Medial Epicondyle Fractures in the Pediatric Population

Gottschalk, Hilton P.; Eisner, Eric A.; Hosalkar, Harish S.

doi:10.5435/jaaos-20-04-223

Cited by 152 publications

(169 citation statements)

References 33 publications

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“…2). In the younger population, the most common elbow fractures include the supracondylar fracture (60%), the Salter-Harris IV lateral condylar fracture (15-20%), and the Salter-Harris I medial epicondylar fracture (11-20%) [12,13]. In adults, the most frequent fracture involves the radial head or neck and accounts for up to 50% of cases ( Fig.…”

Section: Osteochondral/osseous Structuresmentioning

confidence: 98%

A systematic, multimodality approach to emergency elbow imaging

et al. 2016

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Section: Osteochondral/osseous Structuresmentioning

confidence: 98%

A systematic, multimodality approach to emergency elbow imaging

et al. 2016

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“…There is no consensus in the literature to define significant displacement, and recommendations have ranged from 2 to 10 mm [1]. Obtaining a complete injury history is important to determine whether the injury involved a subluxation or dislocation of the elbow with spontaneous reduction.…”

Section: Treatment Indicationsmentioning

confidence: 99%

“…Medial epicondyle fractures account for 10-20% of all pediatric elbow fractures [1]. They most commonly occur in boys 9 to 14 years of age.…”

Section: Introductionmentioning

confidence: 99%

Elbow Injuries in the Adolescent Thrower

Griffith

Kercher

Willimon

et al. 2018

Curr Rev Musculoskelet Med

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Purpose of Review With an increasing rate of adolescent elbow injuries, especially in throwing athletes, the purpose of this review is to investigate the current literature regarding the diagnosis, treatment, and non-operative and operative outcomes of medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures. Recent Findings Acceptable outcomes with both non-operative and operative treatments of medial epicondyle fractures have been reported, with surgical indications continuing to evolve. Unstable osteochondritis dissecans lesions, especially in patients with closed growth plates, require operative fixation, and emerging open and arthroscopic techniques including lesion debridement, marrow stimulation, autograft transfer, and allograft transplantation are described with good outcomes. Ulnar collateral repair has emerged as an exciting treatment option for an avulsion of either end of the ligament in young throwing athletes, with faster rehabilitation times than traditional ulnar collateral ligament reconstruction. Olecranon stress fractures are increasing in prevalence, and when a non-operative treatment course is unsuccessful, athletes have a high return-to-play rate after percutaneous cannulated screw placement. Summary With proper indications, non-operative and operative treatment modalities are reported with a high return-to-play and acceptable clinical outcomes for common elbow injuries, including medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures, in adolescent throwing athletes. Further research is needed to better define treatment algorithms, surgical indications, and outcomes.

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“…27 As the patient approaches skeletal maturity, with closure of the medial epicondyle physis, the valgus overload stress more predictably leads to a medial epicondyle avulsion fracture. 27 As the patient approaches skeletal maturity, with closure of the medial epicondyle physis, the valgus overload stress more predictably leads to a medial epicondyle avulsion fracture.…”

Section: Medial Epicondyle Avulsionmentioning

confidence: 99%

Pediatric Elbow Injuries in Athletes

Makhni

Jegede

Ahmad

2014

Sports Medicine and Arthroscopy Review

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Elbow injuries in pediatric and adolescent population represent a spectrum of pathology that can range from medial tension injuries to posterior shear injuries. Elbow injuries in this population continue to rise in parallel with the increase in youth participation in sports both throughout the calendar year and across multiple sports. Many of these injuries are noncontact and are attributed to overuse. Evaluation and management of youth and adolescent athletic elbow injuries requires knowledge of developmental anatomy, injury pathophysiology, and established treatment algorithms. Furthermore, risk factors contributing to elbow injuries must be recognized, with education and recommendations for safe play continually advocated. This education--of parents, athletes, and coaches--is paramount in reducing the climbing incidence of elbow injuries in our youth athletes.

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Medial Epicondyle Fractures in the Pediatric Population

Cited by 152 publications

References 33 publications

A systematic, multimodality approach to emergency elbow imaging

A systematic, multimodality approach to emergency elbow imaging

Elbow Injuries in the Adolescent Thrower

Pediatric Elbow Injuries in Athletes

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