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January 2007
By Theodore E. Keats, MD
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PROBLEM
An 18-month-old child fell and injured his elbow. What is your interpretation of these lateral and frontal views of the joint?
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ANSWER
This child has a Salter-Harris type I fracture. At first glance, the appearance of the elbow suggests a dislocation; however, it is in fact a fracture of the distal humeral epiphysis with medial dislocation of the epiphysis and forearm. |
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