Portal de Periódicos da CAPES

Pediatric Humeral Condyle Fractures

2006; Elsevier BV; Volume: 22; Issue: 1 Linguagem: Inglês

10.1016/j.hcl.2005.09.003

1558-1969

Gloria R. Gogola,

Shoulder Injury and Treatment

The elbow unites three different joints; the humeroulnar; humeroradial and proximal radioulnar joints, stabilized by strong collateral ligaments. The coronoid process is an important bony stabilizer and its integrity should systematically be checked on imaging.In children, ossification centers appear progressively along growth and the external condyle center fuses the last, around age 18.Most of elbow injuries result from a fall on the outstretched hand, less commonly from a direct impact (blow, fall on a flexed elbow). The most frequent elbow injuries are radial head fractures in adults and supracondylar humeral fractures in children. Those fractures are often undisplaced or poorly displaced, revealed only by a joint effusion or a malalignment, especially in children. Dislocations, usually posterior, affect preferentially older adults; the more severe form is the “terrible triad” with posterior dislocation, radial head and coronoid process fractures.