“…The characteristic postero-medial displacement of the distal humerus epiphysis associated with this kind of lesion was first emphasized by Valdiserri and Kelescian [2 -6], and is still confirmative if seen in any elbow X-ray, arthrogram or ultrasound scan [3, 4, 6 -8]. According to some authors, this type of fracture separation in young infants is still described as an uncommon variant of the well-known pediatric supracondylar humerus fracture [3,4,9]. Sound knowledge of the sequence of appearance of the elbow ossification centers is essential for correct diagnosis, since at birth none of the four distal humerus epiphysis ossification centers found at the termination of growth are visible.…”