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Medial Epicondyle Fracture
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Avulsion injury involving the attachment of the common flexors of the forearm
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Common: 10% of all Paediatric elbow fractures.
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Peak ages 7-15 years
50% of Medial Epicondyle fractures are associated with dislocation of the elbow.
Distinguish Epicondyle (common) from Condyl fracture (very rare). Condyle fractures are intraarticular and require ORIF.
CLASSIFICATION
By degree of displacement
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MANAGEMENT
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Analgesia
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<5mm displacment- Above elbow backslab at 90 degree flexion and sling- wear under clothing.
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>5mm displacement- Refer ORTHO
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ORTHO IF:
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>5mm displacement
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Associated elbow dislocation
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Medial Condyl fracture (intraarticular)
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