Cubitus Valgus

    Cubitus valgus

    Diagnosis

  1. Right sided
  2. cubitus valgus deformity of 20 deg
  3. with tardy ulnar nerve palsy
  4. due to nonunion of lateral condyle humerus fracture
  5. of 1 year duration
  6. in a 12 year old right handed male school-going boy
  7. presently disabled due to weakness of right hand & cosmetic deformity

    8. History

  8. Injury ( time, mechanism, open/closed, treatment taken,)
  9. h/o massage done
  10. Deformity ( when noticed, progression)
  11. Pain
  12. Siffness
  13. Tingling, numbness, weakness

    14. O/E

  14. Nonprogressive Cubitus valgus deformity of 20 deg,
  15. 3-bony point relationship disturbed with increased distance between olecranon & lateral epicondyle
  16. Thickened lateral supracondylar ridge
  17. Abnormal mobility of lateral condyle fragment/ pain on stressing lateral condyle
  18. E/O tardy ulnar nerve palsy in the form of

    • Atrophy of hypothenar eminence
    • Weakness of FCU, FDP,ADM, Interossei
    • Sensory d
    • Palpate ulnar nerve
    • Tinel's sign at-
    • Sensory deficit in ulnar nerve distribution

  19. There is 20 deg flexion deformity with further flexion possible upto100 deg with a bony block, the range is associated with pain & crepitus
  20. There is 40 deg supination & 50 deg pronation possible

  21. Arm length is reduced by 2 cm
  22. 2 cm arm wasting of arm 7 forearm
  23. e/o valgus instability

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