Trochlear Osteonecrosis After a Nonoperative Lateral Humeral Condyle Fracture in a Child.

J Am Acad Orthop Surg Glob Res Rev

From the Department of Orthopaedic Surgery, Detroit Medical Center, Children's Hospital of Michigan, Detroit, MI.

Published: May 2020

This patient originally presented at the age of 2 years with a 1-mm displaced lateral humeral condyle fracture after a fall. He was treated nonoperatively in a long-arm cast, and serial x-rays were followed for 1 month. At the 1-month clinic visit, the lateral condyle demonstrated excellent alignment and healing, and the long-arm cast was removed. He eased back into activities and was doing well at 3 months. He returned over 4 years later, at the age of 7 years, with the report of elbow clicking with motion. At that time, imaging demonstrated collapse of the ulnohumeral articulation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434035PMC
http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00101DOI Listing

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