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Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390


FRATELLI ALVAREZ, Rodrigo Matías; TESKE, Viviana  and  CUNEO, Alejandro. Displaced fractures of medial epicondyle. A systematized bibliographic review. Rev. Méd. Urug. [online]. 2018, vol.34, n.1, pp.134-151. ISSN 0303-3295.


fractures of medial epicondyle represent 12 to 20% of pediatric elbow fractures. Treating fractures with greater than 2 mm of displacement is a matter of debate. The study aims to review indications and results of the different treatments indicated for fractures of medial epicondyle with greater than 2 mm of displacement.


the PubMed and Bireme electronic data bases were used. Search revealed 313 articles, 9 of which met the inclusion criteria set upon initiation of the study.


imaging techniques used and their diagnostic yield were compared, as well as the different of treatments and complications.


treatment should not be defined based on the fracture’s displacement, but rather on the trauma energy and the valgus stability of the elbow. Excellent results were reported both with a conservative treatment and with a surgical approach to displaced fractures of medial epicondyle. Comparative studies need to be done with long term follow-up that is well recorded to recommend the right treatment for displaced fractures of medial epicondyle.

Keywords : Humeral fractures; Elbow joint; Child.

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