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Paediatrics
intermediate
X-Type

Lateral Condyle Fractures in Children

Paediatric Elbow

A 6-year-old boy falls from monkey bars onto an outstretched hand. He presents with lateral elbow swelling and tenderness. X-ray shows a fracture of the lateral condyle with 3mm displacement on the AP view. The articular surface involvement is uncertain on plain X-ray. MRI or arthrogram is considered to assess the fracture pattern. Regarding lateral condyle fractures in children:

Mark each as TRUE or FALSE

A

Lateral condyle fractures are the second most common paediatric elbow fracture after supracondylar f...

B

The Milch classification describes fracture exit point: Type I lateral to capitellum-trochlea groove...

C

Lateral condyle fractures are extra-articular; they are Salter-Harris Type I injuries; union occurs ...

D

Treatment depends on displacement: less than 2mm can be treated with long arm cast and close follow-...

E

Complications include nonunion (most common if inadequately treated, due to synovial fluid bathing t...

Answer the questions to see explanations

Click T (True) or F (False) for each option