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Medial Epicondyle Fractures
Book chapter

Medial Epicondyle Fractures

Randle W. Ramsey and Martin J. Herman
Pediatric Elbow Fractures
11 Oct 2017

Abstract

Incarcerated fragment Kirschner wire fixation Medial epicondyle fracture Medial ulnar collateral ligament Open reduction and internal fixation
In the past, the medial epicondyle has been referred to by many names including the inner condyle, the internal epicondyle, the epitrochlea, and the medial condyle. The redundancy of terms has made interpretation of the literature challenging. Contemporary literature, however, universally refers to the “medial epicondyle” as the medial prominence of the distal humerus. In adults, this medial prominence is completely bony, but in children, the medial epicondyle is composed of an ossification center of cartilage and bone. Because it is the site of origin of the flexor/pronator mass and the elbow lateral collateral ligaments, avulsion fractures are particularly common because of the incomplete development of this apophysis until age 14–16 years, when the medial epicondyle completely ossifies and fuses with the distal humerus proper. This chapter will focus primarily on evaluation and treatment of acute injuries. A brief discussion of repetitive stress injuries of the medial epicondyle will also be included.

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