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Elbow injuries in Children - other

Fractures of the lateral condylar physis     [Back To Top] 

Milch C lassification :

Type I:  

  • fracture through the ossification center of the capitellum, lateral to the capitello-trochlear groove

  • the elbow is stable and the relationship between the forearm and the humerus remains intact

Type 2:  

  • most common

  • fractures through the capitello-trochlear groove

  • unstable

Milch - lateral condyle fractures

  Management :

  • No displacement < 2mm- immobilise, frequent Xrays as may displace

  • Displacement-

    • stage 1 + 2 - MUA (flex and pronate) + percutaneous wires

    • stage 3 - O.R.I.F. lateral approach

  • 60 % of lateral condylar physeal injuries need ORIF

Complications

  • Lateral condylar overgrowth with spur

  • Delayed or non union

  • Cubitus valgus (most common)/ varus


Medial physeal fractures     [Back To Top] 

Classification :

Milch Classification



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Adult elbow injuries
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