The Journal of Bone and Joint Surgery, Vol 62, Issue 7 1159-1163, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
Displaced fractures of the medial humeral condyle in children
JV Fowles and MT Kassab
Fracture of the medial humeral condyle in children is an epiphyseal injury,
and it is probably caused by a valgus force incurred with the elbow
extended, the origin of the flexor muscles and medial collateral ligament
avulsing and rotating the condyle. The injury is uncommon and is easily
misdiagnosed. Four children who were treated within one week of injury were
seen more than one year later and had good results. Two patients who were
treated late and another who was not treated had poor results. Early
diagnosis, accurate reduction, and internal fixation are important to avoid
growth disturbance, articular incongruence, and functional disability.