الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Pediatric lateral condyle distal humeral fractures, the 2nd most common elbow fracture that involves the growth plate, account for 10% to 15% of all pediatric fractures of the elbow, with a high incidence between 4 and 10 years of age.These injuries are typically the result of an avulsion of a portion of the humeral condyle by pull of the extensor musculature due to a Varus force on a supinated forearm or by the direct force of the radial head onto the condyle in the setting of a fall and axial load through an extended elbow.The child with a lateral condyle fracture will usually present with lateral elbow pain and a limited range of elbow motion.Unlike supracondylar fractures, lateral condyle fractures may not be associated with an obvious swelling or deformity. A high index of clinical suspicion and appropriate radiographic investigations are required to recognize the more subtle fracture patterns.Undisplaced fractures may not be easily detectable on standard anteroposterior and lateral radiographs therefore the addition of oblique views has been advocated.Multiple treatment options are available for these fractures, ranging from simple immobilization for nondisplaced or minimally displaced fracture patterns, to operative reduction and fixation with Kirschner wires (K-wires) or screws for displaced fractures .