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Paediatrics
intermediate
X-Type

Lateral Condyle Fractures Pediatric - Milch Classification, ORIF Indications

Pediatric Elbow Fractures

A 6-year-old boy is brought to the emergency department after falling from playground equipment onto his outstretched hand. He has lateral elbow swelling and tenderness, and refuses to move his elbow. Radiographs show a fracture of the lateral condyle of the humerus with a fracture line extending from the lateral metaphysis through the cartilaginous capitellum to the articular surface. The fracture fragment appears displaced 3mm on the AP view, and the lateral view shows the fragment is rotated. The trochlear ridge appears to be involved in the fracture. Regarding pediatric lateral condyle fractures and their classification:

Mark each as TRUE or FALSE

A

Lateral condyle fractures are the SECOND most common pediatric elbow fracture (15-20%) after supraco...

B

MILCH CLASSIFICATION: Type I = fracture lateral to trochlear groove (capitellotrochlear groove intac...

C

Lateral condyle fractures are the most common pediatric elbow fracture; they are Salter-Harris Type ...

D

The fracture fragment includes the LATERAL EPICONDYLE, CAPITELLUM, and portion of TROCHLEA; the exte...

E

DISPLACEMENT CLASSIFICATION (Jakob/Weiss): Stage I = less than 2mm displacement, articular surface i...

Answer the questions to see explanations

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