“…Many authors agree that fractures of the medial epicondyle with incarceration of the fragment in the elbow joint (type III) should be surgically treated [ 12 , 17 – 20 ]. Multiple methods of surgical treatment have been reported: fragment excision and sutures [ 10 , 21 ], closed reduction and percutaneous Kirshner wires [ 22 ], open reduction and Kirshner wires [ 10 , 23 – 25 ], open reduction and sutures [ 6 , 9 , 26 ], open reduction and smooth pins [ 9 , 27 ], and open reduction and screws [ 11 , 25 , 28 ]. The goals of operative fixation are to maximize the possibility of early return to full function and high-level activity and to minimize late deformity and the likelihood of stiffness (as with prolonged cast immobilization).…”