Supracondylar fracture…

November 8, 2013

Elbow XR, Orthopedics, Trauma, XR


Child came in with elbow pain after a fall:

SC Fx II 2 SC Fx II

This child has a Gartland Type II supracondylar fracture of the distal humerus.  On the film of the normal, asymptomatic right elbow if you draw an anterior humeral line it goes directly through the capitellum.  This is not true for the left film and demonstrates posterior displacement of the capitellum with an intact posterior cortex of the distal humerus.  The injured elbow also demonstrates and anterior and posterior fat pad sign.

Gartland classification of supracondylar elbow fractures:

Type I:  Nondisplaced

Type II: Mild posterior displacement with intact posterior cortex

Type III: Completely displaced

Author:  Russell Jones, MD

Image Contributor:  Ali Naqvi, MD

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