Current Concepts in the Treatment of Lateral Condyle Fractures in Children

Joshua M. Abzug, MD; Karan Dua, MD; Scott H. Kozin, MD; Martin J. Herman, MD


J Am Acad Orthop Surg. 2020;28(1):e9-e19. 

In This Article


Lateral condyle fractures are the second most common elbow fracture in the pediatric cohort. A trial of nonsurgical management is warranted in patients with ≤2 mm of fracture displacement and congruency of the articular surface. Closed reduction and percutaneous fixation should be used for fractures with displacement >2 to 4 mm, and ORIF with displacement ≥4 mm, because the articular surface is incongruent if closed reduction fails. Surgical intervention can lead to numerous complications including malunion, fishtail deformity, and osteonecrosis.