The three most common elbow fractures classically reported in pediatric orthopedic literature are supracondylar (50–70%), lateral condylar (17–34%), and medial epicondylar fractures (10%).
The mechanism of injury varies, but the most commonly described mechanism involves a fall on an outstretched hand with varus, valgus or rotational force or a combination thereof. The vectors of force and the degree of chondro-osseous development dictate the type of injury incurred.
A review of the literature was conducted to see the most frequent injuries and complications.
Displaced fracture of the distal third of the clavicle usually occurs after direct trauma to the shoulder and typically results in superior displacement of the proximal fragment. We report a previously undescribed case of downward displacement of the clavicle caused by a fall on an outstretched hand, and we suggest the mechanism of injury.
When Mikhail Ivanovich returned to the study with the letter, the old prince, with spectacles on and a shade over his eyes, was sitting at his open bureau with screened candles, holding a paper in his outstretched hand, and in a somewhat dramatic attitude...