〔Abstract〕 To explore the clinical value of arthrography in children with Jacob Ⅱ type humeral humeral lateral condylar fracture. A retrospective collection of eligible children with a total of 85 patients was recorded in this study. According to the arthrography results, the children were divided into JA-JD four groups. The variance analysis and t text analyzed the correlation between gender, side, age, time from injury to operation, fracture displacement degree and treatment. There was no significantly difference between gender, side, age, time from injury to operation and treatment(P>0.05). The degree of fracture displacement in group JA was significantly lower than group JB [(2.58±0.41)vs(3.32±0.50),P<0.05]. The intraoperative arthrography adds valuable information for the surgical treatment of children with Jacob II humeral lateral condylar fracture. When the fracture displacement below 3.2 mm in X-ray, it is feasible to perform closed reduction and percutaneous pinning.