Part of the Medical Radiology book series (MEDRAD)


Supracondylar fractures are the most common in children. A visible posterior fat pad is the best clue to their presence. Significant displacement is associated with neurovascular complications. Lateral mass fractures are not common but are easily overlooked with devastating consequences. Medial avulsion injuries can be subtle if displaced into the joint. The mnemonic CRITOL tells us that if we see an apparent trochlear before a medial epicondyle ossification centre it is probably a displaced medial epicondyle. OCD of the capitellum is an important misuse injury in children. Careful scrutiny of the plain radiograph is needed to detect the injury.


Radial Head Ossification Centre Medial Epicondyle Trochlear Groove Ulnar Collateral Ligament 
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© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Consultant Radiologist Craigavon Area Hospital Lurgan RoadPortadownUK
  2. 2.Consultant Musculoskeletal Radiologist Nuffield Orthopaedic Centre & University of Oxford Old Road HeadingtonOxfordUK

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