How long does medial epicondyle fracture take to heal?
Most often, these avulsion fractures will heal by placing the arm inside a cast for about 4 to 6 weeks, then following with physical therapy. Medial epicondyle avulsion fractures can be prevented by carefully following pitch speed and quantity guidelines, and resting the elbow between episodes of pitching.
How do you fix a medial epicondyle fracture?
Conservative management of medial epicondyle fractures involves long arm casting for 2-4 weeks with the elbow at 90° flexion and the forearm in neutral rotation. This is followed by a brief period of sling immobilization for comfort while promoting elbow and wrist range of motion in this immediate postcast period.
How do you tell if you fracture your medial epicondyle?
Features of a medial epicondylar avulsion injury include 1-3:
- soft tissue swelling. this may be the only sign of an undisplaced injury.
- widening of the growth plate (comparison to the contralateral side may be useful)
- obvious displacement of the apophysis.
- fracture through the adjacent humeral metaphysis.
Which nerve is most likely to be damaged by a fracture of the medial epicondyle at the elbow?
Nerve injury is usually a neuropraxia to the ulnar nerve and most resolve spontaneously. Radial nerve injury may occur iatrogenically. Stiffness of the elbow joint. This is worse when dislocation has occurred.
Which nerve is affected in medial epicondyle fracture?
The association between elbow dislocation, medial epicondyle fracture with intra-articular fragment entrapment and ulnar neuropraxia is very unfrequent with only a few cases reported in the literature, the mechanism of injury of the ulnar nerve is still unknown.
What causes a medial epicondyle fracture?
Medial epicondyle fractures are common and account for 10% of all elbow fractures in children. They occur between the ages of 7-15 years. They are usually a result from an avulsion (pull off) injury caused by a valgus stress at the elbow and contraction of the flexor muscles.
Can you fracture your medial epicondyle?
A medial epicondyle fracture is an avulsion injury of the attachment of the common flexors of the forearm. The injury is usually extra-articular but can be sometimes associated with an elbow dislocation.
What is the difference between epicondyle and condyle?
The condyle is smooth and round whereas epicondyle is rough. Epicondyle is a projection on the condyle. The main difference between condyle and epicondyle is that condyle forms an articulation with another bone. whereas epicondyle provides sites for the attachment of muscles.
What happens in medial epicondyle fracture?
What are the two condyles at the end of the humerus?
Anatomical terms of bone The Condyle of humerus is the distal end of the humerus. It is made up of the capitulum and the trochlea.
Are condyles rough?
The condyles are not quite parallel with one another; the long axis of the lateral is almost directly antero-posterior, but that of the medial runs backward and medialward. Their opposed surfaces are small, rough, and concave, and form the walls of the intercondylar fossa.
What are the names of the condyles of humerus?
Anatomical Parts The condyle of humerus is the distal part of humerus (including the capitulum, trochlea, olecranon fossa, coronoid fossa, radial fossa, medial and lateral epicondyles).