Avulsion fracture of the medial epicondyle caused by arm wrestling

Abstract

Fractures occurring in teenagers during arm wrestling usually involve the distal humerus and appear as a fracture of the medial epicondyle. We studied eight male patients, aged 13 to 15 years, with such fractures. All fractures involved the right hand and occurred while the patients were in the final stages of winning a match in a formal competition. Three fractures occurred during an official competition and the other five occurred during a match between friends. One patient suffered from ulnar nerve paresis that eventually recovered spontaneously. All of the patients were immobilized for 10 to 21 days, and progressed gradually to motion of the elbow. At 1-year followup, clinical and functional results were satisfying. Therefore, we recommend conservative management for fractures of the medial epicondyle sustained during arm wrestling.

The Effects of Unit Exercises on the Hand Grip Strength of Arm Wrestlers

“…An athlete with a good physical condition is the one who developed his reflexes, controls his muscle strength and entire body better and accordingly has a higher performance, and develops this success consistently. Exercises that strengthen the muscles, develop the respiratory and circulatory system and increase the body flexibility are those paid most attention in physical training program of arm wrestling (Nyska et al, 1992).…”

Les fractures de l'épicondyle médial chez l'enfant

“…D'autres lésions osseuses sont rapportées par certains auteurs, mais elles sont beaucoup plus rares et il s'agit essentiellement de fracture de la tête radiale, de la trochlée, du capitulum et de l'olécrane [3,[17][18][19]. L'ouverture cutanée et l'atteinte du nerf ulnaire sont encore plus rares et rapidement régressives [20][21][22]. Les données de la littérature semblent en accord avec notre étude dans laquelle on retrouve 69 % de luxations du coude associées.…”

“…Le principal motif de consultation de notre série était un gros coude traumatique et douloureux surtout au niveau de la région épicondylienne médiale, cela est en accord avec la plupart des auteurs [8,20]. La limitation de la mobilité du coude est d'autant plus importante qu'il s'agit d'une incarcération intra-articulaire de l'épicondyle médial [20,23]. Selon Mac Cance [8], la recherche de la stabilité frontale du coude demeure un temps essentiel de l'examen clinique.…”

Spiral Fracture of the Humerus Caused by Arm Wrestling

“…Several cases of fractures of the medial epicondyle [3,4] and the humeral shaft [2,[5][6][7] sustained during arm wrestling were described. A fracture of the humerus due to arm wrestling was first reported in 1975 [8].…”