Diferencia entre revisiones de «Medial epicondyle fracture (peds)»
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(Text replacement - "fx " to "fracture ") |
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==Background== | ==Background== | ||
*Not true Salter-Harris | *Not true Salter-Harris fracture (apophysis, not physis, is involved) | ||
*50% assoc w/ elbow dislocation | *50% assoc w/ elbow dislocation | ||
Revisión del 00:29 3 jul 2016
Background
- Not true Salter-Harris fracture (apophysis, not physis, is involved)
- 50% assoc 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)
- If think is trochlear but cannot see medial epicondyle fragment is medial epicondyle
- Fat pad sign not usually present because most injuries are extra-articular
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
- Ortho consult