Medial epicondyle fractures of the humerus

Abstract

Medial epicondyle fractures are common in adolescent age group and uncommon in younger age. Unossified elbow in a younger child may pose a challenge in diagnosis. Historically fracture displacement has been quoted and used frequently as criteria for management. Plain radiographs which are routinely used for management, may underestimate the displacement. Incarcerated and open medial epicondyle fractures remain absolute indications for open reduction. Elbow dislocation, Instability, Ulnar Nerve injury, Associated fracture or ligamentous injuries and physical demands of the patient must also be considered during decision making. Isolated fractures have yielded excellent results when managed conservatively. Complications of conservatively managed fractures are rarely symptomatic. The decision to operatively manage these injuries must be individualised after considering the above mentioned factors.