Diferencia entre revisiones de «Lateral epicondyle fracture (peds)»
(Text replacement - "*Tintinalli" to "") |
(Text replacement - "==Source==" to "==References== <references/>") |
||
| Línea 23: | Línea 23: | ||
*[[Elbow diagnoses]] | *[[Elbow diagnoses]] | ||
== | ==References== | ||
<references/> | |||
*UpToDate | *UpToDate | ||
Revisión del 23:30 26 jun 2016
Background
- 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 won't intersect middle of capitellum in all views
- May be only sign of fracture if fracture is entirely through growth plate
- +Fat Pad Sign/"sail" sign
- May be only sign of nondisplaced fx
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
- Distal humerus fracture
- Radial head fracture
- Capitellum fracture
- Olecranon fracture
- Elbow dislocation
Radiograph-Negative
- Biceps tendon rupture/dislocation
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Pronator teres syndrome
- Septic bursitis
Pediatric
- Nursemaid's elbow
- Supracondylar fracture
- Lateral epicondyle fracture
- Medial epicondyle fracture
- Olecranon fracture
- Radial head fracture
- Salter-Harris fractures
Treatment
- Often requires ORIF (ortho consult)
See Also
References
- UpToDate