Non-surgical treatment is often recommended for non-displaced fractures of the lateral condyle in children. This is because the bone is usually able to heal itself with immobilization and protection from further injury. In this article, we will discuss the non-surgical treatment of pediatric non-displaced fracture lateral condyle.
Diagnosis
The diagnosis of a non-displaced fracture of the lateral condyle in a child is made through a combination of physical examination and imaging studies. The child may complain of pain in the elbow and forearm or have difficulty moving the arm. The doctor will perform a physical examination of the elbow, looking for signs of swelling, bruising, or tenderness. They may also move the arm to assess range of motion and look for any abnormalities.
X-rays are the most common imaging study used to diagnose a non-displaced fracture of the lateral condyle. X-rays provide a clear image of the bone and can show whether the bone is broken and if there is any displacement or movement of the broken pieces.
Non-Surgical Treatment
Non-surgical treatment for non-displaced fractures of the lateral condyle in children typically involves immobilizing the arm in a cast or splint. The cast or splint helps to keep the bone in place and prevent further movement or displacement of the broken pieces.
The type of immobilization used will depend on the location and severity of the fracture. In some cases, a splint may be sufficient, while in others, a full cast may be required. The child will usually wear the cast or splint for several weeks, during which time they may need to avoid certain activities or movements to prevent further injury.
Physical therapy may also be recommended to help the child regain strength and range of motion in the arm once the cast or splint is removed. The physical therapist will work with the child to perform exercises and stretches that can help to strengthen the muscles and improve flexibility in the arm.
Complications
Non-displaced fractures of the lateral condyle in children typically have a good prognosis and are able to heal without surgery. However, there are some potential complications that can arise, especially if the fracture is not properly treated or if there is a delay in seeking medical attention.
One potential complication is malunion, which occurs when the broken pieces of bone heal in the wrong position. This can result in a deformity of the arm or a loss of range of motion. Another potential complication is delayed union, which occurs when the bone takes longer than expected to heal.
In rare cases, non-displaced fractures of the lateral condyle can become displaced or require surgery if there is a delay in seeking medical attention or if the fracture is not properly immobilized.
Conclusion
Non-displaced fractures of the lateral condyle in children are a relatively common injury that can usually be treated without surgery. Treatment typically involves immobilization of the arm in a cast or splint for several weeks, followed by physical therapy to help regain strength and range of motion in the arm. With proper treatment, most children are able to make a full recovery and return to normal activities within a few months. It is important to seek medical attention as soon as possible to ensure the best possible outcome and prevent potential complications.