Does a medial epicondyle fracture need surgery?

Mild to moderately displaced fractures can heal well with casting. If a bone fragment was trapped inside the elbow joint when it fractured, your child will need surgery to heal properly and to maintain their elbow’s full range of motion.

What does the medial epicondyle do?

The medial epicondyle gives attachment to the ulnar collateral ligament of elbow joint, to the pronator teres, and to a common tendon of origin (the common flexor tendon) of some of the flexor muscles of the forearm: the flexor carpi radialis, the flexor carpi ulnaris, the flexor digitorum superficialis, and the …

What is the medial epicondyle of the elbow?

The medial epicondyle is located on the distal end of the humerus. Additionally, the medial epicondyle is inferior to the medial supracondylar ridge. It is also proximal to the olecranon fossa. The medial epicondyle protects the ulnar nerve, which runs in a groove on the back of this epicondyle.

What is medial epicondylitis of the elbow?

Medial epicondylitis is also known as golfer’s elbow, baseball elbow, suitcase elbow, or forehand tennis elbow. It’s characterized by pain from the elbow to the wrist on the inside (medial side) of the elbow. The pain is caused by damage to the tendons that bend the wrist toward the palm.

How big is a medial epicondyle elbow fracture?

Medial epicondyle fractures account for a significant portion of all elbow fractures, both acute and chronic, in the adolescent population. Indication for a medial epicondyle ORIF is a fracture with a large displacement (typically >5 mm) of the bone.

How old do you have to be to have a medial epicondylar fracture?

Medial Epicondylar Fractures – Pediatric. Overview a fracture of the medial epicondyle of the elbow that is the third most common fracture seen in children and is usually seen in boys between the age of 9 and 14. treatment is controversial but is usually nonoperative unless the medial epicondyle is incarcerated in…

Can a direct blow cause a medial epicondylar fracture?

posterior elbow dislocation transmitting force to the medial epicondyle via the ulnar colateral ligament (accounts for two thirds of cases of medial epicondylar fractures 3) direct blow (rare) chronic injury can also occur both in children (little league elbow) and adults (golfer’s elbow) – discussed separately.

Can a dislocation of the medial epicondyle be detected?

Fifty percent of medial epicondyle fractures are associated with an elbow dislocation, which is easily identified on x-ray. An elbow dislocation requires urgent closed reduction. Always do repeat x-rays to check that the medial epicondyle is not incarcerated in the joint.