Supracondylar fracture of the humerus with ipsilateral fracture of the scaphoid in a child.

Abstract

Figure 1 Radiograph of the left elbow demonstrating undisplaced supracondylarfracture of the humerus.An 1 1 year old boy fell off a swing onto an outstretched left hand. He attended the accident and emergency department with a painful, swollen left elbow. Radiography of the injured elbow confirmed the undisplaced supracondylar fracture (fig 1). He was treated with a broad arm sling.A week later the child was seen in the fracture clinic and overall evaluation revealed tenderness over the left scaphoid. Radiography of the wrist confirmed fracture of the waist of the scaphoid (fig 2). He was treated in an above elbow scaphoid cast for three weeks followed by short arm scaphoid cast for another three weeks. W'hen evaluated at four months, both fractures united with an excellent functional result.