![]() Type III fracture: completely displaced distal fragment migrates proximally and anteriorly Type II fracture: incomplete fracture anterior cortex is intact Type I fracture: non-displaced or minimally displaced Since the mechanism is a direct force, flexion type fractures are often open. With the displacement of the fragment, the periosteum tears posteriorly. The typical mechanism is when a direct anterior force is applied against a flexed elbow, which causes anterior displacement of the distal fragment. In a flexion type fracture that happens in less than 5% of cases, the elbow is displaced anteriorly. ![]() Type III: totally displaced fracture, anterior and posterior cortices disrupted Type II: displaced fracture, posterior cortex intact Radiographically, these fractures are classified into three types: Beware that a nondisplaced fracture may be subtle and may only be recognized by one of the following: The typical mechanism is falling on an outstretched hand with the elbow in full extension. In an extension type of fracture, which happens more than 95% cases, the elbow displaces posteriorly. Based on the mechanism of injury and the displacement of the distal fragment, professionals classify these as either extension or flexion type fractures. It is considered an injury of the immature skeleton and occurs in young children between 5 to 10 years of age. It is the most common type of elbow fracture and accounts for approximately 60% of all elbow fractures. This type of fracture involves the distal humerus just above the elbow. The following are the types of elbow fractures in pediatrics: Prompt assessment and management of elbow fractures are critical, as these fractures carry the risk of neurovascular compromise. ![]() Most commonly, individuals fall on their outstretched hand. The most common type of fracture in the pediatric population is elbow fractures.
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