Distal Humeral Physeal Separation

Pathology

 

Children < 6

- entire distal humerus physis is displaced

 

Xray

 

Distal Humerus Physis SeparationDistal Humerus Physeal Separation 2

 

Distal physis not ossified < 1 year

- may be a difficult diagnosis

 

Radius and ulna lose normal association with distal humerus

- appears like an elbow dislocation

- disruption of radio-capitellar line

 

Diagnosis

 

MRI

Arthrogram

 

Management

 

MUA + cross K wires