Treatment of medial epicondyle fracture without associated elbow dislocation in older children and adolescents.

Published

Journal Article

Displaced medial humeral epicondyle fractures with or without elbow dislocation have been treated with open reduction and fixation using K-wires or screws. The purpose of this study is to evaluate the clinical and radiological outcomes of surgical treatments of medial humeral epicondyle fracture without elbow dislocation according to the fixation methods.Thirty-one patients who had undergone open reduction and fixation of the displaced medial humeral epicondyle fracture without elbow dislocation were included. Group I consisted of 21 patients who underwent fixation with K-wires, and Group II comprised 10 patients who underwent fixation with cannulated screws. Immediate postoperative, final follow- up and normal anteroposterior radiographs were compared and the clinical outcome was assessed using the final Japanese Orthopaedic Association (JOA) elbow assessment score.On the immediate postoperative radiographs, the distal humeral width in Group II was larger than that in Group I. On the final follow-up radiographs, the epicondylar position in Group I was lower than that in Group II. There was no significant difference in the distal humeral width, epicondylar position and joint space tilt between the immediate postoperative, final follow-up radiographs and the normal side within each group. There was no significant difference in the final JOA score between groups.Open reduction followed by K-wire fixation or screw fixation of the displaced medial humeral epicondyle fracture without elbow dislocation in older children and adolescents resulted in improved radiologic outcome and good elbow function in spite of diverse radiologic deformities.

Full Text

Cited Authors

  • Park, KB; Kwak, YH

Published Date

  • November 2012

Published In

Volume / Issue

  • 53 / 6

Start / End Page

  • 1190 - 1196

PubMed ID

  • 23074121

Pubmed Central ID

  • 23074121

Electronic International Standard Serial Number (EISSN)

  • 1976-2437

International Standard Serial Number (ISSN)

  • 0513-5796

Digital Object Identifier (DOI)

  • 10.3349/ymj.2012.53.6.1190

Language

  • eng