Surgical treatment of displaced medial epicondyle fractures in adolescent athletes

Steven L. Case, William L. Hennrikus

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70 Scopus citations


Eight adolescent athletes (average age, 11 years; range, 9 to 15) underwent open reduction and internal fixation of acute, displaced medial epicondyle fractures. Fixation was achieved with a screw and washer. Four patients (50%) had associated elbow dislocations. Elbow motion in a brace was initiated 4 days after surgery. The brace allowed full flexion and extension but protected the elbow against valgus stress. Bracing was continued for 4 weeks. The average duration of followup was 10 months (range, 6 to 13). All fractures united, and full motion was achieved in seven patients. One patient lost 5°of hyperextension compared with the opposite elbow. All eight elbows were stable to valgus stress and were pain-free. All patients returned to full sports activity.

Original languageEnglish (US)
Pages (from-to)682-686
Number of pages5
JournalAmerican Journal of Sports Medicine
Issue number5
StatePublished - Jan 1 1997

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation


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