Lateral epicondyle fracture (peds)

Background

  • Salter-Harris type IV fracture
  • Neurovascular injury uncommon

Evaluation

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

Radiograph-Negative

Pediatric

Management

  • Often requires ORIF (ortho consult)

See Also

References