Tardy ulnar nerve palsy seen in -a) Medial condyle # humerusb) Lateral condyle # humerusc) Supracondylar condyle # humerusd) Fracture shaft humerus

**Core Concept**
Tardy ulnar nerve palsy refers to a delayed onset of ulnar nerve dysfunction, typically occurring years after an initial injury or trauma. This condition is often associated with a pre-existing deformity or malunion of a fracture, which leads to progressive stretching or compression of the ulnar nerve.

**Why the Correct Answer is Right**
The correct answer is related to the mechanism of tardy ulnar nerve palsy, which is often caused by a cubitus varus deformity resulting from a lateral condyle fracture of the humerus. This deformity leads to progressive stretching and eventual compression of the ulnar nerve, resulting in symptoms such as claw hand, atrophy of the intrinsic muscles of the hand, and sensory deficits. The cubitus varus deformity is a result of malunion of the lateral condyle fracture, which causes the elbow to be angled inward, putting further stress on the ulnar nerve.

**Why Each Wrong Option is Incorrect**
**Option A:** Medial condyle fractures of the humerus are less likely to cause tardy ulnar nerve palsy, as the ulnar nerve is more likely to be compressed or stretched in cases of lateral condyle fractures.

**Option B:** Although lateral condyle fractures of the humerus are a common cause of tardy ulnar nerve palsy, the term "lateral condyle # humerus" is not the most accurate description of the underlying pathology.

**Option C:** Supracondylar fractures of the humerus can cause nerve injuries, but they are more commonly associated with radial nerve palsy than tardy ulnar nerve palsy.

**Option D:** Fractures of the shaft of the humerus are not typically associated with tardy ulnar nerve palsy, as the ulnar nerve is less likely to be compressed or stretched in these cases.

**Clinical Pearl / High-Yield Fact**
Tardy ulnar nerve palsy often presents with a delay of several years after the initial injury, and a high index of suspicion is necessary to diagnose this condition, as the symptoms may be attributed to other causes.

**Correct Answer:** B. Lateral condyle # humerus.