A six year old child presented with a valgus deformity at his right elbow since 3 years that is gradually progressive. He has a history of cast applied for 6 weeks after falling on outstretched hand 3 years back. The probable fracture was
**Core Concept**
A valgus deformity at the elbow in a child, especially after a history of a fall and immobilization in a cast, suggests a potential growth disturbance affecting the medial epicondyle or the surrounding growth plate. This condition is known as **Nursemaid's Elbow** or **Panner's Disease**, but in this context, the correct diagnosis is more likely to be **Non-accidental Fracture** or **Malunited Supracondylar Fracture**, but the most likely answer is **Malunited Lateral Condyle Fracture of Humerus**.
**Why the Correct Answer is Right**
A lateral condyle fracture of the humerus can lead to a valgus deformity if it is not properly aligned and immobilized. The fracture may have occurred at the time of the initial fall, but the child was placed in a cast for 6 weeks, which may have allowed the fracture to heal in an incorrect position. This can lead to a growth disturbance in the lateral condyle, resulting in a valgus deformity as the child grows. The medial epicondyle, which is responsible for the growth of the medial aspect of the elbow, may be affected, leading to a valgus deformity.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is not relevant to the clinical presentation of a valgus deformity at the elbow in a child.
* **Option B:** This option is not related to the condition described in the scenario.
* **Option D:** This option is not a likely cause of a valgus deformity at the elbow in a child.
**Clinical Pearl / High-Yield Fact**
A lateral condyle fracture of the humerus can lead to a valgus deformity if it is not properly aligned and immobilized. This is an important clinical consideration in children who present with a valgus deformity at the elbow, especially if they have a history of a fall and immobilization in a cast.
**Correct Answer:** C.