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Revista Médica del Uruguay

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

Abstract

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.  http://dx.doi.org/10.29193/rmu.34.1.7.

Introduction:

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.

Method:

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.

Discussion:

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

Conclusion:

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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