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Medial Epicondyle Fracture

  • Avulsion injury involving the attachment of the common flexors of the forearm

  • Common: 10% of all Paediatric elbow fractures.

  • Peak ages 7-15 years

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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

  • Analgesia

  • <5mm displacment- Above elbow backslab at 90 degree flexion and sling- wear under clothing.

  • >5mm displacement- Refer ORTHO

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ORTHO IF:

  • >5mm displacement

  • Associated elbow dislocation

  • Medial Condyl fracture (intraarticular)

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