View source for Lateral epicondyle fracture (peds)

==Background==
*Salter-Harris type IV fracture
*Neurovascular injury uncommon

{{Proximal arm fracture DDX}}

==Clinical Features==
*Swelling and tenderness limited to lateral elbow
*neurovascular injury is uncommon

==Differential Diagnosis==
{{Elbow DDX}}

===Evaluation===
*[[Elbow X-ray (Peds)|Xray]]
**Obtain oblique view if suspicion high despite neg AP/lat
**Radiocapitellar line will not intersect middle of capitellum in all views 
***May be only sign of fracture if fracture is entirely through growth plate
**[[Elbow X-ray (Peds)|+Fat Pad Sign/"sail" sign]] 
***May be only sign of nondisplaced fracture

==Management==
{{General Fracture Management}}

===Specific Management===
*Often requires ORIF (ortho consult)

==Disposition==

==See Also==
*[[Elbow diagnoses]]

==References==
<references/>



[[Category:Pediatrics]]
[[Category:Orthopedics]]