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Pediatric distal humerus medial condyle fractures are rare. While nondisplaced fractures are managed nonoperatively, displaced fractures typically undergo operative intervention to restore the articular surface. The goals of surgical intervention are anatomical reduction and stable fixation. Among the various surgical techniques available, fixation with cannulated screws or Kirschner wires are most commonly utilized with good outcomes. The purpose of the current case study is to present a unique instance of cannulated screw failure during open reduction and internal fixation of a displaced pediatric distal humerus medial condyle fracture.