Abstract

OLIVEIRA, João Pedro et al. Fratura do côndilo medial do úmero na criança. Rev. Port. Ortop. Traum. [online]. 2013, vol.21, n.3, pp.395-399. ISSN 1646-2122.

Fractures of the medial condyle of the humerus are 1% of all elbow fractures in children. Its diagnosis is sometimes delayed, since they are often unnoticed or mistaken by fractures of the medial epicondyle. We report a case of medial condyle fracture of the humerus, Kilfoyle type III, on a 9 years old boy. On the first hours after the accident, he was submitted to an open reduction, anterior transposition of the ulnar nerve and fixation with Kirschner wires. The elbow immobilized in a cast for 5 weeks, after which both cast and Kirschner wires were removed. The fracture remained anatomically reduced and at a 4 months follow-up, with the fracture already united, the patient showed symmetrical elbow mobility without limitation, a Mayo Elbow Performance Score of 100% and a Quick Dash Score of 0%. Despite being a rare and severe traumatic injury in a child, the early diagnosis and anatomic reduction of medial humeral condyle fractures allow the preservation of the correct biomechanics and function of the elbow.

Keywords : Fracture; humerus medial condyle; children.

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