| Introduction |
 Only 3-6% of all pediatric elbow injuries- Most common in 10-15 year olds
- Very rare in younger children< 3 years old
- transphyseal fracture more common
- high index of suspicion for child abuse
- Associated injuries
- avulsion of the medial epicondyle is the most common
- rare instances of neurovascular injury
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| Classification |
- Classified according to the position of the proximal radio-ulnar joint in relation to the distal humerus
- anterior
- posterior (most common)
- medial
- lateral
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| Presentation |
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| Imaging |
- Radiographs
- elbow arthrography may be helpful to confirm the diagnosis if the diagnosis is unclear
- transphyseal fractures should be suspected in patients with displacement of the proximal radius and ulna relative to the humerus
- MRI
- may be helpful to confirm the diagnosis if the diagnosis is unclear
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| Treatment |
- Nonoperative
- closed reduction, verify stability, then brief immobilization with early start range of motion
- Operative
- open reduction
- indications
- open dislocation
- incarcerated medial epicondyle in the joint
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