Fracture of the Medial Humeral Epicondyle in Children

A Comparison of Operative and Nonoperative Management

Marcus D. Biggers, Timothy M. Bert, Alice Moisan, David D. Spence, William C. Warner, James Beaty, Jeffrey R. Sawyer, Derek M. Kelly

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

To compare clinical and radiographic outcomes of medial epicondylar fractures treated operatively to those treated nonoperatively, 30 patients with 31 fractures were divided into three groups: (a) nondisplaced, six treated nonoperatively; (b) incarcerated fragment, four with operative treatment; and (c) displaced but not incarcerated, 21 fractures, 14 treated operatively and seven nonoperatively. Clinical outcomes were assessed with follow-up examination and the Japanese Orthopaedic Association elbow assessment score. Average elbow scores were 98 in nondisplaced fractures, 94 with an incarcerated fragment, 95 in displaced fractures treated operatively, and 94 in displaced fractures treated nonoperatively. The only nonunion was in a fracture with an incarcerated fragment. Both operative and nonoperative treatment produced good outcome scores in displaced but not incarcerated fractures, but radiographic deformity and instability were more frequent in those treated nonoperatively.

Original languageEnglish (US)
Pages (from-to)188-192
Number of pages5
JournalJournal of surgical orthopaedic advances
Volume24
Issue number3
StatePublished - Sep 1 2015

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Humeral Fractures
Elbow
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Biggers, M. D., Bert, T. M., Moisan, A., Spence, D. D., Warner, W. C., Beaty, J., ... Kelly, D. M. (2015). Fracture of the Medial Humeral Epicondyle in Children: A Comparison of Operative and Nonoperative Management. Journal of surgical orthopaedic advances, 24(3), 188-192.

Fracture of the Medial Humeral Epicondyle in Children : A Comparison of Operative and Nonoperative Management. / Biggers, Marcus D.; Bert, Timothy M.; Moisan, Alice; Spence, David D.; Warner, William C.; Beaty, James; Sawyer, Jeffrey R.; Kelly, Derek M.

In: Journal of surgical orthopaedic advances, Vol. 24, No. 3, 01.09.2015, p. 188-192.

Research output: Contribution to journalArticle

Biggers, MD, Bert, TM, Moisan, A, Spence, DD, Warner, WC, Beaty, J, Sawyer, JR & Kelly, DM 2015, 'Fracture of the Medial Humeral Epicondyle in Children: A Comparison of Operative and Nonoperative Management', Journal of surgical orthopaedic advances, vol. 24, no. 3, pp. 188-192.
Biggers, Marcus D. ; Bert, Timothy M. ; Moisan, Alice ; Spence, David D. ; Warner, William C. ; Beaty, James ; Sawyer, Jeffrey R. ; Kelly, Derek M. / Fracture of the Medial Humeral Epicondyle in Children : A Comparison of Operative and Nonoperative Management. In: Journal of surgical orthopaedic advances. 2015 ; Vol. 24, No. 3. pp. 188-192.
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