[Current concepts in pediatric lateral humeral condyle fractures].

Lateral humeral condyle fractures account for 10-20% of all paediatric elbow fractures. Diagnosis is made on plain radiographs; however, their interpretation is a challenge. Diagnostic MRI is used to apply the Song classification. Song stage 1-3 are managed conservatively while stage 4 and 5 are treated surgically. Closed reduction is attempted, and arthrography is used for verification. Unsuccessful reduction results in open surgery. Based on the literature, this review describes a modern algorithm for treating this injury resulting in more conservatively managed cases and less need for open surgery.

[Severely dislocated fracture of neck of talus initially treated outside of trauma centre].

Fracture of the talus is usually the result of a high-energy trauma and can present as an open fracture. This is a case report of an 18-year-old male with an open dislocated fracture of the neck of the talus, and the primary treatment consisted of: administration of antibiotics, tetanus prophylaxis, debridement and wound irrigation, reduction of fracture, immobilisation in external fixation and wound closure. Later, the patient had osteosynthesis of the fracture due to nonunion.