Long-Term Results of Treatment of Fractures of the Medial Humeral Epicondyle in Children

Farsetti, Pasquale; Potenza, Vito; Caterini, Roberto; Ippolito, Ernesto

doi:10.2106/00004623-200109000-00001

Cited by 189 publications

(166 citation statements)

References 8 publications

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“…This may explain the seemingly 'benign' natural history of some displaced medial epicondylar fractures following conservative treatment. 3 The growth potential of the patient should also be considered when deciding conservative versus operative treatment for a displaced fracture, which is essentially an avulsion injury of a traction apophysis. In this type of traction apophysis (especially in younger patients with years of growth remaining), chronic traction can cause increased underlying bone formation (similar to self-induced focal chondrodiastasis).…”

Section: Discussionmentioning

confidence: 99%

Medial Humeral Epicondylar Fracture in Children and Adolescents

2007

J Orthop Surg (Hong Kong)

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Purpose. To assess treatment outcomes of young patients with medial epicondylar fracture of the elbow using standard operative protocols. Methods. 24 consecutive patients with medial humeral epicondylar fracture underwent surgery by one of the 3 methods: (1) 2 parallel Kirschner wires, (2) 2 parallel Kirschner wires plus a tension-band wire, and (3) a screw plus an anti-rotation Kirschner wire. Fractures displaced less than 5 mm were treated conservatively (casting for 3 weeks). Outcome was assessed clinically and radiologically. The Mayo Clinic Elbow Performance Index was measured. Results. The 3 patients with undisplaced fractures had good radiological results and scores. One patient with a displaced fracture refused surgery and subsequently developed pseudarthrosis and cubitus valgus. All operatively treated patients had good scores, but 2 treated with 2 parallel Kirschner wires alone developed pseudarthrosis. Surgery 2007;15(2):170-3 this group needed longer rehabilitation to attain a functional range of movement than those in other groups (treated together with a tension-band wire or screw). Conclusion. Surgery is recommended for children with displaced medial epicondylar fractures of more than 5 mm. The use of a tension-band wire, instead of a screw, together with Kirschner wires is the preferred treatment for younger children. Journal of Orthopaedic

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Section: Discussionmentioning

confidence: 99%

Medial Humeral Epicondylar Fracture in Children and Adolescents

2007

J Orthop Surg (Hong Kong)

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“…Mehrere Studien zeigten sowohl nach operativer als auch nach konservativer Behandlung dislozierter Apophysenabrissverletzungen des Epicondylus ulnaris [1,2,5,6,12] überwiegend exzellente oder gute Ergebnisse. Gesichert erscheint, dass ein intraartikuläres Belassen oder die Exzision eines in das Gelenk eingeschlagenen Apophysenfragments zu schlechten Langzeitergebnissen führt [2,3].…”

Section: Schlüsselwörterunclassified

Die Behandlung der Apophysenabrissverletzung des Epicondylus ulnaris im Kindesalter

et al. 2006

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From January 1, 1994 to December 31, 2003, 25 children with an average age of 12 years suffering from medial epicondylar avulsion fractures were operated on using open reduction and Kirschner wire fixation. An average of 3 years after the injury 14 of these children underwent follow-up examination using a procedure that took subjective, clinical and radiologic parameters into account. Two children showed a slight reduction in overall strength of the injured extremity when compared with the contralateral extremity. One child had a flexion deficit of 10 degrees, all other children showed movement limitations of < or = 5 degrees compared to the contralateral extremity. In all the cases available to follow-up, there was a slight increase in valgus alignment of the elbow joint compared with the uninjured side (3 degrees on average). All fractures consolidated within 6 weeks.

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“…En cuatro de los artículos (6,8,11,12) se realizaron radiografías comparativas con el codo sano, que en algunos de los estudios eran usadas al final del seguimiento para comparar los resultados radiológicos.…”

Section: Diagnóstico Del Desplazamientounclassified

Fracturas desplazadas de epicóndilo medial. Revisión bibliográfica sistematizada

Álvarez

Teske

Cúneo

2018

RMU

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ResumenIntroducción: la fractura de epicóndilo medial representa 12% a 20% de las fracturas del codo pediátrico. Existe controversia en la indicación del tratamiento para las fracturas con un desplazamiento mayor de 2 mm. El objetivo de este trabajo es revisar la indicación y los resultados de los diferentes tratamientos realizados en las fracturas de epicóndilo medial desplazadas más allá de 2 mm.Material y método: se utilizaron las bases de datos electrónicas PubMed y Bireme. La búsqueda arrojó un total de 313 artículos de los cuales nueve cumplían con los criterios de inclusión propuestos al iniciar la búsqueda.Discusión: se analizaron y compararon los métodos de diagnóstico por imagen utilizados y su rendimiento, los diferentes tipos de tratamiento y las complicaciones.Conclusión: no debe ser el desplazamiento de la fractura lo que guíe el tratamiento sino la energía traumática y la estabilidad en valgo del codo. Se han reportado excelentes resultados tanto con tratamiento conservador como quirúrgico de las fracturas desplazadas de epicóndilo medial. Faltan estudios comparativos con seguimiento a largo plazo de buen nivel de evidencia para recomendar uno u otro tratamiento en las fracturas desplazadas de epicóndilo medial. Palabras clave: FRACTURAS DEL HÚMERO ARTICULACIÓN DEL CODO NIÑO

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Long-Term Results of Treatment of Fractures of the Medial Humeral Epicondyle in Children

Cited by 189 publications

References 8 publications

Medial Humeral Epicondylar Fracture in Children and Adolescents

Medial Humeral Epicondylar Fracture in Children and Adolescents

Die Behandlung der Apophysenabrissverletzung des Epicondylus ulnaris im Kindesalter

Fracturas desplazadas de epicóndilo medial. Revisión bibliográfica sistematizada

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