Medial epicondyle fracture (peds) - Revision history

Rossdonaldson1: /* Specialty Care= */

2020-06-22T21:35:48Z

Specialty Care=

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	*If nonoperative, follow up with pediatric orthopedist within 5-7 days		*If nonoperative, follow up with pediatric orthopedist within 5-7 days

	==Specialty Care===		==Specialty Care==
	*Long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>		*Long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>

2020-06-22T21:35:38Z

Disposition

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	==Disposition==		==Disposition==
	*If nonoperative, follow up with pediatric orthopedist within 5-7 days		*If nonoperative, follow up with pediatric orthopedist within 5-7 days
	**Long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>
			==Specialty Care===
			*Long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>

	==See Also==		==See Also==

2020-06-22T21:34:57Z

Disposition

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	==Disposition==		==Disposition==
	*If nonoperative, follow up with pediatric orthopedist within 5-7 days		*If nonoperative, follow up with pediatric orthopedist within 5-7 days
	**~~Pay consider placement in long~~ arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>		**Long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>

	==See Also==		==See Also==

2020-06-22T21:34:40Z

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	*[[Posterior long-arm splint]] with forearm pronated		*[[Posterior long-arm splint]] with forearm pronated
	*Typically discussed with ortho consultant while in ED		*Typically discussed with ortho consultant while in ED
	**Pay consider placement in long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>

	==Disposition==		==Disposition==
			*If nonoperative, follow up with pediatric orthopedist within 5-7 days
			**Pay consider placement in long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>

	==See Also==		==See Also==
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	==References==		==References==
	<references/>		<references/>



	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

2020-06-22T21:33:43Z

Management

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	*Reduction, if concurrent [[elbow dislocation]]		*Reduction, if concurrent [[elbow dislocation]]
	*[[Posterior long-arm splint]] with forearm pronated		*[[Posterior long-arm splint]] with forearm pronated
	*~~Ortho consult~~		*Typically discussed with ortho consultant while in ED
	**~~Long~~ arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>		**Pay consider placement in long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>

	==Disposition==		==Disposition==

2020-06-22T21:32:13Z

Evaluation

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	==Evaluation==		==Evaluation==
	[[File:PMC4635321 rjv13301.png\|thumb\|Pediatric medial epicondyle fracture.]]		[[File:PMC4635321 rjv13301.png\|thumb\|Pediatric medial epicondyle fracture.]]
			===Workup===
			*AP and lateral elbow x-ray
			**Consider comparison views of other elbow

			===Diagnosis===
	*Displacement of medial epicondyle ossification center		*Displacement of medial epicondyle ossification center
	*May become entrapped within elbow joint		*May become entrapped within elbow joint

2020-06-22T21:30:05Z

Management

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	==Management==		==Management==
			*Reduction, if concurrent [[elbow dislocation]]
			*[[Posterior long-arm splint]] with forearm pronated
	*Ortho consult		*Ortho consult
	**Long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>		**Long arm cast with elbow flexed 90˚ vs operative management<ref>https://www.orthobullets.com/pediatrics/4008/medial-epicondylar-fractures--pediatric</ref>

2020-06-22T21:08:21Z

Clinical Features

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	==Clinical Features==		==Clinical Features==
	*Mechanisms:		*Mechanisms:
	**Posterior elbow dislocation		**Posterior [[elbow dislocation]]
	**Repetitive stress ("Little League elbow")		**Repetitive stress ("Little League elbow")
	*Exam: pain with pronation or elbow/wrist flexion		*Exam: pain with pronation or elbow/wrist flexion
	*May have associated ulnar nerve injury		*May have associated [[ulnar nerve injury]]

	==Differential Diagnosis==		==Differential Diagnosis==

2020-06-22T21:06:55Z

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	**Repetitive stress ("Little League elbow")		**Repetitive stress ("Little League elbow")
	*Exam: pain with pronation or elbow/wrist flexion		*Exam: pain with pronation or elbow/wrist flexion
			*May have associated ulnar nerve injury

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Disposition==		==Disposition==

	~~==Complications==~~
	*[[Ulnar nerve injury]]

	==See Also==		==See Also==

2020-06-22T21:06:04Z

Disposition