title: [Clinical results of surgically treated paediatric fractures                     of the medial humeral epicondyle].
abstract: OBJECTIVE
  Fractures of the medial humeral epicondyle represent approximately 10 % of all paediatric elbow fractures. material and methods: Surgically treated paediatric fractures of the medial humeral epicondyle were analysed retrospectively for their epidemiological, clinical and surgical parameters. Re-evaluation included clinical function, satisfaction, pain level and MAYO elbow performance score (MEPS).
  
  
  RESULTS
  22 children could be included. A re-evaluation of 91 % of our patients after a follow-up of ∅ 4 years (range: 1-9 years; median: 4 years) after initial surgery was possible. Subjective outcome and objective function were good with moderate limitations. 85 % of our patients showed good to excellent results in the MEPS.
  
  
  CONCLUSIONS
  Regarding our own good clinical results and potentially lower rates of pseudarthrosis - in comparison to conservatively treated patients - by trend we recommend internal fixation in paediatric fractures of the medial humeral epicondyle. However, operative or conservative treatment must be indicated individually together with the patient and his/her parents.
authors: Abteilung Unfall-, Hand- und Wiederherstellungschirurgie, Chirurgische Klinik und Poliklinik, Universitätsmedizin Rostock. benjamin.ulmar@med.uni-rostock.de
authors: B
authors: B
authors: Ulmar
authors: A
authors: A
authors: Brunner
authors: J
authors: J
authors: Schwarz
authors: T
authors: T
authors: Kocak
authors: U
authors: U
authors: Stöckle
authors: T
authors: T
authors: Mittlmeier
authors: F
authors: F
authors: Stuby
authors: T
authors: T
authors: Freude
mesh_terms: D018771:Arthralgia / Q000209:etiology* / Q000517:prevention & control*; D002675:Child, Preschool; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D007223:Infant; D008297:Male; D016896:Treatment Outcome; D000092464:Elbow Injuries