Intercondylar Fracture of the Elbow in a Pediatric Patient
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Abstract
To present a case assisted at the Pereira Rossell Hospital Center of a very rare injury, its evolution, as well as an update on the diagnostic and therapeutic measures for this type of injury.
Clinical case: A 12-year-old adolescent with no significant personal history who suffered a fall from a horse with direct trauma to the right elbow and no other trauma. Physical examination at the emergency room revealed a painful and swollen right elbow, no skin lesions, and no distal neurovascular alterations were found. Diagnosis was confirmed after requesting a CT scan of the elbow, which showed a supracondylar fracture. The fracture line divided the capitellum and was directed medially. A closed reduction maneuver and medial approach without arthrotomy were performed to identify the ulnar nerve. Three medial and one lateral Kirschner needles were placed. A brachypalmar splint was made. The Kirschner needles were removed at 6 weeks. Follow-up at 3 months after the injury.
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