Diferencia entre revisiones de «Elbow fracture (peds)»

Revisión actual - 17:08 17 ene 2026

This page is for pediatric patients. For adult patients, see: elbow fracture

Differential Diagnosis

Elbow Diagnoses

Radiograph-Positive

Radiograph-Negative

Pediatric

Evaluation

Elbow Ossification by Age (CRITOE)

Ossification Center	Age of Appearance (add 1yr for boys)	Age at Fusion
Capitellum	1yr	12-14 yrs
Radial head	3yr	14-16 yrs
Internal epicondyle	5yr	16-18 yrs
Trochlea	7yr	12-14 yrs
Olecranon	9yr	15-17 yrs
External epicondyle	11yr	12-14 yrs

References

Authors:

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-==Supracondylar Fracture==
+{{PediatricPage|elbow fracture}}
-* 7% have nerve injury (median & radial most common)
+==Differential Diagnosis==
-* Can get ischemia due to brachial artery compression from increased compartment pressure
+{{Elbow DDX}}
-===Diagnosis===
+==Evaluation==
-* Anterior humeral line does NOT intersect middle third of capitellum
+{{Elbow ossification by age DDX}}
-* Small anterior fat pad sometimes normal, posterior fat pad always abnormal
-===Classificiation===
-* Type I - Nondisplaced
-* Type II - Displaced w/ intact posterior cortex
-* Type III - no cortical contact
-*On XR look @ development of secondary ossification centers (must occur in following order, age not as important, ie if see ossification of trochlea you MUST also see CRI as well!)
-===Treatment===
-* Type I
-** Immobilize using a posterior splint and sling (extend from wrist to axilla)
-** Refer to ortho within 1 week
-* Type II & III
-** Orthopedic consultation regarding closed versus open reduction w/ percutaneous pinning
-** Admit
-==Lateral Condylar Fracture==
-===Diagnosis===
-* Radiocapitellar line does NOT intersect the middle of the capitelum in all views
-* May be only sign if fracture is entirely through the growth plate
-* Fat Pad Sign
-* May be only sign of nondisplaced fx
-==Medial Epicondylar Fractures==
-===Diagnosis===
-* Displacement of medial epicondyle ossification center
-* May become entrapped w/in elbow joint
-* Use CRITOE to determine if bone in joint is medial epicondyle vs. normal trochlear oss center
-* If think is trochlear but cannot see medial epicondyle, fragment is medial epicondyle
-* (Medial epicondyle normally ossifies before the trochlea)
-* Fat pad sign not usually present because most injuries are extra-articular
 ==See Also==
-Ortho:  Elbow Fracture
+*[[Elbow diagnoses]]
-Ortho:  Elbow (Minor)
-Peds: Supracondylar
-Rads: Elbow Xray Peds
-==Source==
-UpToDate
-[[Category:Peds]]
+==References==
+<references/>
+[[Category:Pediatrics]]
+[[Category:Orthopedics]]