Operative treatment of displaced medial epicondyle fractures in children and adolescents

Hsieh Hsing Lee, Hsain Chung Shen, Jen Huei Chang, Chian Her Lee, Shing Sheng Wu

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Twenty-five patients who sustained displaced medial epicondyle fractures were treated by various surgical techniques. There were 18 males and 7 females. The mean age was 13.7 years. Surgical outcome was evaluated by use of the Elbow Assessment Score of the Japanese Orthopedic Association. Many variables that might influence the surgical outcome were considered. The results revealed no significant correlation between surgical outcome and injury mechanism, displacement, interval from injury to surgery, dislocation, fixation method, or duration of immobilization. The motion arc was moderately decreased in 1 patient treated by use of screw fixation. Moderate instability to valgus stress was noted in another patient treated by use of pin fixation (K-wires). The treatment results were all scored, and the patients with medial epicondylar fractures (displacement >5 mm) showed good to excellent results with operative treatment. Residual deformity did not compromise cosmetic appearance or clinical results. Therefore, operative treatment is a suitable choice for managing these fractures in children and adolescents.

Original languageEnglish
Pages (from-to)178-185
Number of pages8
JournalJournal of Shoulder and Elbow Surgery
Volume14
Issue number2
DOIs
Publication statusPublished - Mar 2005
Externally publishedYes

Fingerprint

Intraoperative Complications
Therapeutics
Elbow
Cosmetics
Immobilization
Orthopedics
Wounds and Injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Operative treatment of displaced medial epicondyle fractures in children and adolescents. / Lee, Hsieh Hsing; Shen, Hsain Chung; Chang, Jen Huei; Lee, Chian Her; Wu, Shing Sheng.

In: Journal of Shoulder and Elbow Surgery, Vol. 14, No. 2, 03.2005, p. 178-185.

Research output: Contribution to journalArticle

Lee, Hsieh Hsing ; Shen, Hsain Chung ; Chang, Jen Huei ; Lee, Chian Her ; Wu, Shing Sheng. / Operative treatment of displaced medial epicondyle fractures in children and adolescents. In: Journal of Shoulder and Elbow Surgery. 2005 ; Vol. 14, No. 2. pp. 178-185.
@article{9085138767db4cb490039417ca66aa6c,
title = "Operative treatment of displaced medial epicondyle fractures in children and adolescents",
abstract = "Twenty-five patients who sustained displaced medial epicondyle fractures were treated by various surgical techniques. There were 18 males and 7 females. The mean age was 13.7 years. Surgical outcome was evaluated by use of the Elbow Assessment Score of the Japanese Orthopedic Association. Many variables that might influence the surgical outcome were considered. The results revealed no significant correlation between surgical outcome and injury mechanism, displacement, interval from injury to surgery, dislocation, fixation method, or duration of immobilization. The motion arc was moderately decreased in 1 patient treated by use of screw fixation. Moderate instability to valgus stress was noted in another patient treated by use of pin fixation (K-wires). The treatment results were all scored, and the patients with medial epicondylar fractures (displacement >5 mm) showed good to excellent results with operative treatment. Residual deformity did not compromise cosmetic appearance or clinical results. Therefore, operative treatment is a suitable choice for managing these fractures in children and adolescents.",
author = "Lee, {Hsieh Hsing} and Shen, {Hsain Chung} and Chang, {Jen Huei} and Lee, {Chian Her} and Wu, {Shing Sheng}",
year = "2005",
month = "3",
doi = "10.1016/j.jse.2004.07.007",
language = "English",
volume = "14",
pages = "178--185",
journal = "Journal of Shoulder and Elbow Surgery",
issn = "1058-2746",
publisher = "Mosby Inc.",
number = "2",

}

TY - JOUR

T1 - Operative treatment of displaced medial epicondyle fractures in children and adolescents

AU - Lee, Hsieh Hsing

AU - Shen, Hsain Chung

AU - Chang, Jen Huei

AU - Lee, Chian Her

AU - Wu, Shing Sheng

PY - 2005/3

Y1 - 2005/3

N2 - Twenty-five patients who sustained displaced medial epicondyle fractures were treated by various surgical techniques. There were 18 males and 7 females. The mean age was 13.7 years. Surgical outcome was evaluated by use of the Elbow Assessment Score of the Japanese Orthopedic Association. Many variables that might influence the surgical outcome were considered. The results revealed no significant correlation between surgical outcome and injury mechanism, displacement, interval from injury to surgery, dislocation, fixation method, or duration of immobilization. The motion arc was moderately decreased in 1 patient treated by use of screw fixation. Moderate instability to valgus stress was noted in another patient treated by use of pin fixation (K-wires). The treatment results were all scored, and the patients with medial epicondylar fractures (displacement >5 mm) showed good to excellent results with operative treatment. Residual deformity did not compromise cosmetic appearance or clinical results. Therefore, operative treatment is a suitable choice for managing these fractures in children and adolescents.

AB - Twenty-five patients who sustained displaced medial epicondyle fractures were treated by various surgical techniques. There were 18 males and 7 females. The mean age was 13.7 years. Surgical outcome was evaluated by use of the Elbow Assessment Score of the Japanese Orthopedic Association. Many variables that might influence the surgical outcome were considered. The results revealed no significant correlation between surgical outcome and injury mechanism, displacement, interval from injury to surgery, dislocation, fixation method, or duration of immobilization. The motion arc was moderately decreased in 1 patient treated by use of screw fixation. Moderate instability to valgus stress was noted in another patient treated by use of pin fixation (K-wires). The treatment results were all scored, and the patients with medial epicondylar fractures (displacement >5 mm) showed good to excellent results with operative treatment. Residual deformity did not compromise cosmetic appearance or clinical results. Therefore, operative treatment is a suitable choice for managing these fractures in children and adolescents.

UR - http://www.scopus.com/inward/record.url?scp=15044345030&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=15044345030&partnerID=8YFLogxK

U2 - 10.1016/j.jse.2004.07.007

DO - 10.1016/j.jse.2004.07.007

M3 - Article

C2 - 15789012

AN - SCOPUS:15044345030

VL - 14

SP - 178

EP - 185

JO - Journal of Shoulder and Elbow Surgery

JF - Journal of Shoulder and Elbow Surgery

SN - 1058-2746

IS - 2

ER -