A medial epicondyle fracture is an avulsion injury to the medial epicondyle of the humerus; the prominence of bone on the inside of the elbow. Medial epicondyle fractures account for 10% elbow fractures in children. 25% of injuries are associated with a dislocation of the elbow. Medial epicondyle fractures are typically seen in children and usually occur as a result of a fall onto an out-stretched hand. This often happen from falls from a scooter, roller skates, or monkey bars, as well as from injuries sustained playing sports. The peak age of occurrence is 10–12 years old.[1] Symptoms include pain, swelling, bruising and a decreased ability to move or use the elbow. Initial pain may be managed with NSAIDs, opioids, and splinting. The management of pain in children typically follows guidelines, such as those from the Royal College of Emergency Medicine.[2] The diagnosis is confirmed with X-rays and occasionally with a CT scan. The treatment of these injuries is controversial, and there are currently ongoing international randomised studies. The SCIENCE study is an ongoing study funded by the National Institute for Health Research (UK). A similar study is being planned in the US, funded by the National Institutes for Health (US). These studies both seek to determine if surgery to restore the natural position of the elbow is better than allowing the bone to heal in a cast without restoring the natural position. Children and families internationally are being encouraged to participate in these research studies to resolve the uncertainties.

1. FRACTURE MEDIAL
EPICONDYLE
MODERATOR- DR LN MEENA SIR
PRESENTED BY- DR VASU

6. MEDIAL CONDYLE AND EPICONDYLE
Injuries to the medial aspect of the distal humerus in young children can range from an avulsion
fracture of the medial epicondyle to a much more serious Salter-Harris type IV fracture of the
medial condyle.
Medial condyle fractures involve a fracture line that extends through and separates the medial
metaphysis and epicondyle from the rest of the humerus; by definition, the fracture line must
involve the trochlear articular surface.
Medial condyle fractures must be distinguished from medial epicondyle fractures that involve
the medial column but are extra-articular
The distinction between these two types of fractures is key to the selection of appropriate
treatment. Both fracture patterns may be difficult to diagnose in young children, especially
before the secondary ossification centers have formed

23. Classification
No routinely used classification system
Can be more simply classified as acute vs. chronic
acute subtypes
Nondisplaced
Minimally displaced
Displaced
Fragment entrapped in joint
Fracture through epicondyle apophysis
chronic
related to tension stress injuries