paediatric

Definition

Fracture / plastic malformation of proximal ulna with dislocation of radial head

Xray

Radio-capitellar line disrupted

Aetiology

Varies per age group

Trauma

- 60%

Non Accidental Injury

- 15 - 30%

- suspect if non walker / < 1 year

- walking status single best indicator of risk

- paediatric team to investigate

- history taking from parent

- consider metabolic investigations

Meyers & McKeever classification

Type I:   Undisplaced avulsion fracture

Type II:  Anterior portion displaced & hinged

Type IIIA:   Displaced

Type IIIB:   Displaced & Rotated