Medial epicondyle fracture (peds)

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Background

  • Not true Salter-Harris fracture (apophysis, not physis, is involved)
  • 50% associated with elbow dislocation

Evaluation

  • Displacement of medial epicondyle ossification center
  • May become entrapped within elbow joint
  • Use CRITOE to determine if bone in joint is medial epicondyle or nl trochlear oss center
    • If think is trochlear but cannot see medial epicondyle fragment is medial epicondyle
      • (Medial epicondyle normally ossifies before the trochlea)
  • Fat pad sign not usually present because most injuries are extra-articular

Differential Diagnosis

Elbow Diagnoses

Radiograph-Positive

Radiograph-Negative

Pediatric

Management

  • Ortho consult

See Also

References