Executive Editor: Fergal Monsell

General Editor: Chris Colton

Authors: Andrew Howard, Theddy Slongo

Pediatric distal humerus 13-E/3.1

General considerations

The mechanism is mostly axial compression on the elbow with some valgus stress. This fracture can also be seen in combination with atypical elbow dislocations. In this situation it is important to be aware of the possibility of medial ligament avulsion.

As this is mostly compression trauma, growth arrest might occur.

If the fragment is markedly displaced, avascular necrosis of the capitellum might occur.

For an open reduction of this fracture type, it is recommended to perform a posterolateral skin incision. This allows preparation of the anterior aspect for capsulotomy and visualization of the joint surface for anatomical reduction.

Timing of treatment

There is no indication for immediate surgery. This surgery can be planned in the regular clinical program over the next few days.

The following points influence the timing of the treatment:

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Authors' added material

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v1.0 2016-12-01