A 9-year-old child presents to your clinic with the following deformity. Which is the most likely fracture leading to such a defect?
A. Colle’s fracture
B. Lateral epicondyle fracture
C. Medial epicondyle fracture
D. Supracondylar fracture
Ans: D. Supracondylar fracture
(Ref: Apleys 9/e p371, 760)
- The given picture shows cubitus varus or gun-stock deformity.
- The most common cause is ma/union of a supracondylar fracture.
Cubitus Varus (`Gun-Stock’ Deformity):
- The deformity is most obvious when the elbow is extended and the arms are elevated.
- The most common cause is malunion of a supracondylar fracture.
- The deformity can be corrected by a wedge osteotomy of the lower humerus but this is best left until skeletal maturity.