrochlear groove serves as a lateral buttress for the coron...
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Veröffentlicht in: | International journal of clinical practice (Esher) 2002-07, Vol.56 (6), p.475-477 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | SUMMARY
We describe a case series involving a very unusual injury in children, i.e. a Milch 1 fracture of the lateral condyle with an associated dislocation of the elbow. This fracture configuration is normally stable as the intact capitellotrochlear groove serves as a lateral buttress for the coronoid‐olecranon ridge of the ulna. In this series, however, each patient had an associated dislocation. These injuries usually present as a clinical dislocation and if the elbow is manipulated before radiographic imaging, the fracture line can be difficult to see on the post‐reduction films. We recommend that all patients with a dislocated elbow should have elbow stability assessed under general anaesthesia, because a missed lateral condylar injury can lead to abnormalities in carrying angle, epiphyseolysis or an unstable elbow. |
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ISSN: | 1368-5031 1742-1241 |
DOI: | 10.1111/j.1742-1241.2002.tb11299.x |