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Unusual Combination of Lateral Condyle Mass Fracture and Olecranon Fracture in a Child: A Case Report

Fractures of the lateral condyle and olecranon are two of the most common elbow injuries in the pediatric age group. However, their simultaneous occurrence is rare. Proper understanding and management of these injuries are essential to prevent long-term complications. This case report presents a pat...

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Autores principales: Quintero Cabrera, Nicolas O, Castellanos Mendoza, Cristal J, Rojas Lievano, Jorge L, Cardona Ortegón, Jose D, Pedraza Yepes, Jaime A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552584/
https://www.ncbi.nlm.nih.gov/pubmed/37809111
http://dx.doi.org/10.7759/cureus.44706
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author Quintero Cabrera, Nicolas O
Castellanos Mendoza, Cristal J
Rojas Lievano, Jorge L
Cardona Ortegón, Jose D
Pedraza Yepes, Jaime A
author_facet Quintero Cabrera, Nicolas O
Castellanos Mendoza, Cristal J
Rojas Lievano, Jorge L
Cardona Ortegón, Jose D
Pedraza Yepes, Jaime A
author_sort Quintero Cabrera, Nicolas O
collection PubMed
description Fractures of the lateral condyle and olecranon are two of the most common elbow injuries in the pediatric age group. However, their simultaneous occurrence is rare. Proper understanding and management of these injuries are essential to prevent long-term complications. This case report presents a patient who suffered both fractures, with surgical intervention for the condyle and non-surgical management for the olecranon. A two-year-old female child was brought to the emergency department following a fall from monkey bars, landing on her outstretched left arm. Clinical examination showed a markedly swollen and tender elbow with a restricted range of motion. No neurovascular deficit was noted. Plain radiographs revealed a displaced fracture of the lateral condyle and an associated non-displaced olecranon fracture. Given the displacement of the lateral condyle fracture, surgical intervention was deemed necessary. The patient underwent open reduction and internal fixation (ORIF) of the lateral condyle using Kirschner wires. The olecranon fracture, being non-displaced, was managed conservatively with a posterior splint. The patient’s postoperative recovery was uneventful. The Kirschner wires were removed at six weeks of follow-up, and active mobilization was started. The patient achieved full range of motion at three months post-injury. At a one-year follow-up, she had no pain, restriction, or any deformity, and radiographs confirmed the complete union of both fractures. Simultaneous fractures of the lateral condyle and olecranon in children are rare. The mechanism of injury is complex and warrants a high index of suspicion for associated injuries. Surgical fixation of the lateral condyle and conservative management of the olecranon fracture can yield excellent outcomes.
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spelling pubmed-105525842023-10-06 Unusual Combination of Lateral Condyle Mass Fracture and Olecranon Fracture in a Child: A Case Report Quintero Cabrera, Nicolas O Castellanos Mendoza, Cristal J Rojas Lievano, Jorge L Cardona Ortegón, Jose D Pedraza Yepes, Jaime A Cureus Pediatrics Fractures of the lateral condyle and olecranon are two of the most common elbow injuries in the pediatric age group. However, their simultaneous occurrence is rare. Proper understanding and management of these injuries are essential to prevent long-term complications. This case report presents a patient who suffered both fractures, with surgical intervention for the condyle and non-surgical management for the olecranon. A two-year-old female child was brought to the emergency department following a fall from monkey bars, landing on her outstretched left arm. Clinical examination showed a markedly swollen and tender elbow with a restricted range of motion. No neurovascular deficit was noted. Plain radiographs revealed a displaced fracture of the lateral condyle and an associated non-displaced olecranon fracture. Given the displacement of the lateral condyle fracture, surgical intervention was deemed necessary. The patient underwent open reduction and internal fixation (ORIF) of the lateral condyle using Kirschner wires. The olecranon fracture, being non-displaced, was managed conservatively with a posterior splint. The patient’s postoperative recovery was uneventful. The Kirschner wires were removed at six weeks of follow-up, and active mobilization was started. The patient achieved full range of motion at three months post-injury. At a one-year follow-up, she had no pain, restriction, or any deformity, and radiographs confirmed the complete union of both fractures. Simultaneous fractures of the lateral condyle and olecranon in children are rare. The mechanism of injury is complex and warrants a high index of suspicion for associated injuries. Surgical fixation of the lateral condyle and conservative management of the olecranon fracture can yield excellent outcomes. Cureus 2023-09-05 /pmc/articles/PMC10552584/ /pubmed/37809111 http://dx.doi.org/10.7759/cureus.44706 Text en Copyright © 2023, Quintero Cabrera et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatrics
Quintero Cabrera, Nicolas O
Castellanos Mendoza, Cristal J
Rojas Lievano, Jorge L
Cardona Ortegón, Jose D
Pedraza Yepes, Jaime A
Unusual Combination of Lateral Condyle Mass Fracture and Olecranon Fracture in a Child: A Case Report
title Unusual Combination of Lateral Condyle Mass Fracture and Olecranon Fracture in a Child: A Case Report
title_full Unusual Combination of Lateral Condyle Mass Fracture and Olecranon Fracture in a Child: A Case Report
title_fullStr Unusual Combination of Lateral Condyle Mass Fracture and Olecranon Fracture in a Child: A Case Report
title_full_unstemmed Unusual Combination of Lateral Condyle Mass Fracture and Olecranon Fracture in a Child: A Case Report
title_short Unusual Combination of Lateral Condyle Mass Fracture and Olecranon Fracture in a Child: A Case Report
title_sort unusual combination of lateral condyle mass fracture and olecranon fracture in a child: a case report
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552584/
https://www.ncbi.nlm.nih.gov/pubmed/37809111
http://dx.doi.org/10.7759/cureus.44706
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