image Q. 117 - Elbow room

Q.    Which of the bony structure should be assessed in a child with elbow dislocation?

a. Lateral condyle
b. Trohlea
c. Capitellum
d. Medial epicondyle
e. Radial neck

Answer -
d

Medial epicondyle is the most common fracture associated with elbow dislocation in children.

Sometimes the medial epicondyle is displaced and incarcerated into elbow joint blocking the reduction.

So, if the medial epicondyle is not visible in radiograph then we must suspect displacement of it into elbow joint.

So the answer is medial epicondyle that should be assessed in radiograph.