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Paediatrics
intermediate
X-Type

Medial Epicondyle Fractures

Elbow Trauma

A 12-year-old boy presents after falling on an outstretched hand while wrestling. He reports immediate pain over the medial elbow. Examination reveals swelling, tenderness at the medial epicondyle, and weakness of grip strength. There is no instability on valgus stress testing. X-rays show a displaced medial epicondyle fracture with 8mm displacement. There was a spontaneously reduced elbow dislocation reported by the family. Regarding medial epicondyle fractures in children:

Mark each as TRUE or FALSE

A

Medial epicondyle fractures are the third most common pediatric elbow fracture (10-15%); peak age is...

B

An incarcerated fragment occurs when the medial epicondyle becomes trapped in the joint (typically t...

C

Medial epicondyle fractures are the most common elbow fracture in children; they typically occur in ...

D

The ulnar nerve is at risk due to its proximity to the medial epicondyle; pre-operative neurological...

E

Non-operative treatment (immobilization for 3-4 weeks with early motion) is appropriate for minimall...

Answer the questions to see explanations

Click T (True) or F (False) for each option