Danbot: Expand: types, fat pad sign, pediatric lateral condyle pearl, management

2026-03-21T01:47:27Z

Expand: types, fat pad sign, pediatric lateral condyle pearl, management

← Older revision		Revision as of 01:47, 21 March 2026
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	==Background==		==Background==
			*Fracture of the distal humeral condyle at the elbow
			*More common in children (lateral condyle fracture is the second most common pediatric elbow fracture after [[supracondylar fracture]])
			*In adults, usually from direct trauma or fall on outstretched hand
			*Types: lateral condyle, medial condyle, transcondylar, intercondylar (bicondylar)

	{{Proximal arm fracture DDX}}		{{Proximal arm fracture DDX}}

	==Clinical Features==		==Clinical Features==
			*Elbow pain, swelling, ecchymosis
			*Inability or refusal to extend/flex elbow
			*Point tenderness over the affected condyle
			*Lateral condyle: tenderness over lateral elbow; may mimic lateral epicondylitis
			*'''Pediatric pearl:''' Lateral condyle fractures are frequently missed — can be subtle on plain films

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
			*AP and lateral elbow x-rays — may require comparison views in pediatrics
			*'''Fat pad sign:''' Posterior fat pad (''sail sign'') indicates intra-articular fracture
			*CT if plain films equivocal and high clinical suspicion (especially intercondylar fractures in adults)
			*Assess neurovascular status: radial nerve (lateral condyle), ulnar nerve (medial condyle)

	==Management==		==Management==
	{{General Fracture Management}}		{{General Fracture Management}}
			*'''Non-displaced (<2mm):''' Long arm splint at 90° flexion, orthopedic follow-up within 1 week with repeat imaging
			*'''Displaced (>2mm) or intra-articular:''' Orthopedic consult for operative fixation (ORIF)
			*'''Pediatric lateral condyle:''' Low threshold for orthopedic referral — displacement may progress; risk of nonunion, malunion, and cubitus valgus

	==Disposition==		==Disposition==
			*Non-displaced: splint and outpatient orthopedic follow-up (3-5 days for pediatric lateral condyle)
			*Displaced or open: orthopedic consult from ED

	==See Also==		==See Also==
	*[[Humerus fracture]]		*[[Humerus fracture]]
			*[[Supracondylar fracture]]
	~~==External Links==~~		*[[Medial epicondyle fracture]]
			*[[Distal humerus fracture]]

	==References==		==References==

Rossdonaldson1: /* Management */

2020-06-22T22:36:40Z

Management

← Older revision		Revision as of 22:36, 22 June 2020
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	==Management==		==Management==
			{{General Fracture Management}}

	==Disposition==		==Disposition==

Rossdonaldson1: /* Differential Diagnosis */

2020-06-22T22:35:48Z

Differential Diagnosis

← Older revision		Revision as of 22:35, 22 June 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Elbow DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: Created page with "==Background== {{Proximal arm fracture DDX}} ==Clinical Features== ==Differential Diagnosis== ==Evaluation== ==Management== ==Disposition== ==See Also== *Humerus..."

2020-06-22T22:34:56Z

Created page with "==Background== {{Proximal arm fracture DDX}} ==Clinical Features== ==Differential Diagnosis== ==Evaluation== ==Management== ==Disposition== ==See Also== *Humerus..."

New page

==Background==
{{Proximal arm fracture DDX}}

==Clinical Features==

==Differential Diagnosis==

==Evaluation==

==Management==

==Disposition==

==See Also==
*[[Humerus fracture]]

==External Links==

==References==
<references/>

[[Category:Orthopedics]]

Condylar fracture - Revision history

Danbot: Expand: types, fat pad sign, pediatric lateral condyle pearl, management

Rossdonaldson1: /* Management */

Rossdonaldson1: /* Differential Diagnosis */

Rossdonaldson1: Created page with "==Background== {{Proximal arm fracture DDX}} ==Clinical Features== ==Differential Diagnosis== ==Evaluation== ==Management== ==Disposition== ==See Also== *Humerus..."