title: Fracture dislocation of the lateral condyle and medial epicondyle of the humerus associated with complete radial nerve transection.
abstract: The combination of lateral condyle and medial epicondyle fractures of the humerus and a radial nerve transection is extremely rare. We could not find a similar case in the literature. Hereby we report such a case. An eight-year old female fell down while playing. She had wrist, thumb and fingers drop associated with hypoaesthesia over the first web space indicating radial nerve palsy. Plain X-ray of the left elbow showed fracture of the lateral condyle and avulsed fracture of the medial epicondyle. The Lateral condyle fracture was fixed with 2 screws and the medial epicondyle fracture was fixed with 2 K wires. The radial nerve was completely transected which was repaired primarily through a lateral approach. Six months later, the patient had full recovery of the wrist and elbow functions without any deformity.
authors.affiliation: Department of Orthopaedic Surgery, Surgical Institute, Trauma, Orthopaedics and Sport Medicine, Al-Ain Hospital, United Arab Emirates.
authors.forename: Zaid
authors.initials: Z
authors.lastname: Abu-Jayyab
authors.forename: Fikri
authors.initials: F
authors.lastname: Abu-Zidan
authors.forename: Stefan
authors.initials: S
authors.lastname: Marlovits
mesh_terms: D000058:Accidental Falls; D002648:Child; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D006810:Humeral Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004204:Joint Dislocations / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011826:Radial Nerve / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D000092464:Elbow Injuries