Milch classification of lateral humeral condyle fractures

Changed by Eric Jones, 23 Mar 2023
Disclosures - updated 23 Mar 2023: Nothing to disclose

Updates to Article Attributes

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The Milch classification is one of the classification systems that can be used for lateral humeral condyle fractures and splits these fractures into two groups depending on their relationship with the trochlear groove:

  • type I: fracture passes lateral to the trochlear groove into the capitulotrochlear groove, Salter-Harris type IV, stable

  • type II: fracture passes through the trochlear groove to apex, Salter-Harris IIIII, unstable

In general, this system is rarely of radiological use but is used by some orthopaedic surgeons. 

  • -<p>The <strong>Milch classification</strong> is one of the classification systems that can be used for <a href="/articles/lateral-humeral-condyle-fracture-1">lateral humeral condyle fractures</a> and splits these fractures into two groups depending on their relationship with the <a href="/articles/trochlear-groove">trochlear groove</a>:</p><ul>
  • -<li>
  • -<strong>type I</strong>: fracture passes lateral to the trochlear groove into the capitulotrochlear groove, Salter-Harris type IV, stable</li>
  • -<li>
  • -<strong>type II</strong>: fracture passes through the trochlear groove to apex, Salter-Harris II, unstable</li>
  • +<p>The <strong>Milch classification</strong> is one of the classification systems that can be used for <a href="/articles/lateral-humeral-condyle-fracture-1">lateral humeral condyle fractures</a> and splits these fractures into two groups depending on their relationship with the <a href="/articles/trochlear-groove">trochlear groove</a>:</p><ul>
  • +<li><p><strong>type I</strong>: fracture passes lateral to the trochlear groove into the capitulotrochlear groove, Salter-Harris type IV, stable</p></li>
  • +<li><p><strong>type II</strong>: fracture passes through the trochlear groove to apex, Salter-Harris III, unstable</p></li>

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