Frx of the Medial Condyle in Children



- See:
      - Frx of Medial Condyle in Adult:

- Discussion:
    - rare injury;
    - look for medial sided pain;
    - unlike frx of medial epicondyle, elbow dislocation usually does not occur in this injury;
    - in the report by Leet AI, et al (2002), the authors performed a retrospective study of 21 medial condylar fractures revealed that the 
          complication rate for these rare fractures was 33%;
          - most of the minimally displaced fractures healed uneventfully with immobilization; however, one patient developed AVN of the
                 trochlea, and one patient developed a nonunion;
          - operative treatment was performed if there was >2 mm of displacement at the fracture site;
          - 2 of three fracture-dislocations lost reduction in the early postoperative period, requiring revision with more stable fixation;

- Radiographs:
    - because the trochlea does not ossify until age 8 yrs, frx of the medial condyle may be mistaken for frx of medial epicondyle;
          - this is especially true if there is significant pain, swelling, and instability (but no dislocation);
          - fracture into the metaphyseal bone helps with the diagnosis;
    - consider MRI if the diagnosis is in question



Fractures of the medial condyle of the humerus in childhood.

Medial Condyle Fractures of the Humerus in Children 



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, May 24, 2012 2:54 pm