Intercondylar Fractures

Riseborough and Radin Classification
Type I : Undisplaced
Type II : Slight displacement with no rotation between the condylar fragments
Type III : Displacement with rotation
Type IV : Severe comminution of the articular surfaces


Mechanism of Injury
A force directed against the posterior aspect of the flexed elbow
Examination
Elbow swollen and tender, with decreased range of motion due to pain
Exclude neurovascular injuries
X-rays
AP and lateral views of elbow
Management
Type I : Long-arm backslab. Triangular arm sling. Analgesics. TCU Ortho
SOC within 1/52
Type II to IV : Long-arm backslab. Triangular arm sling. Admit to Ortho Dept