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

Epidemiology and Pathoanatomy

Pediatric humeral lateral condyle fractures are the second most common fractures of the elbow in children and comprise 12% to 20% of all pediatric upper extremity fractures.[1] These fractures most commonly occur in children 4 to 10 years of age, with the highest incidence in children 6 years of age.[1] The most common reported mechanism is a fall onto an outstretched hand with the forearm supinated and the elbow extended (pull-off mechanism).[1,2] Other mechanisms of injury include valgus impaction at the elbow that fractures the lateral condyle (push-off mechanism) and direct trauma to the elbow.[3]