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Surgical Treatment of Displaced Medial Epicondyle Fractures in Adolescent Athletes*

Department of Orthopaedic Surgery and Clinical Investigation, Naval Hospital, San Diego, California

William L. Hennrikus, MD

Department of Orthopaedic Surgery and Clinical Investigation, Naval Hospital, San Diego, California

Eight adolescent athletes (average age, 11 years; range, 9 to 15) underwent open reduction and internal fixation of acute, displaced medial epicondyle frac tures. Fixation was achieved with a screw and washer. Four patients (50%) had associated elbow disloca tions. Elbow motion in a brace was initiated 4 days after surgery. The brace allowed full flexion and exten sion but protected the elbow against valgus stress. Bracing was continued for 4 weeks. The average du ration of followup was 10 months (range, 6 to 13). All fractures united, and full motion was achieved in seven patients. One patient lost 5° of hyperextension com pared with the opposite elbow. All eight elbows were stable to valgus stress and were pain-free. All patients returned to full sports activity.

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