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World J Clin Pediatr. Jun 9, 2026; 15(2): 113603
Published online Jun 9, 2026. doi: 10.5409/wjcp.v15.i2.113603
Table 2 Gartland classification
Type
Description
Subtypes
IUndisplaced or minimally displaced (< 2 mm)Ia: Undisplaced in both projections; Ib: Minimal displacement, medial cortical buckle, anterior humeral line intersects capitellum
IIDisplaced but with intact cortexIIa: Posterior angulation, intact posterior cortex, anterior humeral line does not intersect capitellum; IIb: Rotatory or straight displacement, fracture ends remain in contact
IIICompletely displacedIIIa: Complete posterior displacement, no cortical contact; IIIb: Complete displacement with soft tissue gap (bone ends separated by soft tissue)
IVDisplaced, unstable in flexion and extension, periosteal disruption (diagnosed intra-operatively)NA


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