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Posteromedial dislocation of the elbow with lateral condyle fracture: The fractured lateral condyle adheres to the radial head
Authors:Pen-Gang Cheng  Chang-Chin Chen  Shyi-Kuen Wu  Matthew N. Wang
Affiliation:1. Department of Orthopedic Surgery, Kuang-Tien General Hospital, Taichung, Taiwan;2. Department of Physical Therapy, Hung Kuang University, Taichung, Taiwan
Abstract:Posteromedial dislocation of elbow with lateral condyle fracture is a rare with only a few reported cases. This study describes two children who presented with posteromedial dislocation of elbow with lateral condylar fracture of the distal humerus in which the fractured lateral condyle adhered to the radial head through the intact posterior capsule and lateral collateral ligament. These cases demonstrate the mechanism of this type of injury: during a direct fall onto an outstretched hand, varus force is exerted, resulting in an avulsed lateral condyle while the radial head maintains its relationship with the displaced capitellum through the intact posterior capsule and lateral collateral ligament.
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