Fracture dislocation of the lateral condyle and medial epicondyle of the humerus associated with complete radial nerve transection

Abstract

The combination of lateral condyle and medial epicondyle fractures of the humerus and a radial nerve transection is extremely rare. We could not find a similar case in the literature. Hereby we report such a case. An eight-year old female fell down while playing. She had wrist, thumb and fingers drop associated with hypoaesthesia over the first web space indicating radial nerve palsy. Plain X-ray of the left elbow showed fracture of the lateral condyle and avulsed fracture of the medial epicondyle. The Lateral condyle fracture was fixed with 2 screws and the medial epicondyle fracture was fixed with 2 K wires. The radial nerve was completely transected which was repaired primarily through a lateral approach. Six months later, the patient had full recovery of the wrist and elbow functions without any deformity.