Medial Epicondyle Nonunions in Children: Case Report With Overview and Management. (February 2019)

• Record Type: Journal Article
• Authors: Chorney, Matthew; Sylvestre, Daniel; Seeley, Mark
• Is Part Of: Journal of the AAOS. Volume 3:Number 2(2019)
• Publication Date: 2019-02
• Subjects: Orthopedic surgery -- Periodicals; 617.4705
• DOI: 10.5435/JAAOSGlobal-D-18-00046
• Languages: English
• ISSNs: 2474-7661

Abstract

Abstract : Up to 90% of medial epicondyle fractures treated with conservative measures result in nonunion. However, only 21% become symptomatic. The current case review discusses the history and treatment of a symptomatic medial epicondyle nonunion in a 14-year-old over a 2-year period. Initial conservative treatment was insufficient. However, open reduction and internal fixation afforded the patient a full resolution of symptoms with return to all activities at 10 weeks postoperatively. The patient remains asymptomatic more than 2 years after the initial injury. Open reduction and internal fixation achieved excellent outcomes in the treatment of a symptomatic medial epicondyle nonunion.