A5002373121- Sports injuries and prevention
- Shoulder Injury and Treatment
- Elbow and Forearm Trauma Treatment
Helsinki University Hospital
2020-2021
University of Helsinki
2021
Importance Displaced pediatric medial humeral epicondyle fractures are traditionally treated nonoperatively with casting. However, the use of surgical treatment has increased despite limited high-level evidence supporting its benefits. Objective To determine whether open reduction and internal fixation improve functional outcomes compared long arm casting in children displaced at 12 months post injury. Design, Setting, Participants This noninferiority randomized clinical trial was conducted...
Background and purpose — Controversy exists regardingthe optimal treatment for displaced medial epicondylefractures. We compared the results of nonoperative andoperative calculated incidence medialepicondyle fractures in pediatric census population. Patients methods 112 children under 16 yearsold who sustained > 2 mm fracture were treated our institution between 2014 and2019. 80/83 patients with 81 non-incarcerated wereavailable minimum 1-year follow-up. 41 weretreated immobilization only,...
Introduction Medial epicondyle fracture of the humerus is a common injury in childhood. There uniform agreement that minimally displaced fractures (dislocation ≤2 mm) can be treated nonoperatively with immobilisation. Open fractures, joint incarceration or ulnar nerve dysfunction require surgery. no consensus treatment closed medial >2 mm dislocation without dysfunction. We hypothesise there difference outcomes between nonoperative and operative treatment. Methods analysis This...