Radiographs

Radiographs
A true lateral view of the elbow is mandatory to
accurately diagnose this fracture. The characteristic
finding of this fracture is the presence of “double
arc sign” described by McKay over the X-ray.Treatment
Undisplaced fractures can be managed conservatively
by an above elbow plaster cast or slab for
3 to 4 weeks.
Displaced fractures need open reduction and
internal fixation with minifragment screws.
PHYSEAL FRACTURES
Knowledge of the secondary growth centers around
the elbow is important to judge the frequently subtle
injuries to the condyles of the humerus. Radiographic
comparison with uninjured site is mandatory. A
comparative study of lateral and medial condylar
fractures of the humerus is presented here for easy
understanding. Incidence is rare and is less than
5 percent.