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- rare in young children
- average age = 14.7y/o
Capitellar Fx Clinical exaluation
- pain after fall on outstretched arm
- tenderness of lateral elbow, swelling
- decreased ROM
Capitellar Fx Xray
- A/P, lateral and oblique views of elbow, consider getting comparision views of uninjured extremity
- soft tissue swelling, anterior and posterior fat pad signs often evident even if fx is not well seen
- if fx is suspected, but no seen on plain films consider arthrogram, MRI or CT
Capitellar Fx Classification / Treatment
- Non-dsiplaced fx = immobilization (Salter RB, JBJS AM 1963;45:587-622)
- Osteochondral fx = excision (Grantham SA, CORR 1981:161:262-9)
- Displaced fx, sleeve fx = open reduction percutaneous pinning (Letts M J Pediatr Orthop 1997;17:315-20)
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