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:

@@ Línea 1: / Línea 1: @@
-==Supracondylar Fracture==
+{{PediatricPage|elbow fracture}}
-*See [[Supracondylar Fracture]]
+==Differential Diagnosis==
+{{Elbow DDX}}
-==Lateral Epicondyle Fracture==
+==Evaluation==
-===Background===
+{{Elbow ossification by age DDX}}
-*Salter-Harris type IV Fx
-*Neurovascular injury uncommon
-===Diagnosis===
-====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 does NOT intersect middle of capitelum in all views
-**May be only sign if fracture is entirely through growth plate
-*+Fat Pad Sign
-**May be only sign of nondisplaced fx
-===Treatment===
-*Often requires ORIF (ortho consult)
-==Medial Epicondyle Fracture==
-===Background===
-*Not true Salter-Harris fx (apophysis, not physis, is involved)
-*50% a/w elbow dislocation
-===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 or nl 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
-===Treatment===
-*Ortho consult
-==Olecranon Fracture==
-===Diagnosis===
-*Often occur in a/w fx of radial head/neck
-===Treatment===
-*If displaced <5 mm immobilize in stable position (usually 45 degrees of elbow flexion)
-*ORIF indicated for unstable fracture
-*Orthopedic consultation is best to guide treatment
-==Radial Head/Neck Fracture==
-===Management===
-*Ortho consultation to guide treatment
-*ORIF indicated when angulation >60 degrees or displacement >50%
 ==See Also==
-[[Elbow (Minor)]]
+*[[Elbow diagnoses]]
-[[Supracondylar Fracture]]
-[[Elbow Xray (Peds)]]
-==Source==
-Tintinalli, UpToDate
-[[Category:Peds]]
+==References==
-[[Category:Ortho]]
+<references/>
+[[Category:Pediatrics]]
+[[Category:Orthopedics]]