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  • Title: Fractured lateral epicondyle with associated elbow dislocation.
    Author: Murnaghan JM, Thompson NS, Taylor TC, Cosgrove A, Ballard J.
    Journal: Int J Clin Pract; 2002; 56(6):475-7. PubMed ID: 12166547.
    Abstract:
    We describe a case series involving a very unusual injury in children, i.e. a Milch 1 fracture of the lateral condyle with an associated dislocation of the elbow. This fracture configuration is normally stable as the intact capitellotrochlear groove serves as a lateral buttress for the coronoid-olecranon ridge of the ulna. In this series, however, each patient had an associated dislocation. These injuries usually present as a clinical dislocation and if the elbow is manipulated before radiographic imaging, the fracture line can be difficult to see on the post-reduction films. We recommend that all patients with a dislocated elbow should have elbow stability assessed under general anaesthesia, because a missed lateral condylar injury can lead to abnormalities in carrying angle, epiphyseolysis or an unstable elbow.
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