PAEDIATRIC ELBOW FRACTURES

CLINICAL

History of traumaExamination

◦Neuro: pinch, O, thumbs up◦Arterial:

◦“Healthy index of suspicion of unwitnessed events” NAI Incidental trauma: infection/ other pathology.

XraysAP+LAT +/- IR OBLFat padsRelationship radius-capitellumLong axis ulna in line with and medial to long axis humerus on APAnt humeral line bisects capitellumBaumann’s angle

DON’T ACCEPT SUBSTANDARD XRAYS

Baumann’s angle

Relationship ulna to humerus on AP

CRITOL

Lateral condyle #

Lateral condyle #Seen best on IR ObliqueORIF if 2mm displacementRisk late displacementImmobilise 5-6/52

Radial neck #<30 degrees: accept.

Monteggia #Early detection imperative

Monteggia #

Monteggia #

Monteggia #

Monteggia #

Monteggia #

Monteggia #

Monteggia #

Medial epicondyle #Large medial soft tissue swellingBeware young child: <5: ? Medial condyle

Supracondylar #

Supracondylar #

RARE flexion supracondylar

Transphyseal #Young. Association abuse.Looks like dislocation.

Thank you