We review the diagnosis, evaluation and management of paediatric lateral condylar fractures. The complications of these fractures are also discussed, including the management of fracture non-union.
BhandariMTornettaPSwiontkowksiMF. The Evidence-Based Orthopaedic Trauma Working Group. Displaced lateral condyle fractures of the distal humerus. J Orthop Trauma2003; 17: 306–308.
2.
HardacreJANahigianSHFroimsonAIBrownJE. Fractures of the lateral condyle of the humerus in children. J Bone Joint Surg Am1971; 53: 1083–1095.
BeatyJHKasserJRThe elbow region: general concepts in the paediatric patient. In: BeatyJHKasserJR (eds). Rockwood and Wilkins’ fractures in children, Philadelphia, PA: Lippincott Williams & Wilkins, 2010, pp. 475–486.
5.
SilbersteinMJBrodeurAEGravissER. Some vagaries of the capitellum. J Bone Joint Surg Am1979; 61: 244–247.
6.
HaraldssonS. The intra-osseous vasculature of the distal end of the humerus with special reference to capitulum; preliminary communication. Acta Orthop Scand1957; 27: 81–93.
7.
Yamaguchi K, Sweet F, Bindra R et al. The extraosseous and intraosseous arterial anatomy of the adult elbow. J Bone Joint Surg Am 1997; 79: 1653–1662.
8.
PaceAGibsonAAl-MousawiAMatthewsSJ. Distal humerus lateral condyle mass fracture and olecranon fracture in a 4-year old female – review of the literature. Injury Extra2005; 36: 368–372.
9.
SharmaHSibinskiMSherlockDA. Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture. Int Orthop2009; 33: 509–514.
10.
DattaniRPatnaikSKantakALalM. Distal humerus lateral condyle fracture and Monteggia lesion in a 3-year old child: a case report. Acta Orthop Belgica2008; 74: 542–545.
11.
ShraderMW. Pediatric supracondylar fractures and pediatric physeal elbow fractures. Orthop Clin N Am2008; 39: 163–171.
12.
MilchH. Fractures and fracture dislocations of the humeral condyles. J Trauma1964; 4: 592–607.
13.
MirskyECKarasEHWeinerLS. Lateral condyle fractures in children: evaluation of classification and treatment. J Orthop Trauma1997; 11: 117–120.
14.
JakobRFowlesJVRangMKassabMT. Observations concerning fractures of the lateral humeral condyle in children. J Bone Joint Surg Br1975; 57: 430–436.
15.
Song KS. Lateral Condylar Fracture of the Humerus in Children: Is the Closed Pinning Saticfactory? J Korean Fract Soc 2012; 25: 163–168.
16.
SongKSShinYWOhCWBaeKCChoCH. Closed reduction and internal fixation of completely displaced and rotated lateral condyle fractures of the humerus in children. J Orthop Trauma2010; 24: 434–438.
17.
GastonMSIrwinGJHuntleyJS. Lateral condyle fracture of a child's humerus: the radiographic features may be subtle. Scot Med J2012; 57: 182–182.
18.
SongKSKangCHMinBWBaeKCChoCH. Internal oblique radiographs for diagnosis of nondisplaced or minimally displaced lateral condylar fractures of the humerus in children. J Bone Joint Surg Am2007; 89: 58–63.
19.
PirkerMEWeinbergAMHollwarthMEHaberlikA. Subsequent displacement of initially nondisplaced and minimally displaced fractures of the lateral humeral condyle in children. J Trauma2005; 58: 1202–1207.
20.
Vocke-HellAKSchmidA. Sonographic differentiation of stable and unstable lateral condyle fractures of the humerus in children. J Paed Orthop Part B2001; 10: 138–141.
21.
ChapmanVMKalraMHalpernEGrottkauBAlbrightMJaramilloD. 16-MDCT of the posttraumatic pediatric elbow: optimum parameters and associated radiation dose. Am J Roentgenol2005; 185: 516–521.
22.
KamegayaMShinoharaYKurokawaMOgataS. Assessment of stability in children's minimally displaced lateral humeral condyle fracture by magnetic resonance imaging. J Paed Orthop1999; 19: 570–572.
23.
SongKSWatersPM. Lateral condylar humerus fractures: which ones should we fix?J Paed Orthop2012; 32(Suppl 1): S5–S9.
24.
LaunayFLeetAIJacopinSJouveJLBolliniGSponsellerPD. Lateral humeral condyle fractures in children: a comparison of two approaches to treatment. J Paed Orthop2004; 24: 385–391.
25.
MintzerCMWatersPMBrownDJKasserJR. Percutaneous pinning in the treatment of displaced lateral condyle fractures. J Paed Orthop1994; 14: 462–465.
26.
Perez CarroLGolanoPVegaJ. Arthroscopic-assisted reduction and percutaneous external fixation of lateral condyle fractures of the humerus. Arthroscopy2007; 23: 1131 e1–e4.
27.
ChanLWSiowHM. Exposed versus buried wires for fixation of lateral humeral condyle fractures in children: a comparison of safety and efficacy. J Child Orthop2011; 5: 329–333.
28.
LiWCXuRJ. Comparison of Kirschner wires and AO cannulated screw internal fixation for displaced lateral humeral condyle fracture in children. Int Orthop2012; 36: 1261–1266.
29.
AndreyVTercierSVauclairFBregou-BourgeoisALutzNZambelliPY. Lateral condyle fracture of the humerus in children treated with bioabsorbable materials. Sci World J2013; 2013: 869418–869418.
FlynnJC. Nonunion of slightly displaced fractures of the lateral humeral condyle in children: an update. J Paed Orthop1989; 9: 691–696.
36.
KnightDMAlvesCAlmanBHowardA. Percutaneous screw fixation promotes healing of lateral condyle nonunion in children. J Paed Orthop J2014; 34: 155–160.
37.
De BoeckH. Surgery for nonunion of the lateral humeral condyle in children: 6 cases followed for 1–9 years. Acta Orthop Scand1995; 66: 401–402.
38.
GaurSCVarmaANSwarupA. A new surgical technique for old ununited lateral condyle fractures of the humerus in children. J Trauma1993; 34: 68–69.
39.
SarafSKKhareGN. Late presentation of fractures of the lateral condyle of the humerus in children. Indian J Orthop2011; 45: 39–44.
40.
AgarwalAQureshiNAGuptaNVermaIPandeyDK. Management of neglected lateral condyle fractures of humerus in children: a retrospective study. Indian J Orthop2012; 46: 698–704.
41.
TejwaniNPhillipsDGoldsteinRY. Management of lateral humeral condylar fracture in children. J Am Acad Orthop Surg2011; 19: 350–358.
42.
WattenbargerJMGerardiJJohnstonCE. Late open reduction internal fixation of lateral condyle fractures. J Paed Orthop2002; 22: 394–398.
