“Cubitus-valgus” deformity is complication of:
The question asks about the complication leading to cubitus valgus. I remember that this deformity is often a result of certain fractures. Specifically, fractures of the distal humerus in children, like supracondylar fractures, can lead to malunion. When the medial fragment is displaced posteriorly, it can cause the valgus deformity. Also, in adults, fractures of the medial epicondyle of the humerus might contribute, but I think the main one is the supracondylar fracture in children.
Now, the options aren't provided, but the correct answer is likely to be a fracture of the distal humerus, especially in children. Let me check the possible distractors. Common wrong options might include cubitus varus (which is a different deformity), lateral epicondylar fractures, or maybe something like radial head dislocation.
For the core concept, I should mention that cubitus valgus is a complication of distal humeral fractures, particularly in children. The mechanism involves malunion leading to increased carrying angle.
In the correct answer section, I need to explain that the medial displacement of the distal fragment in a supracondylar fracture can cause valgus. The key here is the displacement direction.
For the incorrect options, if an option says lateral epicondylar fracture, that's incorrect because that usually leads to varus. If another option is radial head dislocation, that's more associated with elbow dislocations, not valgus. Another wrong option might be a humeral shaft fracture, which typically leads to different issues like pseudoparalysis.
The clinical pearl should highlight that cubitus valgus is a classic sign of malunited supracondylar fractures in children. Also, remember that the carrying angle is normally about 10-15 degrees in adults, but in valgus, it's more than that.
Putting it all together, the correct answer is distal humeral fracture (supracondylar) in children. The explanation should cover the mechanism of malunion leading to increased valgus angle, and differentiate from other fractures that cause varus.
**Core Concept**
Cubitus valgus is a deformity where the elbow joint angle increases beyond the normal 10β15Β° "carrying angle," causing the forearm to deviate laterally. It commonly results from **malunion of fractures involving the distal humerus**, particularly **supracondylar fractures in children**, due to posterior displacement of the medial fragment.
**Why the Correct Answer is Right**
The correct answer is **supracondylar humeral fracture** (e.g., in children). During healing, if the medial fragment shifts posteriorly, it shortens the medial column, creating a valgus deformity. This occurs because the lateral cortex remains intact, acting