Difference between revisions of "Lateral epicondyle fracture (peds)"

(Text replacement - "Fx" to "fracture")
(Background)
 
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*Neurovascular injury uncommon
 
*Neurovascular injury uncommon
  
==Diagnosis==
+
{{Proximal arm fracture DDX}}
===Clinical Findings===
+
 
 +
==Clinical Features==
 
*Swelling and tenderness limited to lateral elbow
 
*Swelling and tenderness limited to lateral elbow
neurovascular injury is uncommon
+
*neurovascular injury is uncommon
===Imaging===
 
*Obtain oblique view if suspicion high despite neg AP/lat
 
*Radiocapitellar line won't 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 fx
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Elbow DDX}}
 
{{Elbow DDX}}
  
==Treatment==
+
===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)
 
*Often requires ORIF (ortho consult)
 +
 +
==Disposition==
  
 
==See Also==
 
==See Also==

Latest revision as of 20:49, 22 June 2020

Background

  • Salter-Harris type IV fracture
  • Neurovascular injury uncommon

Humerus Fractures

Humeral anatomy

Clinical Features

  • Swelling and tenderness limited to lateral elbow
  • neurovascular injury is uncommon

Differential Diagnosis

Elbow Diagnoses

Radiograph-Positive

Radiograph-Negative

Pediatric

Evaluation

  • 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
    • +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

References