This 11 year old boy was playing on the jungle gym when he fell off onto his outstretched left hand.  He sustained a closed, isolated injury to the left elbow, and is neurovascularly intact:

 

Because of the minimal displacement, a closed reduction and pinning was attempted and found to be successful.  A pin was placed across the five distal fragments, and then this large articular fragment was fixed to the distal humerus via crossed K-wires.