AI Article Synopsis
- The study reviewed records of 95 children with nondisplaced or minimally displaced lateral humeral condyle fractures treated without surgery.
- Acute fractures were defined as being less than 24 hours old and displaced less than 2 mm in different x-ray views.
- The nonoperative treatment showed a high success rate, with a 98% union rate in 3-7 weeks; only two fractures required surgery but healed well afterwards.
Article Abstract
The radiographic and clinical records of 95 children with nondisplaced or minimally displaced fractures of the lateral humeral condyle treated on a nonoperative protocol were reviewed. Acute nondisplaced or minimally displaced fractures were defined as < 24 h old on initial evaluation and displaced < 2 mm in three radiographic planes (anteroposterior, lateral, and internal oblique). Closed treatment and close follow-up in a long-arm cast or splint resulted in a union rate of 98% in 3-7 weeks. Two of the fractures displaced required open reduction and internal fixation and then subsequently went on to union without complications.
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