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Elbow injuries in Children - introduction

INCIDENCE

  • 8% of fractures in children

  • 2nd most common area of injury in children

  • more common in boys

  • more common in summer

 

DEVELOPMENT & ANATOMY

  • At birth some areas remain unossified (See diagram)

 

Order of appearance of ossification centres: (Trochlear epiphysis can be fragmented)

Cover   

 Capitellum   

 1-3yrs

My   

 Medial epicondyle

 3-5yrs

Trunk   

 Trochlear    

 5-7yrs

Of   

  Olecranon    

 7-9yrs

Love   

 Lateral epicondyle  

 9-11yrs

Order of fusion of ossification centres :

Axis of elbow joint bisects the angle formed by the long axis of the upper arm and forearm to enable the long axis of the forearm to be parallel to the upper arm on flexion.



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