Medial Epicondyle Injuries

Smith, Frederick M.

doi:10.1001/jama.1950.02910240014004

Cited by 75 publications

(40 citation statements)

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“…All fractures consolidated within 6 weeks. [1,10,14], gehen andere bei diesen Frakturen grundsätzlich konservativ vor, falls eine geschlossene Reposition des intraartikulär eingeschlagenen Apophysenfragments des Epicondylus ulnaris bei Grad-III-und -IV-Frakturen gelingt [6,11,13]. Letzteres ist prinzipiell möglich, weil die Apophyse des Epicondylus ulnaris praktisch nicht zum Längenwachstum des Ellenbogengelenks beiträgt [11].…”

Section: Schlüsselwörterunclassified

“…[1,10,14], gehen andere bei diesen Frakturen grundsätzlich konservativ vor, falls eine geschlossene Reposition des intraartikulär eingeschlagenen Apophysenfragments des Epicondylus ulnaris bei Grad-III-und -IV-Frakturen gelingt [6,11,13]. Letzteres ist prinzipiell möglich, weil die Apophyse des Epicondylus ulnaris praktisch nicht zum Längenwachstum des Ellenbogengelenks beiträgt [11]. Andererseits sind aber die bei diesen Frakturen knö-chern ausgerissenen ulnaren Kollateralbänder zusammen mit dem apophysären Ansatz der Unterarmbeugergruppe (Ursprünge von Musculus flexor carpi radialis, Musculus flexor carpi ulnaris, Musculus flexor ture and parallel to it.…”

Section: Schlüsselwörterunclassified

“…There is wide agreement on conservative treatment of grade I fractures as well as on surgical approaches for cases with complete lesions of the ulnar nerve and the need for reduction of an intraarticularly located apophyseal fragment in grade III-IV fractures. While some authors argue for surgical treatment of all grade II-IV fractures [1,10,14], others choose to treat these injuries conservatively as a matter of principle, provided closed reduction of the intraarticular fragment of the medial epicondyle can be achieved in grade III and IV fractures [6,11,13]. This is a viable approach because the apophysis of the medial epicondyle contributes almost nothing to the growth in length of the elbow joint [11].…”

Section: Schlüsselwörtermentioning

confidence: 99%

“…While some authors argue for surgical treatment of all grade II-IV fractures [1,10,14], others choose to treat these injuries conservatively as a matter of principle, provided closed reduction of the intraarticular fragment of the medial epicondyle can be achieved in grade III and IV fractures [6,11,13]. This is a viable approach because the apophysis of the medial epicondyle contributes almost nothing to the growth in length of the elbow joint [11]. On the other hand, the avulsion of the medial collateral ligaments present in these fractures as well as the apophyseal attachment of the flexors of the forearm (heads of the flexor carpi radialis, flexor carpi ulnaris, flexor digitorum superficialis, palmaris longus muscles and part of the pronator teres muscle) are of vital importance to the stability of the elbow under high stress, and thus their insertions should be preserved.…”

Section: Schlüsselwörtermentioning

confidence: 99%

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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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Section: Schlüsselwörterunclassified

Section: Schlüsselwörtermentioning

confidence: 99%

Section: Schlüsselwörtermentioning

confidence: 99%

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Die Behandlung der Apophysenabrissverletzung des Epicondylus ulnaris im Kindesalter

et al. 2006

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“…4 Such injuries are simply treated with immobilization and early motion to obviate stiffness. 5 However opinions differ regarding management of displaced medial epicondyle fractures. Moreover, the definition of displacement varies between studies; some denominate the displaced fractures if >2 mm, but others, rely on >5 mm.1 Some literatures testify excellent to good results with conservative management, but above 60% of patients demonstrate radiographic nonunion that may lead to valgus instability.…”

Section: Introductionmentioning

confidence: 99%

Clinical Results of Surgically Treated Medial Humeral Epicondylar Apophyseal Avulsion Injury in Children and Adolescent.

Joshi¹,

Sundararaj²

2014

J Lumbini Med Coll

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ABSTRACT:Introduction: Fractures of the medial humeral epicondyle represent approximately 10% of all paediatric elbow fractures. Objective of our study was to assess treatment outcomes of children and adolescent with medial epicondylar fracture of the elbow using standard operative protocols. Methods: Twenty surgically treated fractures of the medial humeral epicondyle were analysed & reviewed for their epidemiological, clinical and surgical parameters. A valgus stress test was performed under general anesthesia or sedation. All patients underwent open reduction internal fixation using a similar technique. The medial epicondylar fragment was anatomically reduced and fixed in all cases with screws, Kirshner wires or tension band wiring. At final evaluation, union (radiologically) and elbow function [MAYO elbow performance score (MEPS)] was assessed. Results: An evaluation of all of our patients after a mean follow-up of 8.75 months (SD=4.76) after initial surgery was possible. The mean age of patients at the time of injury was 10.8 years (SD=2.3). Fifteen (75%) dominant elbows were injured in our study and 12(60%) elbows had an associated elbow dislocation. On examination in operating room post anaesthesia, all of the elbow injuries revealed some degree of valgus instability. All of our patients(n=20) showed good to excellent results in the MAYO elbow performance score (MEPS). Radiographically, union was achieved in all cases. Three patients developed postoperative ulnar nerve neuropraxia, all recovered at time of final follow up. One patient developed mild lateral heterotrophic ossification but did not require any additional surgical intervention. Conclusion: Our results suggest that open reduction internal fixation of displaced medial epicondyle fractures leads to satisfactory motion and function. A valgus stress test in operating room can reveal the true nature of joint instability that can warrant operative stabilization of medial epicondylar injuries.

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Humerus

2000

Skeletal Injury in the Child

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Medial Epicondyle Injuries

Cited by 75 publications

References 1 publication

Die Behandlung der Apophysenabrissverletzung des Epicondylus ulnaris im Kindesalter

Die Behandlung der Apophysenabrissverletzung des Epicondylus ulnaris im Kindesalter

Clinical Results of Surgically Treated Medial Humeral Epicondylar Apophyseal Avulsion Injury in Children and Adolescent.

Humerus

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