20-year-old female:
High velocity car accident.

Supracondylar fracture

Linear hyperdensity

Comminutive supra, trans and intercondylar fracture of the distal humerus. The first fracture line identified here is the supracondylar fracture.

Transcondylar fracture

Intercondylar fracture

Linear hypodensity

A transcondylar fracture line can readily be seen.

Intercondylar fracture

Linear hypodensity

From the horizontal intercondylar fracture line there is an intercondylar extension line with rotation and displacement of the condyles. Articular cominution is difficult to appreciate on this radiograph. This is thus a type 3 or 4 fracture according to Riseborough and Radin's classification.

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