Spontaneous Reduction of Incarcerated Medial Epicondyle Fragment: A Report of 3 Cases and Review of the Literature.
Journal
JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828
Informations de publication
Date de publication:
17 03 2021
17 03 2021
Historique:
entrez:
17
3
2021
pubmed:
18
3
2021
medline:
2
4
2022
Statut:
epublish
Résumé
Three cases of incarcerated medial epicondyle fracture with spontaneous reduction without operative manipulation are presented. Two patients were treated conservatively, and one treated surgically, all with good clinical outcomes. Elbow dislocation is a common pediatric injury. Over half have an associated medial epicondyle fracture, which can become incarcerated in the joint. Elbow dislocation with intra-articular incarceration of the medial epicondyle has historically been an indication for prompt surgical intervention. These cases suggest good outcomes with spontaneous reduction are possible without operative intervention, opening opportunities for further research into absolute indications for surgery.
Identifiants
pubmed: 33729182
doi: 10.2106/JBJS.CC.20.00150
pii: 01709767-202103000-00053
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated.
Déclaration de conflit d'intérêts
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B392).
Références
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Roberts N. Displacement of the internal epicondyle into the elbow joint four cases successfully treated by manipulation. Lancet. 1934;224(5785):78-9.
Tarallo L, Mugnai R, Fiacchi F, Adani R, Zambianchi F, Catani F. Pediatric medial epicondyle fractures with intra-articular elbow incarceration. J Orthop Traumatol. 2014;16(2):117-23.
Patel NM, Ganley TJ. Medial epicondyle fractures of the humerus: how to evaluate and when to operate. J Pediatr Orthop. 2012;(32 suppl 1):S10-3.
Vuillermin C, Donohue K, Miller P, Bauer A, Kramer D, Yen Y. (2017) Incarcerated medial epicondyle fractures with elbow dislocation. J Pediatr Orthop. 2019;39(9):e647-e651.
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Josefsson PO, Danielsson LG. Epicondylar elbow fracture in children. 35-year follow-up of 56 unreduced cases. Acta Orthop Scand. 1986;57(4):313-5.
Farsetti P, Potenza V, Caterini R, Ippolito E. Long-term results of treatment of fractures of the medial humeral epicondyle in children. J Bone Joint Surg Am. 2001;83(9):1299-305.