Elbow fractures (peds)

Differential Diagnosis

Elbow Diagnoses

Radiograph-Positive

• Distal humerus fracture
• Radial head fracture
  • Essex-Lopresti fracture
• Capitellum fracture
• Olecranon fracture
• Elbow dislocation

Radiograph-Negative

• Lateral epicondylitis
• Medial epicondylitis
• Olecranon bursitis (nonseptic)
• Septic bursitis
• Biceps tendon rupture/dislocation

Pediatric

• Nursemaid's elbow
• Supracondylar fracture
• Lateral epicondyle fracture
• Medial epicondyle fracture
• Olecranon fracture
• Radial head fracture
• Salter-Harris fractures

Evaluation

Elbow Ossification by Age (CRITOE)

Ossification Center	Age of Appearance (add 1yr for boys)
Capitellum	1yr
Radial head	3yr
Internal epicondyle	5yr
Trochlea	7yr
Olecranon	9yr
External epicondyle	11yr

See Also

• Elbow diagnoses

Authors:

Jordan Swartz, Marissa Camilon, Michael Holtz, Neil Young, Daniel Ostermayer, robot, Ross Donaldson