closed reduction

Pathology

Children < 6

- entire distal humerus physis is displaced

Xray

Distal physis not ossified < 1 year

- may be a difficult diagnosis

Mechanism

FOOSH

- valgus injury

- don't get radial head fracture as is mostly cartilaginous

Types

SH 1 or 2

Associated Injuries

MCL injury

Olecranon / Medial epicondyle fracture

Epidemiology

Average age 6 years

20% distal humeral fracture

- second most common elbow fracture after supracondylar

Mechanism

Pull Off 

- more common 

- fracture begins posterolateral metaphysis

- LCL, ECRL & ECRB attached to fragment

Push off

- varus force to extended EJ

Classification