Lateral epicondyle fracture (peds): Difference between revisions
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===Imaging=== | ===Imaging=== | ||
*Obtain oblique view if suspicion high despite neg AP/lat | *Obtain oblique view if suspicion high despite neg AP/lat | ||
*Radiocapitellar line | *Radiocapitellar line will not intersect middle of capitellum in all views | ||
**May be only sign of fracture if fracture is entirely through growth plate | **May be only sign of fracture if fracture is entirely through growth plate | ||
*[[Elbow X-ray (Peds)|+Fat Pad Sign/"sail" sign]] | *[[Elbow X-ray (Peds)|+Fat Pad Sign/"sail" sign]] | ||
Revision as of 20:31, 11 July 2016
Background
- Salter-Harris type IV fracture
- Neurovascular injury uncommon
Diagnosis
Clinical Findings
- Swelling and tenderness limited to lateral elbow
neurovascular injury is uncommon
Imaging
- 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
- +Fat Pad Sign/"sail" sign
- May be only sign of nondisplaced fracture
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
- Distal humerus fracture
- Radial head fracture
- Capitellum fracture
- Olecranon fracture
- Elbow dislocation
Radiograph-Negative
- Biceps tendon rupture/dislocation
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Pronator teres syndrome
- Septic bursitis
Pediatric
- Nursemaid's elbow
- Supracondylar fracture
- Lateral epicondyle fracture
- Medial epicondyle fracture
- Olecranon fracture
- Radial head fracture
- Salter-Harris fractures
Management
- Often requires ORIF (ortho consult)