The lateral elbow x-ray shows an elevated anterior fat pad and a visible posterior fat pad, indicative of an effusion (haemarthrosis in the context of trauma).

Why is it important not to miss this injury?

• Second most common elbow fracture in paediatric population.
• High risk of non union/malunion.
• Risk of cubitus valgus and tardy ulnar nerve palsy.

The patient needs orthopedic referral.

Non displaced fractures with less than 2 mm separation is managed conservatively with an above elbow cast and close x-ray follow up whereas displaced fractures with more than 2 mm separation needs operative intervention.

Reference: www.orthobullets.com