Medial condyle and epicondyle fractures in young children can vary from avulsion fractures of the medial epicondyle to serious Salter-Harris type IV fractures of the medial condyle. These fractures require distinguishing based on their distinct characteristics, as this influences treatment choices. A classification system divides them into acute and chronic types, with acute further categorized based on displacement and entrapment conditions.

1. FRACTURE MEDIAL
EPICONDYLE
PRESENTED BY- DR VASU
Pacific institute of medical sciences ,
Udaipur, rajasthan

6. MEDIAL CONDYLE AND EPICONDYLE
Injuries to the medial aspect of the distal humerus in young children can range from an avulsion
fracture of the medial epicondyle to a much more serious Salter-Harris type IV fracture of the
medial condyle.
Medial condyle fractures involve a fracture line that extends through and separates the medial
metaphysis and epicondyle from the rest of the humerus; by definition, the fracture line must
involve the trochlear articular surface.
Medial condyle fractures must be distinguished from medial epicondyle fractures that involve
the medial column but are extra-articular
The distinction between these two types of fractures is key to the selection of appropriate
treatment. Both fracture patterns may be difficult to diagnose in young children, especially
before the secondary ossification centers have formed

23. Classification
No routinely used classification system
Can be more simply classified as acute vs. chronic
acute subtypes
Nondisplaced
Minimally displaced
Displaced
Fragment entrapped in joint
Fracture through epicondyle apophysis
chronic
related to tension stress injuries