Extraction of incarcerated medial epicondyle from the elbow joint using conventional nerve stimulator: a case report

Dorman, Sara Rich; Sripada, S.; Clift, Benedict A.; Jariwala, Arpit

doi:10.1186/1752-1947-8-329

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…[ 25 ] Though the medial epicondyle fracture is extra-articular and contributes little to the longitudinal growth of the humerus, incarceration of the medial epicondyle fragment following pediatric elbow dislocation leads to the risk of growth disturbance, articular incongruence, and disability. [ 26 , 27 ] In addition, the ulnar nerve enters the forearm as it passes behind the medial condyle. Fractures in this region place the ulnar nerve at considerable risk for injury.…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic features and management of elbow dislocation with associated fracture in pediatric population

Liu

Yan²,

Lu³

et al. 2017

Medicine

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This study was conducted to explore epidemiologic features of traumatic elbow dislocation with associated fractures in pediatric population following appropriate treatment options.Incidence of elbow dislocation with associated fractures was analyzed in 67 children using elbow radiographs. Treatment for the displaced elbow joint was performed by closed reduction and proper immobilization. Surgical intervention was applied to restore the correct alignment of the fracture. Mayo Elbow Performance Score (MEPS) was used to measure elbow joint function.Incidence of pure dislocation was observed in 7 of 67 children (10.45%). Elbow dislocation was typically accompanied by a single or multiple fractures in 39 (58.21%) and 21 (31.34%) of 67 children, respectively. In contrast, lateral humeral condyle fracture and medial humeral epicondyle fracture accounted for 35.90% and 30.77% of pediatric elbow fractures. All children with elbow fracture-dislocations received surgical intervention by open reduction and internal fixation. During follow-up, 56% to 92% of children displayed significant recovery of elbow function with improving MEPS after the displaced elbow and fractured fragments were reduced and held in place for weeks. There were statistical differences in MEPS between the types of fractures (P < .05 or P < .01).Incidence of isolated elbow dislocation without fracture is low; rather, it is frequently associated with fractures. Early surgical intervention achieves stable fixation and bony union with utility in improving elbow function in the pediatric population.

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Section: Discussionmentioning

confidence: 99%

Epidemiologic features and management of elbow dislocation with associated fracture in pediatric population

Liu

Yan²,

Lu³

et al. 2017

Medicine

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“…Similarly, Dorman et al, described the use of a nerve stimulator to cause contraction of the flexor muscles, thereby indirectly reducing the incarcerated medial epicondyle. 12 Despite these described techniques, closed manipulation is often unsuccessful according to the literature, and forceful manipulation causes concern for articular cartilage damage and potential nerve injury. 9,12 Additionally, there are currently no longterm follow-up studies or large case series reporting either success rates or clinical outcomes of the various closed reduction methods that have been historically described.…”

Section: Comparison To Other Methodsmentioning

confidence: 99%

Novel Technique for Closed Reduction of Incarcerated Medial Epicondyle from the Elbow Joint

Boden¹,

Boden²,

Olgun³

2022

Journal of the Pediatric Orthopaedic Society of North America

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While the majoriy of pediatric elbow dislocations are associated with a medial epicondyle fracture, an intra-articular incarecerated medial epicondyle is a rare complication of closed elbow reduction. Elbow dislocations with incarceration of the medial epicondyle in the elbow joint have typically been considered an absolute indication for surgical intervention. There are few described closed reduction techniques for intra-articular incarcerated medial epicondyle fractures and closed manipulation is often unsuccessful according to the literature. We demonstrate a novel technique in which the incarcerated medial epicondyle can be extricated from the joint without the use of sedation, thus allowing for conservative management of these difficult injuries and reducing the risk of perioperative complications.

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Chronic Complex elbow fracture dislocation: Restoration of elbow function with ORIF and radial head replacement, a case report with long term follow up

Faqih,

sawan,

Alfadhel

et al. 2023

International Journal of Surgery Case Reports

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Extraction of incarcerated medial epicondyle from the elbow joint using conventional nerve stimulator: a case report

Cited by 3 publications

References 6 publications

Epidemiologic features and management of elbow dislocation with associated fracture in pediatric population

Epidemiologic features and management of elbow dislocation with associated fracture in pediatric population

Novel Technique for Closed Reduction of Incarcerated Medial Epicondyle from the Elbow Joint

Chronic Complex elbow fracture dislocation: Restoration of elbow function with ORIF and radial head replacement, a case report with long term follow up

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