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Case Reports
. 2018 Mar-Apr;8(2):65-68.
doi: 10.13107/jocr.2250-0685.1054.

Ununited Fracture Medial Condyle in a Child: A Case Report and Review of Literature

Nishit Bhatnagar  1 , Sneha Sharma  1 , Purushotham Lingaiah  1 , Kameshwaran Jaikumar  1 , Anurag Tiwari  2
Affiliations
Case Reports

Ununited Fracture Medial Condyle in a Child: A Case Report and Review of Literature

Nishit Bhatnagar et al. J Orthop Case Rep. 2018 Mar-Apr.

Abstract

Introduction: Fractures of the medial condyle of elbow in children are rare. Diagnosis is frequently missed and many authors reported poor outcome for these fractures when treatment was delayed.

Case report: Here, we present a case of 3-month-old ununited fracture of the medial condyle in an 8-year-old child, treated by osteosynthesis that produced good result. The patient presented to us with valgus instability of elbow and restricted range of motion. Open reduction, freshening of margins, and fixation of the ununited fragment with K-wires were done. Postoperatively, the patient regained functional range of motion and had a stable elbow.

Conclusion: Open reduction and pinning of ununited fracture medial condyle can restore good range of motion and restore elbow stability.

Keywords: Medial condyle humerus; child; osteosynthesis.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
(a) Anteroposterior view and (b) lateral view of elbow showing displaced fracture of medial condyle of humerus. (c) Fixation of non-union fragment with three smooth K-wires. (d) 3monthspost-operative radiograph union of fracture, irregularity of medial condyle
Figure 2
Figure 2
Post-operative range of motion at 3 months (a) supination. (b) pronation. (c) active flexion upto 95°. (d) active extension upto 25°.
See this image and copyright information in PMC

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