Lateral epicondyle fracture (peds)

Background

  • Salter-Harris type IV fracture
  • Neurovascular injury uncommon

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