13A1.1 Avulsion of lateral epicondyle
Definition
This fracture type is classified by the AO/OTA as 13A1.1.
This is an avulsion fracture of the lateral epicondyle. By definition, there is no involvement of the joint (capitellum).
The fracture is the equivalent of an avulsion of the humeral attachment of the lateral collateral ligament.
Further characteristics
Typically, this injury occurs in young patients.
The fragment may become displaced into the lateral elbow joint cavity.
Note: Take care when approaching an apparently nonarticular lateral condylar fracture, as these are unusual. Preoperative imaging, including computed tomography, can be used to identify associated articular fractures.
X-ray
Image taken from Orozco R, et al. (1998) Atlas of Internal Fixation. Used with kind permission.
