title: The isolated medial humeral epicondyle fracture treated nonoperatively: does fracture displacement change over time?
abstract: This study explores the change in the position of the fragment in isolated, displaced, medial humeral epicondyle fractures in children. In this series, 34 patients (mean age 11.0 years) were treated nonoperatively by cast immobilization with no attempt at closed fracture reduction. A statistically significant association was found between the position of the fracture fragment at the time of initial fracture compared with 3 weeks after fracture (P=0.015). Twenty-six of 34 patients (76.5%) showed spontaneous improvement in fragment position. These findings support the practice of treating significantly displaced medial epicondyle fractures nonoperatively.
authors: aDepartment of Orthopaedic Surgery, KK Women's & Children's Hospital bOffice of Clinical Sciences, Centre for Quantitative Medicine, Duke-NUS Graduate Medical School, Singapore, Singapore.
authors: Kevin Boon Leong
authors: KB
authors: Lim
authors: Chin Yee
authors: CY
authors: Woo
authors: Xue Ling
authors: XL
authors: Chong
authors: Shehab
authors: S
authors: Ul-Alam
authors: John C
authors: JC
authors: Allen
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000639:trends*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013997:Time Factors