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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
REVIEWS KNEE ARTHROPLASTY
Minerva Ortopedica e Traumatologica 2004 August;55(4):123-8
Fractures of the medial humeral epicondyle during skeletal growth
Farsetti P., Caterini R., Potenza V.
Clinica Ortopedica Policlinico di Tor Vergata Università degli Studi di Roma Tor Vergata, Roma
A critical review of the literature on fractures of the medial humeral epicondyle occurred during the skeletal growth is presented. The results of the main studies published on this matter are analyzed and compared with a long term follow-up personal study on isolated fractures of the medial humeral epicondyle in 42 patients with an average age of 12 years at diagnosis. The patients were divided into 3 groups on the basis of the treatment performed. The authors suggest that fractures of the medial humeral epicondyle displaced more than 2 mm, should be treated conservatively. Open reduction and internal fixation is mandatory when the fragment is entrapped into the elbow joint and when, at diagnosis, an ulnar nerve impairment or a marked elbow instability are present.