Elbow fracture (peds): Difference between revisions

Latest revision as of 23:03, 28 November 2019

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)
Capitellum	1yr
Radial head	3yr
Internal epicondyle	5yr
Trochlea	7yr
Olecranon	9yr
External epicondyle	11yr

References

Authors:

@@ Line 1: / Line 1: @@
-==Supracondylar Fracture==
+{{Peds top}} [[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 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
-**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% 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)
-*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]]