Medial epicondyle fractures in children

Abstract

Medial epicondyle fractures of the distal humerus account for 12% of pediatric elbow fractures and are frequently associated with intra-articular incarceration of the fracture fragment, elbow dislocation, ulnar nerve injury, and other upper extremity fractures. Recent literature calls into question the accuracy of measuring fracture displacement, and controversy exists regarding optimal management of these fractures. Good outcomes have been achieved with nonoperative treatment for minimally displaced fractures, despite a high rate of nonunion. In patients with displaced fractures, fixation yields stability, functional range of motion, and the ability to return to previous activity levels, including sports. Complications include stiffness, instability, deformity, superficial wound infections, and symptomatic nonunion. Further study is required to standardize the measurement of displacement and to clarify indications for operative treatment in both sedentary and active children.

Proximally displaced medial humeral epicondyle fracture in pediatric patients: A clinical case series

“…In our case series, a further query was made about the existing categorization through a subset of medial humeral epicondyle fracture in children, the particular type that few predecessor authors had systematically discussed. Current opinion usually described the fracture fragment to be pulled by the flexor-pronator mass or the ulnar collateral ligament(UCL) and displaced distally anteriorly and medially [7]. However, in our work, proximally displaced medial epicondyle fracture was presented, raising new puzzles concerning its mechanism, categorization, management, and prognosis.…”

“…In 1982, Papavasiliou [11] modified the classification into four types, making it the most succinct and widely used criterion among the orthopedic practitioners since then. The Wilkins's [7] classification system, in which medial epicondyle injuries were divided into acute injury patterns and chronic tension stress patterns, was a more comprehensive one. The Papavasiliou four types and those with fracture lines through the epicondyle were included in the acute injuries in this classification.…”

Mid-term Clinical and Radiological Results of Surgically Treated Pediatric Medial Humeral Epicondyle Fractures: Screw or K Wire?

“…Avülsiyon kırıkları ulnar kollateral ligamanin avülsiyon gücü uyguladığı dirsek çıkığına eşlik edebilir. Literatürde medial epikondil kırıklarının dirsek çıkığına %30-55 oranında eşlik ettiği bildirilmiştir (1)(2)(3). Wilkins medial epikondil kırıklarını kronik ve akut yaralanmalar, akut yaralanmaları ise kırık parçanın deplasmanına göre nondeplase, minimal deplase, belirgin deplase ve eklem içi olmak üzere 4 alt gruba ayırmıştır (2,4).…”

“…Medial epikondil kırıklarının tedavisi güncel literatürde halen tartışılmaktadır (3,(5)(6)(7)(8). Açık kırıklar ve medial epikondilin dirsek eklem içine inkarserasyonu cerrahi için kesin endikasyonlar olarak bildirilmiştir (1,2).…”

Luxationsfrakturen am Ellenbogengelenk im Kindesalter

“…Ellenbogenverletzungen im Kindesalter können schwerwiegende Verletzungen sein und zu dauerhaften Funktionsbeein trächtigungen führen [6,14,16,18] [8,19]. Im Folgen den werden die einzelnen Verletzungen mit entsprechenden Beispielen dargestellt.…”