Medial Epicondyle Fractures

A missed medial humeral epicondyle fracture with incarcerated fragment in the elbow joint and ulnar nerve palsy: A rare case report

“…The medial epicondyle fracture is challenging to diagnose on conventional radiograph because of appearance of various ossification centers in pediatric age group and the small fracture fragment get superimposed over distal humerus in the radiograh. 3,9,10,12,14 .…”

“…Plain X‐ray antero‐posterior, lateral, and oblique views as well as computed tomography scan remain the imaging modalities for the diagnosis of this type of fracture. Based on displacement of fracture fragments on AP radiograph and the presence of concomitant elbow dislocation, medial epicondyle fractures are classified by Watson Jones into four types: type 1: small degree of avulsion, type 2: a non‐entrapped avulsed fragment at the level of joint, type 3: avulsed fragment entrapped in the joint, type 4: fracture associated with elbow dislocation 2 …”