Elbow fracture (peds): Difference between revisions

Revision as of 19:27, 29 September 2014

If displaced <5 mm immobilize in stable position (usually 45 degrees of elbow flexion)
ORIF indicated for unstable fracture
Orthopedic consultation is best to guide treatment

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 ==Differential Diagnosis==
 {{Elbow DDX}}
 ==[[Lateral epicondyle fracture (peds)]]==
 ==[[Medial epicondyle fracture (peds)]]==
-===Background===
-*Not true Salter-Harris fx (apophysis, not physis, is involved)
-*50% assoc w/ elbow dislocation
-===Diagnosis===
-*Displacement of medial epicondyle ossification center
-*May become entrapped w/in elbow joint
-*Use [[CRITOE]] to determine if bone in joint is medial epicondyle or nl trochlear oss center
-**If think is trochlear but cannot see medial epicondyle fragment is medial epicondyle
-***(Medial epicondyle normally ossifies before the trochlea)
-*Fat pad sign not usually present because most injuries are extra-articular
-===Treatment===
-*Ortho consult
 ==[[Olecranon fracture (peds)]]==