Lateral condyle fractures involve a break in the arm bone (humerus) just above the elbow that extends into the elbow joint. This is a common fracture and can result in major problems elbow problems if the fracture is not aligned correctly.
Treatment of this injury varies depending on the amount that the bones have moved. Sometimes, the bones can be manipulated into position without making an incision, which is called closed reduction. Sometimes dye is injected into the elbow joint (arthrogram) to improve visualization of the entire elbow joint. Other times, an incision must be made to look directly at the bones and make sure they are lined up properly. This is called an open reduction. Once the bones are aligned, they will be secured with pins or a screw to hold them in position until the bones are healed (internal fixation).
About The Recovery:
- Depending on the swelling in your child’s arm, he/she may have to stay overnight for observation. If swelling is not severe, he/she may be able to go home the same day.
- Bracing: Your child will be in a long arm cast for 4 weeks
- Weight Bearing: No lifting > 5 lbs or sports while the cast is in place and for 4 weeks after the cast is removed and full motion is regained
- Immobilization: Use either a sling or double shirt technique to keep your child’s arm immobilized against the body. In the double shirt technique, place one shirt like normal. Then, place a second shirt OVER the casted arm to trap the arm against the body. This prevents your child from rotating through the shoulder, which can cause bones to move inside the cast.
- Physical Therapy: Physical therapy is typically not needed following this surgery. If your child is still limited in motion 4 weeks after cast removal, therapy may be prescribed
- First Follow Up: 4 weeks after surgery
- Back to School: When comfortable
- Total Recovery Time: 6 months
- More Surgery in future? In some cases additional surgery may be required to remove pins or screws.
- Important Points: Almost all children will form a bump on the outside of the elbow that will not impact function. This fracture involves the growth plate and sometimes growth can be disrupted. Because of this, we will monitor your child for a while after the fracture heels.
