<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902018000100134</article-id>
<article-id pub-id-type="doi">10.29193/rmu.34.1.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fracturas desplazadas de epicóndilo medial. Revisión bibliográfica sistematizada]]></article-title>
<article-title xml:lang="en"><![CDATA[Displaced fractures of medial epicondyle. A systematized bibliographic review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fraturas com Deslocamento de Epicôndilo Medial. Revisão Bibliográfica Sistematizada]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fratelli Álvarez]]></surname>
<given-names><![CDATA[Rodrigo Matías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teske]]></surname>
<given-names><![CDATA[Viviana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuneo]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ortopedia y Traumatología  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica de Traumatología y Ortopedia Pediátrica  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica de Traumatología y Ortopedia Pediátrica  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>134</fpage>
<lpage>151</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902018000100134&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902018000100134&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902018000100134&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: la fractura de epicóndilo medial representa 12% a 20% de las fracturas del codo pediátrico. Existe controversia en la indicación del tratamiento para las fracturas con un desplazamiento mayor de 2 mm. El objetivo de este trabajo es revisar la indicación y los resultados de los diferentes tratamientos realizados en las fracturas de epicóndilo medial desplazadas más allá de 2 mm.  Material y método: se utilizaron las bases de datos electrónicas PubMed y Bireme. La búsqueda arrojó un total de 313 artículos de los cuales nueve cumplían con los criterios de inclusión propuestos al iniciar la búsqueda.  Discusión:  se analizaron y compararon los métodos de diagnóstico por imagen utilizados y su rendimiento, los diferentes tipos de tratamiento y las complicaciones.  Conclusión: no debe ser el desplazamiento de la fractura lo que guíe el tratamiento sino la energía traumática y la estabilidad en valgo del codo. Se han reportado excelentes resultados tanto con tratamiento conservador como quirúrgico de las fracturas desplazadas de epicóndilo medial. Faltan estudios comparativos con seguimiento a largo plazo de buen nivel de evidencia para recomendar uno u otro tratamiento en las fracturas desplazadas de epicóndilo medial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  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&#8217;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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: a fratura de epicôndilo medial representa 12 a 20 % das fraturas do cotovelo em crianças. Existe controvérsia na indicação do tratamento para fraturas com deslocamento superior a 2 mm. O objetivo deste trabalho é revisar a indicação e os resultados dos diferentes tratamentos realizados nos casos de fraturas de epicôndilo medial com deslocamento de mais de 2 mm.  Materiais e métodos: foram utilizadas as bases de dados electrónicas PubMed e de Bireme. A pesquisa bibliográfica recuperou 313 artículos sendo que 9 cumpriam com os critérios de inclusão propostos no inicio do trabalho.  Discussão: foram analisados e comparados os métodos de diagnóstico por imagem utilizada e seu rendimento, os diferentes tipos de tratamento e as complicações.  Conclusão: o deslocamento da fratura não deve ser o determinante do tratamento, mas sim a energia traumática e a estabilidade em valgo do cotovelo. Foram informados resultados excelentes tanto com tratamento conservador como cirúrgico das fraturas com deslocamento de epicôndilo medial. Faltam estudos comparativos com seguimento em longo prazo com evidencias de alta qualidade para recomendar o tipo de tratamento nos casos de fraturas com deslocamento de epicôndilo medial.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fracturas del húmero]]></kwd>
<kwd lng="es"><![CDATA[Articulación del codo]]></kwd>
<kwd lng="es"><![CDATA[Niño]]></kwd>
<kwd lng="en"><![CDATA[Humeral fractures]]></kwd>
<kwd lng="en"><![CDATA[Elbow joint]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="pt"><![CDATA[Fraturas do úmero]]></kwd>
<kwd lng="pt"><![CDATA[Articulação do cotobelo]]></kwd>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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